2025-2026 ACTUAL EXAM COMPLETE 153
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
Save
Terms in this set (153)
A nurse in a pediatric clinic is B
assessing a toddler at a well-child Rationale: The nurse should initially minimize
visit. Which of the physical contact with the toddler, and then
following actions should the nurse progress from the least traumatic to the most
take? traumatic procedures.
a. Perform the assessment in a head
to toe sequence.
b. Minimize physical contact with
the child initially.
c. Explain procedures using medical
terminology.
d. Stop the assessment if the child
becomes uncooperative.
,A nurse is caring for an 18-year-old B
adolescent who is up-to-date on Rationale: The meningococcal polysaccharide
immunizations and is immunization is used to prevent infection by
planning to attend college. The certain groups of meningococcal bacteria.
nurse should inform the client that Meningococcal infection can cause life-
he should receive which of the threatening
following immunizations prior to illnesses, such as meningococcal meningitis,
moving into a campus dormitory? which affects the brain, and meningococcemia,
a. Pneumococcal polysaccharide which affects the blood. Both of these conditions
b. Meningococcal polysaccharide can be fatal. College freshmen, particularly
c. Rotavirus those who live in dormitories, are at an increased
d. Herpes zoster risk for meningococcal disease relative to other
persons their age. Therefore, the Centers for
Disease Control and Prevention has issued a
recommendation that all incoming college
students receive the meningococcal
immunization.
A nurse is teaching the parent of an A
infant about food allergens. Which Rationale: According to evidence-based practice,
of the following the nurse should instruct the parent that cow's
foods should the nurse include as milk is the most common food allergy in children.
being the most common food Some children are sensitive to the protein,
allergy in children? called casein, found in cow's milk. They have
a. Cow's milk difficulty metabolizing the casein and are,
b. Wheat bread therefore, allergic to cow's milk.
c. Corn syrup
d. Egg
,A nurse is teaching the parent of a A
toddler about home safety. Which Rationale: Locking up medications and other
of the following potential poisons prevents access. Toddlers have
statements by the parent indicates improved gross and fine motor skills that allow
an understanding of the teaching? for further exploration of the environment and
a. "I lock my medications in the possible access to hazardous substances.
medicine cabinet."
b. "I keep my child's crib mattress at
the highest level."
c. "I turn pot handles to the side of
my stove while cooking."
d. "I will give my child syrup of
ipecac if she swallows something
poisonous."
A nurse is performing a physical B
assessment on a 6-month-old Rationale: The Babinski reflex, which is elicited by
infant. Which of the stroking the bottom of the foot and causing
following reflexes should the nurse the toes to fan and the big toe to dorsiflex,
expect to find? should be present until the age of 1 year.
a. Stepping Persistence
b. Babinski of neonatal reflexes might indicate neurological
c. Extrusion deficits.
d. Moro
, A nurse is preparing to administer C
recommended immunizations to a Rationale: The recommended immunizations for a
2-month-old infant. 2-month-old infant include Hib and IPV. The
Which of the following Hib immunization series consists of 3 to 4 doses,
immunizations should the nurse depending on the immunization used, and at a
plan to administer? minimum is administered at the ages of 2 months,
a. Human papillomavirus (HPV) and 4 months, and 12 to 15 months. The IPV
hepatitis A immunization series consists of 4 doses and is
b. Measles, mumps, rubella (MMR) administered at the ages of 2 months, 4 months, 6
and tetanus, diphtheria, and to 18 months, and 4 to 6 years.
acellular pertussis
(TDaP)
c. Haemophilus influenzae type B
(Hib) and inactivated polio virus
(IPV)
d. Varicella (VAR) and live
attenuated influenza vaccine (LAIV)
A nurse is developing a plan of care B
for a school-age child who Rationale: The noises in a facility can be
underwent a surgical frightening to a child who is experiencing a
procedure that resulted in sensory
temporary loss of vision. Which of loss. It is important to explain these noises to
the following interventions allay the child's fears.
should the nurse include in the plan
of care?
a. Assign an assistive personnel to
feed the child.
b. Explain sounds the child is
hearing.
c. Have the child use a cane when
ambulating.
d. Rotate nurses caring for the
child.