ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS)
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A nurse is teaching a school-age child who has a new diagnosis of type 1 diabetes
mellitus. Which of the following statements by the child indicates an understanding of
the teaching?
"I will puncture the pad of my finger when I am testing my blood glucose."
"I will eat a snack of 5 grams of carbohydrates if my blood glucose is low."
"I will give myself a shot of regular insulin 30 minutes before I eat breakfast."
"I will decrease the number of fluids I drink when I am sick." - ANSWER-"I will give
myself a shot of regular insulin 30 minutes before I eat breakfast."
A nurse is caring for a school-age child who has peripheral edema. The nurse should
identify that which of the following assessments should be performed to confirm
peripheral edema?
Palpate the dorsum of the child's feet.
Weigh the child daily using the same scale.
Assess the child's skin turgor.
Observe the child for periorbital swelling. - ANSWER-Palpate the dorsum of the child's
feet.
A nurse is caring for a toddler who has acute otitis media and a temperature of 40º C
(104º F). After administering acetaminophen, which of the following actions should the
nurse plan to take to reduce the toddler's temperature?
Apply a cooling blanket to the toddler.
Dress the toddler in minimal clothing.
Give the toddler a tepid bath.
Administer diphenhydramine to the toddler. - ANSWER-Dress the toddler in minimal
clothing.
A nurse is planning an educational program to teach caregivers about protecting their
children from sunburns. Which of the following instructions should the nurse plan to
include?
A. "Allow your child to play outside during the hours between 10:00 a.m. and 2:00 p.m."
B. "Choose a waterproof sunscreen with a minimum SPF of 15."
, C. "Dress your child in loose weave polyester fabric prior to sun exposure."
D. "Reapply sunscreen every 4 hours." - ANSWER-B. "Choose a waterproof sunscreen
with a minimum SPF of 15."
A nurse is preparing to administer an immunization to a 4-year-old child. Which of the
following actions should the nurse plan to take?
Place the child in a prone position for the immunization.
Request that the child's caregiver leave the room during the immunization.
Administer the immunization using a 24-gauge needle.
Inject the immunization slowly after aspirating for 3 seconds. - ANSWER-Administer the
immunization using a 24-gauge needle.
A nurse in an emergency department is performing a physical assessment on a 2-week-
old male newborn. Which of the following findings is the priority for the nurse to report to
the provider?
A. Excoriated scrotal area
B. Multiple capillary hemangiomas
C. Depressed posterior fontanel
D. Substernal retractions - ANSWER-D. Substernal retractions
A nurse is reviewing the laboratory report of a 7-year-old child who is receiving
chemotherapy. Which of the following laboratory tests should the nurse review to
evaluate for anemia?
Hgb
WBC count
Prealbumin
Platelets - ANSWER-Hgb
A nurse is caring for a school-age child who has experienced a tonic-clonic seizure.
Which of the following actions should the nurse take during the immediate postictal
period?
Place the child in a side-lying position.
Delay documentation until the child is fully alert.
Give the child a high-carbohydrate snack.
Administer an oral sedative to the child. - ANSWER-Place the child in a side-lying
position.
A nurse is assessing a school-age child who has peritonitis. Which of the following
findings should the nurse expect?
Hyperactive bowel sounds
Abdominal distention
Bradycardia
Bloody stool - ANSWER-Abdominal distention
A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The
nurse should secure the sensor to which of the following areas on the infant?