NR 446 Exam 2026/2027 Questions and
Answers (Detailed)
A nurse is reinforcing teaching regarding the immunization schedule with the parent
of a 6-month-old infant during a well-baby visit. Which of the following statements by
the parent indicates an understanding of the teaching? (CORRECT ANSWER)"My
baby will receive his third DTaP vaccine today."
A nurse is caring for a 3-year-old female child who is prescribed an indwelling urinary
catheter. Which of the following actions should the nurse take when performing this
procedure? (CORRECT ANSWER)Apply 2% lidocaine lubricant into the urethral
meatus
A nurse is reinforcing teaching with the guardians of a school-age child who has
frequent nosebleeds. Which of the following instructions should the nurse include?
(CORRECT ANSWER)Apply pressure to the child's nose.
A nurse is reinforcing discharge teaching with the guardians of a 6-month-old infant
following a surgical procedure to repair a hypospadias. Which of the following
instructions should the nurse include? (CORRECT ANSWER)Wait 1 week before
giving the infant a tub bath
A nurse is preparing to assist a provider with a lumbar puncture for a school-age
child. Which of the following actions is the nurse's priority? (CORRECT
ANSWER)Maintaining the child's position
A nurse is reinforcing teaching with the parent of an infant who has a new diagnosis
of human immunodeficiency virus (HIV). Which of the following statements made by
the parent indicates an understanding of the teaching? (CORRECT ANSWER)"I
should bring my child in for immunizations on schedule."
A nurse is reinforcing dietary teaching with an adolescent who is a lacto-vegetarian
and has iron deficiency anemia. The nurse should recommend which of the following
as the best source of iron? (CORRECT ANSWER)1 cup (8 oz) shredded wheat
cereal
A nurse is preparing to administer an IM injection to an 11-month-old infant. In which
of the following areas should the nurse administer the injection? (CORRECT
ANSWER)Vastus lateralis
A nurse is reinforcing teaching with the parent of a 4-month-old infant who has a new
prescription for nystatin to treat oral candidiasis and is breastfeeding. Which of the
following instructions should the nurse include in the teaching? (CORRECT
ANSWER)Continue nystatin for 2 weeks after the symptoms disappear.
A nurse is assisting with the admission of a toddler who has bacterial meningitis
caused by Haemophilus influenzae type B. Which of the following isolation
, guidelines should the nurse plan to initiate? (CORRECT ANSWER)Droplet
precautions
A nurse is reinforcing teaching with the parents of preschoolers regarding the use of
booster seats in a motor vehicle. Which of the following instructions should the nurse
include in the teaching? (CORRECT ANSWER)Secure the child in the booster seat
using the motor vehicle's shoulder-lap seat belt.
A nurse is collecting data from an 18-month-old toddler. Which of the following is a
deviation from expected growth and development that the nurse should report to the
provider? (CORRECT ANSWER)The toddler is unable to recognize familiar objects
by name.
A nurse in a pediatric clinic is talking on the telephone with the parent of a 6-month-
old infant who has a urinary tract infection and started taking an oral antibiotic the
day before. The mother reports the infant spits the medication out after
administration. What response should the nurse make? (CORRECT ANSWER)"Mix
the medicine with 1 teaspoon of applesauce before giving it to your baby."
A nurse is collecting data from an 18-month-old toddler who has just presented to
the urgent care clinic. Which of the following data should the nurse investigate
further? (CORRECT ANSWER)Blood pressure 120/80 mm Hg
A nurse is caring for a toddler who has otitis media and a temperature of 39.1° C
(102.4° F). Which of the following actions should the nurse take first? (CORRECT
ANSWER)Administer an antipyretic.
A nurse is reinforcing teaching with the parent of a school-age child who has lactose
intolerance. Which of the following supplements should the nurse instruct the parent
to include in the child's diet? (CORRECT ANSWER)Vitamin D
A nurse is reinforcing teaching with the parents of a 2-year-old toddler at a well-child
visit. Which of the following should the nurse recommend as an age-appropriate
activity for the toddler? (CORRECT ANSWER)Putting together a large-piece puzzle
A nurse is reinforcing teaching with the family of an adolescent client who was
recently diagnosed with celiac disease. Which of the following foods should the
nurse recommend? (CORRECT ANSWER)Yellow corn
A nurse is caring for a 1-month-old infant who has a NG tube in place for intermittent
feedings. Which of the following actions should the nurse take? (CORRECT
ANSWER)Position the head of the crib at a 30 degree angle between feedings
A nurse is collecting physical data from a 4-year-old child who has diarrhea and has
been vomiting for 24 hr. Which of the following sites should the nurse grasp to
determine the child's skin turgor? (CORRECT ANSWER)The child's abdomen
A nurse is reviewing the plan of care for a child who has cystic fibrosis. Which of the
following is the priority goal for this child? (CORRECT ANSWER)The child will
maintain an effective breathing pattern.
Answers (Detailed)
A nurse is reinforcing teaching regarding the immunization schedule with the parent
of a 6-month-old infant during a well-baby visit. Which of the following statements by
the parent indicates an understanding of the teaching? (CORRECT ANSWER)"My
baby will receive his third DTaP vaccine today."
A nurse is caring for a 3-year-old female child who is prescribed an indwelling urinary
catheter. Which of the following actions should the nurse take when performing this
procedure? (CORRECT ANSWER)Apply 2% lidocaine lubricant into the urethral
meatus
A nurse is reinforcing teaching with the guardians of a school-age child who has
frequent nosebleeds. Which of the following instructions should the nurse include?
(CORRECT ANSWER)Apply pressure to the child's nose.
A nurse is reinforcing discharge teaching with the guardians of a 6-month-old infant
following a surgical procedure to repair a hypospadias. Which of the following
instructions should the nurse include? (CORRECT ANSWER)Wait 1 week before
giving the infant a tub bath
A nurse is preparing to assist a provider with a lumbar puncture for a school-age
child. Which of the following actions is the nurse's priority? (CORRECT
ANSWER)Maintaining the child's position
A nurse is reinforcing teaching with the parent of an infant who has a new diagnosis
of human immunodeficiency virus (HIV). Which of the following statements made by
the parent indicates an understanding of the teaching? (CORRECT ANSWER)"I
should bring my child in for immunizations on schedule."
A nurse is reinforcing dietary teaching with an adolescent who is a lacto-vegetarian
and has iron deficiency anemia. The nurse should recommend which of the following
as the best source of iron? (CORRECT ANSWER)1 cup (8 oz) shredded wheat
cereal
A nurse is preparing to administer an IM injection to an 11-month-old infant. In which
of the following areas should the nurse administer the injection? (CORRECT
ANSWER)Vastus lateralis
A nurse is reinforcing teaching with the parent of a 4-month-old infant who has a new
prescription for nystatin to treat oral candidiasis and is breastfeeding. Which of the
following instructions should the nurse include in the teaching? (CORRECT
ANSWER)Continue nystatin for 2 weeks after the symptoms disappear.
A nurse is assisting with the admission of a toddler who has bacterial meningitis
caused by Haemophilus influenzae type B. Which of the following isolation
, guidelines should the nurse plan to initiate? (CORRECT ANSWER)Droplet
precautions
A nurse is reinforcing teaching with the parents of preschoolers regarding the use of
booster seats in a motor vehicle. Which of the following instructions should the nurse
include in the teaching? (CORRECT ANSWER)Secure the child in the booster seat
using the motor vehicle's shoulder-lap seat belt.
A nurse is collecting data from an 18-month-old toddler. Which of the following is a
deviation from expected growth and development that the nurse should report to the
provider? (CORRECT ANSWER)The toddler is unable to recognize familiar objects
by name.
A nurse in a pediatric clinic is talking on the telephone with the parent of a 6-month-
old infant who has a urinary tract infection and started taking an oral antibiotic the
day before. The mother reports the infant spits the medication out after
administration. What response should the nurse make? (CORRECT ANSWER)"Mix
the medicine with 1 teaspoon of applesauce before giving it to your baby."
A nurse is collecting data from an 18-month-old toddler who has just presented to
the urgent care clinic. Which of the following data should the nurse investigate
further? (CORRECT ANSWER)Blood pressure 120/80 mm Hg
A nurse is caring for a toddler who has otitis media and a temperature of 39.1° C
(102.4° F). Which of the following actions should the nurse take first? (CORRECT
ANSWER)Administer an antipyretic.
A nurse is reinforcing teaching with the parent of a school-age child who has lactose
intolerance. Which of the following supplements should the nurse instruct the parent
to include in the child's diet? (CORRECT ANSWER)Vitamin D
A nurse is reinforcing teaching with the parents of a 2-year-old toddler at a well-child
visit. Which of the following should the nurse recommend as an age-appropriate
activity for the toddler? (CORRECT ANSWER)Putting together a large-piece puzzle
A nurse is reinforcing teaching with the family of an adolescent client who was
recently diagnosed with celiac disease. Which of the following foods should the
nurse recommend? (CORRECT ANSWER)Yellow corn
A nurse is caring for a 1-month-old infant who has a NG tube in place for intermittent
feedings. Which of the following actions should the nurse take? (CORRECT
ANSWER)Position the head of the crib at a 30 degree angle between feedings
A nurse is collecting physical data from a 4-year-old child who has diarrhea and has
been vomiting for 24 hr. Which of the following sites should the nurse grasp to
determine the child's skin turgor? (CORRECT ANSWER)The child's abdomen
A nurse is reviewing the plan of care for a child who has cystic fibrosis. Which of the
following is the priority goal for this child? (CORRECT ANSWER)The child will
maintain an effective breathing pattern.
