1. In a child with suspected coarctation of the aorta, the nurse 

would expect to find

The correct answer is D: Bounding pulses in the arms

Coarctation of the aorta, a narrowing or constriction of the 

descending aorta, causes increased flow to the upper extremities 

(increased pressure and pulses)

2. The nurse is caring for a child receiving chest physiotherapy 

(CPT). Which of the following actions by 

The correct answer is C: Confine the percussion to the rib cage area

Percussion (clapping) should be only done in the area of the rib 

cage.

3. A client was admitted to the psychiatric unit with major 

depression after a suicide attempt. In addition to feeling sad and 

hopeless, the nurse would assess for

The correct answer is C: Psychomotor retardation or agitation

Somatic or physiologic symptoms of depression include: fatigue, 

psychomotor retardation or psychomotor agitation, chronic 

generalized or local pain, sleep disturbances, disturbances in 

appetite, gastrointestinal complaints and impaired libido.

4. A victim of domestic violence states to the nurse, "If only I could 

change and be how my companion wants me to be, I know things 

would be different." Which would be the best response by the 

nurse?

The correct answer is D: "Batterers lose self-control because of their 

own internal reasons, not because of what their partner did or did 

not do."

Only the perpetrator has the ability to stop the violence. A change 

in the victim’s behavior will not cause the abuser to become 

nonviolent.

5. A nurse is to present information about Chinese folk medicine to 

a group of student nurses. Based on this cultural belief, the nurse 

would explain that illness is attributed to the

The correct answer is B: Yin, the negative force that represents 

darkness, cold, and emptiness. Chinese folk medicine proposes that 

health is regulated by the opposing forces of yin and yang. Yin is 

the negative female force characterized by darkness, cold and 

emptiness. Excessive yin predisposes one to nervousness.