Comprehensive Nursing Exam 2024/2025 with 100% correct answers
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Course
Comprehensive Nursing E
Institution
Comprehensive Nursing E
1. The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant correct answersThe correct answer is B: Place t...
1. The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should
the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant correct answersThe correct answer is B: Place the child on the side
Protecting the airway is the top priority in a seizure. If a child is actively convulsing, a patent airway and
oxygenation must be assured.
2. A client has just returned to the medical-surgical unit following a segmental lung resection. After
assessing the client, the first nursing action would be to
Suctioning the copious tracheobronchial secretions present in post-thoracic surgery clients maintains an
open airway which is always the priority nursing intervention.
3. A nurse from the surgical department is reassigned to the pediatric unit. The charge nurse should
recognize that the child at highest risk for cardiac arrest and is the least likely to be assigned to this nurse
is which child?
A) Congenital cardiac defects
B) An acute febrile illness
C) Prolonged hypoxemia
,D) Severe multiple trauma correct answersThe correct answer is C: Prolonged hypoxemia Most often, the
cause of cardiac arrest in the pediatric population is prolonged hypoxemia. Children usually have both
cardiac and respiratory arrest.
4. Which of the following would be the best strategy for the nurse to use when teaching insulin injection
techniques to a newly diagnosed client with diabetes?
A) Give written pre and posttests
B) Ask questions during practice
C) Allow another diabetic to assist
D) Observe a return demonstration correct answersThe correct answer is D: Observe a return
demonstration
Since this is a psychomotor skill, this is the best way to know if the client has learned the proper
technique.
5. The nurse is assessing a 2-year-old client with a possible diagnosis of congenital heart disease. Which
of these is most likely to be seen with this diagnosis?
A) Several otitis media episodes in the last year
B) Weight and height in 10th percentile since birth
C) Takes frequent rest periods while playing
D) Changing food preferences and dislikes correct answersThe correct answer is C: Takes frequent rest
periods while playing.
Children with heart disease tend to have exercise intolerance. The child self-limits activity, which is
consistent with manifestations of congenital heart disease in children.
6. The nurse is reassigned to work at the Poison Control Center telephone hotline. In which of these
cases of childhood poisoning would the nurse suggest that parents have the child drink orange juice?
A) An 18 month-old who ate an undetermined amount of crystal drain cleaner
B) A 14 month-old who chewed 2 leaves of a philodendron plant
C) A 20 month-old who is found sitting on the bathroom floor beside an empty bottle of diazepam
(Valium)
D) A 30 month-old who has swallowed a mouthful of charcoal lighter fluid correct answersThe correct
answer is A: An 18 month-old who ate an undetermined amount of crystal drain cleaner.
Drain cleaner is very alkaline. The orange juice is acidic and will help to neutralize this substance.
, 7. A 23-year-old single client is in the 33rd week of her first pregnancy. She tellsthe nurse that she has
everything ready for the baby and has made plans for the first weeks together at home. Which normal
emotional reaction does the nurse recognize?
A) Acceptance of the pregnancy
B) Focus on fetal development
C) Anticipation of the birth
D) Ambivalence about pregnancy correct answersThe correct answer is C: Anticipation of the birth
Directing activities toward preparation for the newborn's needs and personal adjustment are indicators
of appropriate emotional response in the third trimester.
8. Upon examining the mouth of a 3-year-old child, the nurse discovers that the teeth have chalky white-
to-yellowish staining with pitting of the enamel. Which of the following conditions would most likely
explain these findings?
The described findings are indicative of fluorosis, a condition characterized by an increase in the extent
and degree of the enamel's porosity. This problem can be associated with repeated swallowing of
toothpaste with fluoride or drinking water with high levels of fluoride.
9. Which of the following should the nurse teach the client to avoid when takingchlorpromazine HCL
(Thorazine)?
A) Direct sunlight
B) Foods containing tyramine
C) Foods fermented with yeast
D) Canned citrus fruit drinks correct answersThe correct answer is A: Avoid direct sunlight
Phenothiazine increases sensitivity to the sun, making clients especially susceptible to sunburn
10. The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate
statement for the nurse is
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