NU 170 EXAM 2
Maternal-Child Nursing
(2026-2027) Actual Questions & Answers PDF |
Galen College of Nursing
1.
The nurse is reinforcing teaching with a teenager who has been diagnosed with diabetes mellitus (type
2) about exercise. Which statement by the teenager indicates a need for further teaching?
A. "I should check my urine for protein prior to exercising."
B. "I need to check my blood glucose levels before and after exercise."
C. "I will need to adjust my carbohydrate intake based on my exercise pattern."
D. "I will engage in some type of physical activity every day."
Correct Answer: A. "I should check my urine for protein prior to exercising."
Expert Rationale: Urine protein testing is not routinely required before exercise. The teenager should
monitor blood glucose, maintain appropriate carbohydrate intake, and participate in regular physical
activity. Exercise recommendations for diabetes focus on glucose monitoring and preventing hypo- or
hyperglycemia.
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. "The medication may be discontinued once the symptoms have resolved."
B. "The medication may take up to 3 weeks for full effect."
,C. "The medication may be mixed with applesauce and fed to the infant."
D. "The medication will reverse disabilities caused by the condition."
Correct Answer: C. "The medication may be mixed with applesauce and fed to the infant."
Expert Rationale: Levothyroxine may be crushed and mixed with a small amount of liquid or soft food for
administration to an infant. Treatment for congenital hypothyroidism must be continued as prescribed
and should not be stopped when symptoms improve. Early treatment prevents developmental
complications but cannot reverse permanent damage that has already occurred.
3.
The nurse is explaining infection precautions to a parent whose toddler has chickenpox. Which type of
transmission-based precaution should be used?
A. Standard
B. Airborne
C. Droplet
D. Contact
Correct Answer: B. Airborne.
Expert Rationale: Varicella (chickenpox) is transmitted through airborne particles and direct contact with
lesions. Airborne precautions are therefore required, along with standard precautions.
4.
The nurse is explaining infection precautions to a parent whose toddler has whooping cough (pertussis).
Which type of transmission-based precaution should be used?
A. Standard
B. Contact
C. Airborne
D. Droplet
Correct Answer: D. Droplet.
, Expert Rationale: Pertussis is transmitted primarily through respiratory droplets produced by coughing
and sneezing. Droplet precautions should therefore be implemented.
5.
The nurse is caring for clients who have come to the clinic for varicella vaccination. The nurse should
refrain from administering the immunization to which client?
A. A 16-year-old female who is sexually active and has a negative pregnancy test.
B. A 15-month-old child who has a reddened diaper area being treated with a corticosteroid.
C. A 17-year-old client who is being treated for meningitis.
D. A 7-year-old child who is receiving treatment for scoliosis.
Correct Answer: C. A 17-year-old client who is being treated for meningitis.
Expert Rationale: Varicella vaccine is a live attenuated vaccine and should generally be avoided in clients
with significant acute illness or immunocompromising conditions. The client currently being treated for
meningitis should have vaccination deferred until the acute illness has resolved.
6.
The nurse is caring for children with diabetes mellitus. Which child should the nurse see first?
A. The child with a morning blood glucose level of 75 mg/dL
B. The child who has not eaten since receiving regular insulin 1 hour ago
C. The child whose scheduled insulin has not arrived from the pharmacy
D. The child whose urine is negative for ketones and reports feeling hungry
Correct Answer: B. The child who has not eaten since receiving regular insulin 1 hour ago.
Expert Rationale: Regular insulin begins to act within approximately 30 minutes and peaks several hours
later. A child who received insulin without eating is at risk for hypoglycemia, which can rapidly become
life-threatening. This child requires immediate assessment and intervention.
7.
Maternal-Child Nursing
(2026-2027) Actual Questions & Answers PDF |
Galen College of Nursing
1.
The nurse is reinforcing teaching with a teenager who has been diagnosed with diabetes mellitus (type
2) about exercise. Which statement by the teenager indicates a need for further teaching?
A. "I should check my urine for protein prior to exercising."
B. "I need to check my blood glucose levels before and after exercise."
C. "I will need to adjust my carbohydrate intake based on my exercise pattern."
D. "I will engage in some type of physical activity every day."
Correct Answer: A. "I should check my urine for protein prior to exercising."
Expert Rationale: Urine protein testing is not routinely required before exercise. The teenager should
monitor blood glucose, maintain appropriate carbohydrate intake, and participate in regular physical
activity. Exercise recommendations for diabetes focus on glucose monitoring and preventing hypo- or
hyperglycemia.
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. "The medication may be discontinued once the symptoms have resolved."
B. "The medication may take up to 3 weeks for full effect."
,C. "The medication may be mixed with applesauce and fed to the infant."
D. "The medication will reverse disabilities caused by the condition."
Correct Answer: C. "The medication may be mixed with applesauce and fed to the infant."
Expert Rationale: Levothyroxine may be crushed and mixed with a small amount of liquid or soft food for
administration to an infant. Treatment for congenital hypothyroidism must be continued as prescribed
and should not be stopped when symptoms improve. Early treatment prevents developmental
complications but cannot reverse permanent damage that has already occurred.
3.
The nurse is explaining infection precautions to a parent whose toddler has chickenpox. Which type of
transmission-based precaution should be used?
A. Standard
B. Airborne
C. Droplet
D. Contact
Correct Answer: B. Airborne.
Expert Rationale: Varicella (chickenpox) is transmitted through airborne particles and direct contact with
lesions. Airborne precautions are therefore required, along with standard precautions.
4.
The nurse is explaining infection precautions to a parent whose toddler has whooping cough (pertussis).
Which type of transmission-based precaution should be used?
A. Standard
B. Contact
C. Airborne
D. Droplet
Correct Answer: D. Droplet.
, Expert Rationale: Pertussis is transmitted primarily through respiratory droplets produced by coughing
and sneezing. Droplet precautions should therefore be implemented.
5.
The nurse is caring for clients who have come to the clinic for varicella vaccination. The nurse should
refrain from administering the immunization to which client?
A. A 16-year-old female who is sexually active and has a negative pregnancy test.
B. A 15-month-old child who has a reddened diaper area being treated with a corticosteroid.
C. A 17-year-old client who is being treated for meningitis.
D. A 7-year-old child who is receiving treatment for scoliosis.
Correct Answer: C. A 17-year-old client who is being treated for meningitis.
Expert Rationale: Varicella vaccine is a live attenuated vaccine and should generally be avoided in clients
with significant acute illness or immunocompromising conditions. The client currently being treated for
meningitis should have vaccination deferred until the acute illness has resolved.
6.
The nurse is caring for children with diabetes mellitus. Which child should the nurse see first?
A. The child with a morning blood glucose level of 75 mg/dL
B. The child who has not eaten since receiving regular insulin 1 hour ago
C. The child whose scheduled insulin has not arrived from the pharmacy
D. The child whose urine is negative for ketones and reports feeling hungry
Correct Answer: B. The child who has not eaten since receiving regular insulin 1 hour ago.
Expert Rationale: Regular insulin begins to act within approximately 30 minutes and peaks several hours
later. A child who received insulin without eating is at risk for hypoglycemia, which can rapidly become
life-threatening. This child requires immediate assessment and intervention.
7.
