NURS 370 FINAL EXAM FALL 2025 BLUEPRINT
DAVENPORT UNIVERSITY NURSING CARE OF
CHILDREN GRADED A
The nurse is providing care to an adolescent client diagnosed with systemic lupus erythematosus
(SLE). Which action by the client indicates acceptance of body changes associated with SLE?
A. She refuses to attend school.
B. She doesn't want to attend any social functions.
C. She discusses the body changes with a peer.
D. She discusses the body changes with healthcare personnel only.
C
Peer interaction is important to the teen. Being able to discuss the changes to her body with a peer
indicates acceptance of the change in body image. Discussing changes only with healthcare personnel
does not indicate the teen has adjusted to body-image changes. Refusing to go to school or not going to
social functions indicates nonacceptance of the changes to body image.
A school-age child diagnosed with rheumatoid arthritis asks the nurse to recommend an exercise
activity. Which activity is most appropriate for this child?
A. Softball
B. Football
C. Swimming
D. Basketball
C
Swimming helps to exercise all of the extremities without putting undue stress on joints. Softball,
football, and basketball could exacerbate joint discomfort.
,The nurse is providing discharge teaching to a school-age client who was recently diagnosed with a
latex allergy. Which product will the nurse educate the client and family to avoid?
A. Plastic bottles
B. Footballs
C. Chewing gum
D. Paper bags
C
When a child is diagnosed with a latex allergy, it is essential for the nurse to educate both the child and
the family regarding sources of latex within the home and the community. The child and family should
be educated to avoid chewing gum as it contains latex.
Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the
nurse what they can do to help if it happens again. Which response by the nurse is the most
appropriate?
A. "If it happens again, I will teach you what to do."
B. "You should have an antihistamine like Benadryl with you at all times."
C. "We can start a desensitization process to take the allergy away."
D. "I will teach you how to use an Epi-Pen."
D
An Epi-Pen is the appropriate treatment if this reaction occurs again. Benadryl is fine, but most likely is
not strong enough in light of the serious reaction the child had. Desensitization is not the appropriate
instruction at this time. Telling the parents that they will be taught if it happens again is brushing off the
seriousness of the situation.
The nurse is caring for a child just admitted with diabetic ketoacidosis (DKA). Which healthcare
provider prescription should the nurse question?
A. Neurologic checks hourly
B. Insert urinary catheter, and measure output hourly
C. NPH insulin IV at 0.1 unit/kg per hour
D. Stat serum electrolytes
,Answer: C
Neurologic status can indicate a change in the patients status that requires intervention.
Accurate intake and output is needed for these patients.
NPH insulin is never administered IV. A short-acting insulin needs to be ordered.
Electrolytes are ordered to determine if any replacement is needed.
An adolescent presents in the emergency department (ED) with confusion. The healthcare provider
suspects diabetic ketoacidosis (DKA). A stat serum glucose is done, and the result is 715 mg/dL. Which
clinical manifestations does the nurse anticipate upon assessment for this client?
A. Tachycardia, dehydration, and abdominal pain
B. Sweating, photophobia, and tremors
C. Dry mucous membranes, blurred vision, and weakness
D. Dry skin, shallow rapid breathing, and dehydration
Answer A
All 3 of these symptoms can be DKA.
Sweating and tremors are clinical manifestations of hypoglycemia.
Dry mucous membranes, blurred vision, and weakness are seen with hyperglycemia.
Deep, rapid breathing is a clinical manifestation of DKA.
Which teaching point should the nurse include when providing education to an adolescent client, who
participates in soccer, regarding the plan of care for diabetes mellitus?
A. Decreased food intake
B. Increased doses of insulin
C. Increased food intake
D. Decreased doses of insulin
C
Encourage regular physical activity, and educate the child to increase not decrease food intake for extra
physical activity periods.
2. The insulin dose should be based on the blood sugar.
3. An increase in physical activity requires an increase in caloric intake to prevent hypoglycemia.
4. The insulin dose should be based on the blood sugar.
Page Ref: 727
, Which action related to insulin administration should the nurse include in the teaching plan for an
adolescent client who has been newly diagnosed with diabetes mellitus to avoid the development of
lipoatrophy?
A. Rotating injection sites
B. Checking blood sugars at mealtime and bedtime
C. Using a sliding scale for additional coverage
D. Administration of insulin via insulin pump
C (slides say C buttttt that's D)
1. Lipoatrophy is caused by using the same insulin injection site.
2. Checking blood sugars at mealtime and bedtime is necessary for care of this client and will not cause
lipoatrophy if done correctly.
3. A sliding scale will keep the client's blood sugars more controlled but does not cause lipoatrophy.
4. An insulin pump will decrease the risk of lipoatrophy as it decreases the number of injection
The nurse is teaching the caregiver of a child who is newly diagnosed with type 1 diabetes mellitus
how to minimize pain with insulin injections. Which interventions should the nurse include in the
teaching session? Select all that apply.
A. Do not reuse needles.
B. Remove all bubbles from the syringe before injecting.
C. Have the child flex the muscle during injection.
D. Inject insulin when it is cold.
E. Do not change the direction of the needle during insertion or withdrawal.
A, B, E
A. Reusing needles leads to more pain on injection.
B. Removing bubbles from the syringe minimizes pain.
C. The child should relax their muscles during injection.
D. Insulin at room temperature will hurt less.
E. Keeping the direction of the syringe constant will minimize pain
DAVENPORT UNIVERSITY NURSING CARE OF
CHILDREN GRADED A
The nurse is providing care to an adolescent client diagnosed with systemic lupus erythematosus
(SLE). Which action by the client indicates acceptance of body changes associated with SLE?
A. She refuses to attend school.
B. She doesn't want to attend any social functions.
C. She discusses the body changes with a peer.
D. She discusses the body changes with healthcare personnel only.
C
Peer interaction is important to the teen. Being able to discuss the changes to her body with a peer
indicates acceptance of the change in body image. Discussing changes only with healthcare personnel
does not indicate the teen has adjusted to body-image changes. Refusing to go to school or not going to
social functions indicates nonacceptance of the changes to body image.
A school-age child diagnosed with rheumatoid arthritis asks the nurse to recommend an exercise
activity. Which activity is most appropriate for this child?
A. Softball
B. Football
C. Swimming
D. Basketball
C
Swimming helps to exercise all of the extremities without putting undue stress on joints. Softball,
football, and basketball could exacerbate joint discomfort.
,The nurse is providing discharge teaching to a school-age client who was recently diagnosed with a
latex allergy. Which product will the nurse educate the client and family to avoid?
A. Plastic bottles
B. Footballs
C. Chewing gum
D. Paper bags
C
When a child is diagnosed with a latex allergy, it is essential for the nurse to educate both the child and
the family regarding sources of latex within the home and the community. The child and family should
be educated to avoid chewing gum as it contains latex.
Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the
nurse what they can do to help if it happens again. Which response by the nurse is the most
appropriate?
A. "If it happens again, I will teach you what to do."
B. "You should have an antihistamine like Benadryl with you at all times."
C. "We can start a desensitization process to take the allergy away."
D. "I will teach you how to use an Epi-Pen."
D
An Epi-Pen is the appropriate treatment if this reaction occurs again. Benadryl is fine, but most likely is
not strong enough in light of the serious reaction the child had. Desensitization is not the appropriate
instruction at this time. Telling the parents that they will be taught if it happens again is brushing off the
seriousness of the situation.
The nurse is caring for a child just admitted with diabetic ketoacidosis (DKA). Which healthcare
provider prescription should the nurse question?
A. Neurologic checks hourly
B. Insert urinary catheter, and measure output hourly
C. NPH insulin IV at 0.1 unit/kg per hour
D. Stat serum electrolytes
,Answer: C
Neurologic status can indicate a change in the patients status that requires intervention.
Accurate intake and output is needed for these patients.
NPH insulin is never administered IV. A short-acting insulin needs to be ordered.
Electrolytes are ordered to determine if any replacement is needed.
An adolescent presents in the emergency department (ED) with confusion. The healthcare provider
suspects diabetic ketoacidosis (DKA). A stat serum glucose is done, and the result is 715 mg/dL. Which
clinical manifestations does the nurse anticipate upon assessment for this client?
A. Tachycardia, dehydration, and abdominal pain
B. Sweating, photophobia, and tremors
C. Dry mucous membranes, blurred vision, and weakness
D. Dry skin, shallow rapid breathing, and dehydration
Answer A
All 3 of these symptoms can be DKA.
Sweating and tremors are clinical manifestations of hypoglycemia.
Dry mucous membranes, blurred vision, and weakness are seen with hyperglycemia.
Deep, rapid breathing is a clinical manifestation of DKA.
Which teaching point should the nurse include when providing education to an adolescent client, who
participates in soccer, regarding the plan of care for diabetes mellitus?
A. Decreased food intake
B. Increased doses of insulin
C. Increased food intake
D. Decreased doses of insulin
C
Encourage regular physical activity, and educate the child to increase not decrease food intake for extra
physical activity periods.
2. The insulin dose should be based on the blood sugar.
3. An increase in physical activity requires an increase in caloric intake to prevent hypoglycemia.
4. The insulin dose should be based on the blood sugar.
Page Ref: 727
, Which action related to insulin administration should the nurse include in the teaching plan for an
adolescent client who has been newly diagnosed with diabetes mellitus to avoid the development of
lipoatrophy?
A. Rotating injection sites
B. Checking blood sugars at mealtime and bedtime
C. Using a sliding scale for additional coverage
D. Administration of insulin via insulin pump
C (slides say C buttttt that's D)
1. Lipoatrophy is caused by using the same insulin injection site.
2. Checking blood sugars at mealtime and bedtime is necessary for care of this client and will not cause
lipoatrophy if done correctly.
3. A sliding scale will keep the client's blood sugars more controlled but does not cause lipoatrophy.
4. An insulin pump will decrease the risk of lipoatrophy as it decreases the number of injection
The nurse is teaching the caregiver of a child who is newly diagnosed with type 1 diabetes mellitus
how to minimize pain with insulin injections. Which interventions should the nurse include in the
teaching session? Select all that apply.
A. Do not reuse needles.
B. Remove all bubbles from the syringe before injecting.
C. Have the child flex the muscle during injection.
D. Inject insulin when it is cold.
E. Do not change the direction of the needle during insertion or withdrawal.
A, B, E
A. Reusing needles leads to more pain on injection.
B. Removing bubbles from the syringe minimizes pain.
C. The child should relax their muscles during injection.
D. Insulin at room temperature will hurt less.
E. Keeping the direction of the syringe constant will minimize pain
