Galen College NU 170 Exam 2 (pdf) | 2026/2027 | Maternal-Child
Nursing Q&A | Maternal-Child Nursing
1. Which statement by a teenager with type 2 diabetes about exercise
indicates a need for further teaching?
A) "I should check my urine for protein prior to exercising."
B) "I should monitor my blood glucose before and after exercise."
C) "Exercise can help improve my insulin sensitivity."
D) "I need to carry a fast-acting carbohydrate with me during exercise."
Correct Answer: "I should check my urine for protein prior to exercising."
Rationale: Checking urine for protein before exercise is not necessary and
does not provide immediate information about glycemic status. Blood
glucose monitoring before and after exercise is essential to prevent
hypoglycemia or hyperglycemia. The other statements reflect appropriate
knowledge about diabetes management.
2. The nurse is reinforcing teaching with the mother of a 2-month-old infant
about newly prescribed levothyroxine. Which instruction should the nurse
include?
A) "Give the medication with meals for better absorption."
B) "The medication may take up to 3 weeks for full effect."
C) "Stop giving the medication once symptoms improve."
D) "Do not breastfeed while on this medication."
Correct Answer: "The medication may take up to 3 weeks for full effect."
Rationale: Levothyroxine requires several weeks to reach a therapeutic effect
in infants. Administering it with meals can reduce absorption, so it is typically
,given on an empty stomach. The medication is usually lifelong and
compatible with breastfeeding.
3. The mother of a 6-year-old child with type 1 diabetes calls, reporting the
child is sick and she is concerned about glucose control. What should the
nurse instruct?
A) "Reduce insulin dose until the child feels better."
B) "Check glucose levels more often."
C) "Stop all diabetes medications during illness."
D) "Limit fluid intake to prevent swelling."
Correct Answer: "Check glucose levels more often."
Rationale: Illness can increase blood glucose levels due to stress hormones;
more frequent monitoring allows timely management. Insulin should
generally not be stopped during illness unless advised.
4. A child with well-controlled type 1 diabetes is admitted with diabetic
ketoacidosis (DKA). The nurse suspects the episode was triggered by:
A) The presence of infection
B) Missing a meal
C) Excessive exercise the day before
D) A new insulin regimen
Correct Answer: The presence of infection
Rationale: Infection is a common precipitating factor for DKA due to
increased stress hormones, which lead to hyperglycemia and ketosis.
,5. The nurse working in the outpatient clinic is caring for clients who have
come for the varicella vaccination as ordered. The nurse should refrain from
administering the immunization to which client?
A) A 5-year-old with a mild cold
B) A 17-year-old client being treated for meningitis
C) A 12-year-old with asthma controlled by inhalers
D) A 7-year-old recovering from chickenpox
Correct Answer: A 17-year-old client being treated for meningitis
Rationale: Immunization is contraindicated in clients who are currently being
treated for acute severe infections such as meningitis due to potential
vaccine-related adverse effects and an ineffective immune response.
6. The nurse is caring for children with diabetes mellitus. Which child should
the nurse see first?
A) A child who has not eaten since receiving regular insulin 1 hour ago
B) A child with a blood glucose of 150 mg/dL
C) A child scheduled to receive long-acting insulin later today
D) A child feeling fatigued but who has eaten breakfast
Correct Answer: A child who has not eaten since receiving regular insulin 1
hour ago
Rationale: Administering insulin without adequate carbohydrate intake
increases the risk of hypoglycemia, which is an immediate safety concern
requiring prompt attention.
7. The nurse should place a toddler with measles in which type of
precautions?
, A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions
Correct Answer: Droplet precautions
Rationale: Measles is transmitted via respiratory droplets; therefore, droplet
precautions are indicated. Contact and airborne precautions are used for
different types of infections.
8. A child with a ventricular septal defect presents with what finding?
A) Diastolic murmur at the apex
B) Systolic murmur
C) Absence of heart sounds
D) Continuous machinery murmur
Correct Answer: Systolic murmur
Rationale: A ventricular septal defect (VSD) typically produces a loud, harsh
holosystolic murmur best heard at the left sternal border. A continuous
machinery murmur is more characteristic of patent ductus arteriosus (PDA).
9. Which symptom is an early sign of respiratory distress in a child with RSV?
A) Bradycardia
B) Tachypnea
C) Dyspnea
D) Cyanosis
Nursing Q&A | Maternal-Child Nursing
1. Which statement by a teenager with type 2 diabetes about exercise
indicates a need for further teaching?
A) "I should check my urine for protein prior to exercising."
B) "I should monitor my blood glucose before and after exercise."
C) "Exercise can help improve my insulin sensitivity."
D) "I need to carry a fast-acting carbohydrate with me during exercise."
Correct Answer: "I should check my urine for protein prior to exercising."
Rationale: Checking urine for protein before exercise is not necessary and
does not provide immediate information about glycemic status. Blood
glucose monitoring before and after exercise is essential to prevent
hypoglycemia or hyperglycemia. The other statements reflect appropriate
knowledge about diabetes management.
2. The nurse is reinforcing teaching with the mother of a 2-month-old infant
about newly prescribed levothyroxine. Which instruction should the nurse
include?
A) "Give the medication with meals for better absorption."
B) "The medication may take up to 3 weeks for full effect."
C) "Stop giving the medication once symptoms improve."
D) "Do not breastfeed while on this medication."
Correct Answer: "The medication may take up to 3 weeks for full effect."
Rationale: Levothyroxine requires several weeks to reach a therapeutic effect
in infants. Administering it with meals can reduce absorption, so it is typically
,given on an empty stomach. The medication is usually lifelong and
compatible with breastfeeding.
3. The mother of a 6-year-old child with type 1 diabetes calls, reporting the
child is sick and she is concerned about glucose control. What should the
nurse instruct?
A) "Reduce insulin dose until the child feels better."
B) "Check glucose levels more often."
C) "Stop all diabetes medications during illness."
D) "Limit fluid intake to prevent swelling."
Correct Answer: "Check glucose levels more often."
Rationale: Illness can increase blood glucose levels due to stress hormones;
more frequent monitoring allows timely management. Insulin should
generally not be stopped during illness unless advised.
4. A child with well-controlled type 1 diabetes is admitted with diabetic
ketoacidosis (DKA). The nurse suspects the episode was triggered by:
A) The presence of infection
B) Missing a meal
C) Excessive exercise the day before
D) A new insulin regimen
Correct Answer: The presence of infection
Rationale: Infection is a common precipitating factor for DKA due to
increased stress hormones, which lead to hyperglycemia and ketosis.
,5. The nurse working in the outpatient clinic is caring for clients who have
come for the varicella vaccination as ordered. The nurse should refrain from
administering the immunization to which client?
A) A 5-year-old with a mild cold
B) A 17-year-old client being treated for meningitis
C) A 12-year-old with asthma controlled by inhalers
D) A 7-year-old recovering from chickenpox
Correct Answer: A 17-year-old client being treated for meningitis
Rationale: Immunization is contraindicated in clients who are currently being
treated for acute severe infections such as meningitis due to potential
vaccine-related adverse effects and an ineffective immune response.
6. The nurse is caring for children with diabetes mellitus. Which child should
the nurse see first?
A) A child who has not eaten since receiving regular insulin 1 hour ago
B) A child with a blood glucose of 150 mg/dL
C) A child scheduled to receive long-acting insulin later today
D) A child feeling fatigued but who has eaten breakfast
Correct Answer: A child who has not eaten since receiving regular insulin 1
hour ago
Rationale: Administering insulin without adequate carbohydrate intake
increases the risk of hypoglycemia, which is an immediate safety concern
requiring prompt attention.
7. The nurse should place a toddler with measles in which type of
precautions?
, A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Standard precautions
Correct Answer: Droplet precautions
Rationale: Measles is transmitted via respiratory droplets; therefore, droplet
precautions are indicated. Contact and airborne precautions are used for
different types of infections.
8. A child with a ventricular septal defect presents with what finding?
A) Diastolic murmur at the apex
B) Systolic murmur
C) Absence of heart sounds
D) Continuous machinery murmur
Correct Answer: Systolic murmur
Rationale: A ventricular septal defect (VSD) typically produces a loud, harsh
holosystolic murmur best heard at the left sternal border. A continuous
machinery murmur is more characteristic of patent ductus arteriosus (PDA).
9. Which symptom is an early sign of respiratory distress in a child with RSV?
A) Bradycardia
B) Tachypnea
C) Dyspnea
D) Cyanosis
