Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the first action a nurse should take if a toddler with a tracheostomy tube suddenly
becomes cyanotic and is struggling to breathe?
✔✔Remove the tracheostomy tube and begin ventilation with a bag-valve mask.
How can a nurse best reduce separation anxiety for a hospitalized preschooler?
✔✔Encourage the child to keep a favorite toy or blanket at the bedside.
What is the priority nursing intervention for a child experiencing sickle cell crisis with severe
pain?
✔✔Administer prescribed opioid analgesics and initiate IV fluids.
Which assessment finding indicates improvement in a child with dehydration receiving IV
fluids?
✔✔Urine output increases to an appropriate level for age.
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,What is the most appropriate toy for a hospitalized 10-month-old infant?
✔✔A soft, colorful rattle.
How should a nurse position an infant after a cleft lip repair?
✔✔Place the infant supine to avoid pressure on the surgical site.
What is the best way to obtain cooperation from a 3-year-old during a physical exam?
✔✔Allow the child to handle equipment like the stethoscope before use.
What is the priority nursing concern for a child with epiglottitis?
✔✔Maintain airway and be prepared for intubation.
What is the best dietary recommendation for a child with celiac disease?
✔✔Provide a gluten-free diet with alternatives such as rice and corn.
What is the priority nursing action if a school-age child with asthma presents with audible
wheezing and oxygen saturation of 85%?
✔✔Administer a prescribed short-acting bronchodilator immediately.
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, What finding would indicate effective teaching to parents of a child with type 1 diabetes?
✔✔Parents correctly demonstrate blood glucose monitoring before meals.
What is the first nursing intervention for a child having a tonic-clonic seizure?
✔✔Place the child on their side to maintain airway patency.
Which sign is most concerning in an infant with hydrocephalus?
✔✔A rapidly increasing head circumference.
What is the best way to explain a blood draw to a 6-year-old?
✔✔Use simple words and demonstrate on a doll before the procedure.
Which play activity is most appropriate for a hospitalized school-age child?
✔✔Playing board games with peers.
What should a nurse do first if a child with leukemia develops a fever of 39°C?
✔✔Notify the healthcare provider immediately because of infection risk.
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