MEDICAL SURGICAL NURSING:
EXAM SET EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
Nurse Ann is assessing a 3 month old infant during a pediatric clinic visit. The
nurse believes the infant is demonstrating early manifestations of respiratory
distress. Which clinical manifestations should the nurse document? Select all
that applies.
1. Bradypneia
2. Acrocyanosis
3. Intercostal retractions
4. Nasal Congestions
5. Tachypneia
a. 1 and 2
b. 3 and 4
c. 4 and 5
d. 3 and 5 - CORRECT-ANSWERSC. 4 and 5
When caring for a child with acute bronchitis which nursing interventions
should be included in the plan of care? Select all that applies.
1. Encourage fluid intake
2. Administer oxygen
3. Suction the nose
4. Administer Antibiotics
5. Follow contact precautions
6. Encourage activity
a. 1,2,3,4,6
,b. 1,2,3,5
c. 2,3,4,5
d. 1,2,3,4,5,6 - CORRECT-ANSWERSD. 1,2,3,4,5,6
The nurse is assisting in the development of a plan of care for a child with
asthma. In planning care, many goals would be appropriate for this child and
or family caregiver. Which two goals would be the highest priority for this
child or family?
1. The child will maintain a clear airway.
2. The child will have adequate fluid intake.
3. The child and the family will connect with families living with the same
diagnosis.
4. The child and the family will improve knowledge and understanding of
varied pharmacologic options.
5. The child will maintain adequate pain control.
a. 1,2
b. 3,4
c. 1,5
d. 2,4
e. 4,5 - CORRECT-ANSWERSA. 1 and 2
A 1 year old with tetralogy of Fallot turns blue during temper tantrum. What
will the nurse do first?
a. Place the child in the knee chest position
b. Assess for irregular heart rate
c. Listen for an increased respiratory rate
d. Explain to the child the need to calm down - CORRECT-ANSWERSA. Place
the child in the knee chest position
, The nurse is caring for a child with rheumatic fever who has polyarthritis.
which lab result would the nurse most anticipate with this child's diagnosis
and symptoms.
a. increase clotting time
b. decreased white blood cell count
c. increased erythrocyte sedimentation rate (ESR)
d. decreased leukocyte - CORRECT-ANSWERSC. Increased erythrocyte
sedimentation rate
The parents of a 10 year old boy bring the child to the clinic for an
evaluation. Which statement by the parents would alert the nurse the
possibility of rheumatic fever?
a. He had a pretty bad sore throat 10 days ago
b. His fever has been running around 100F (38.7C) the past 2 days.
c. We noticed a white, thick coating on his tongue yesterday.
d. He's been tired the last several; days. - CORRECT-ANSWERSA. He had a
pretty bad sore throat 10 days ago.
Nurse Gina sees a 10 year old child in an ambulatory setting because of
rheumatic fever. Which of the following would the nurse expect t find
revealed by the health history?
a. knee pain, abdominal rash, subcutaneous nodules
b. an elevated temperature, back pain, loss hair
c. fatigue, slow pulse, frequent urination
d. loss of weight, abdominal pain, chest pain - CORRECT-ANSWERSA. knee
pain, abdominal rash, subcutaneous nodules
Nurse Boyet is caring for a 7 year old child with reports of generalized joint
pain and pharyngitis. During assessment, the nurse notes a cardiac murmur.
Which action by the nurse is priority?
EXAM SET EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
Nurse Ann is assessing a 3 month old infant during a pediatric clinic visit. The
nurse believes the infant is demonstrating early manifestations of respiratory
distress. Which clinical manifestations should the nurse document? Select all
that applies.
1. Bradypneia
2. Acrocyanosis
3. Intercostal retractions
4. Nasal Congestions
5. Tachypneia
a. 1 and 2
b. 3 and 4
c. 4 and 5
d. 3 and 5 - CORRECT-ANSWERSC. 4 and 5
When caring for a child with acute bronchitis which nursing interventions
should be included in the plan of care? Select all that applies.
1. Encourage fluid intake
2. Administer oxygen
3. Suction the nose
4. Administer Antibiotics
5. Follow contact precautions
6. Encourage activity
a. 1,2,3,4,6
,b. 1,2,3,5
c. 2,3,4,5
d. 1,2,3,4,5,6 - CORRECT-ANSWERSD. 1,2,3,4,5,6
The nurse is assisting in the development of a plan of care for a child with
asthma. In planning care, many goals would be appropriate for this child and
or family caregiver. Which two goals would be the highest priority for this
child or family?
1. The child will maintain a clear airway.
2. The child will have adequate fluid intake.
3. The child and the family will connect with families living with the same
diagnosis.
4. The child and the family will improve knowledge and understanding of
varied pharmacologic options.
5. The child will maintain adequate pain control.
a. 1,2
b. 3,4
c. 1,5
d. 2,4
e. 4,5 - CORRECT-ANSWERSA. 1 and 2
A 1 year old with tetralogy of Fallot turns blue during temper tantrum. What
will the nurse do first?
a. Place the child in the knee chest position
b. Assess for irregular heart rate
c. Listen for an increased respiratory rate
d. Explain to the child the need to calm down - CORRECT-ANSWERSA. Place
the child in the knee chest position
, The nurse is caring for a child with rheumatic fever who has polyarthritis.
which lab result would the nurse most anticipate with this child's diagnosis
and symptoms.
a. increase clotting time
b. decreased white blood cell count
c. increased erythrocyte sedimentation rate (ESR)
d. decreased leukocyte - CORRECT-ANSWERSC. Increased erythrocyte
sedimentation rate
The parents of a 10 year old boy bring the child to the clinic for an
evaluation. Which statement by the parents would alert the nurse the
possibility of rheumatic fever?
a. He had a pretty bad sore throat 10 days ago
b. His fever has been running around 100F (38.7C) the past 2 days.
c. We noticed a white, thick coating on his tongue yesterday.
d. He's been tired the last several; days. - CORRECT-ANSWERSA. He had a
pretty bad sore throat 10 days ago.
Nurse Gina sees a 10 year old child in an ambulatory setting because of
rheumatic fever. Which of the following would the nurse expect t find
revealed by the health history?
a. knee pain, abdominal rash, subcutaneous nodules
b. an elevated temperature, back pain, loss hair
c. fatigue, slow pulse, frequent urination
d. loss of weight, abdominal pain, chest pain - CORRECT-ANSWERSA. knee
pain, abdominal rash, subcutaneous nodules
Nurse Boyet is caring for a 7 year old child with reports of generalized joint
pain and pharyngitis. During assessment, the nurse notes a cardiac murmur.
Which action by the nurse is priority?
