NCM 109 QUIZ 5 REVIEWER & STUDY GUIDE 2026/2027
D. Avoiding contact with people who have upper respiratory tract infections. Otitis media is
commonly precipitated by an upper respiratory tract infection. Therefore, children prone to
otitis media should avoid people known to have an upper respiratory tract infection. Acute otitis
media is the second most common pediatric diagnosis in the emergency department following
upper respiratory infections. Although otitis media can occur at any age, it is most commonly
seen between the ages of 6 to 24 months. - Correct answer ✔✔ Which of the following
instructions should Nurse Cheryl include in her teaching plan for the parents of Reggie with
otitis media?
A. Placing the child in the supine position to bottle-feed
B. Giving prescribed amoxicillin (Amoxil) on an empty stomach
C. Cleaning the inside of the ear canals with cotton swabs
D. Avoiding contact with people who have upper respiratory tract infections
B. Lateness in walking Mild intellectual disability is minimally noticeable in young children, with
one of the signs being a delay in achieving developmental milestones, such as walking at a later
stage. Individuals with an intellectual disability have neurodevelopmental deficits characterized
by limitations in intellectual functioning and adaptive behavior. These disabilities originate and
manifest before the age of 18 and can be associated with a considerable number of related and
co-occurring problems. - Correct answer ✔✔ A child diagnosed with intellectual disability (ID) is
under the supervision of Nurse Tasha. The nurse is aware that the signs and symptoms of mild
ID include which of the following?
A. Few communication skills
B. Lateness in walking
C. Mental age of a toddler
D. Noticeable developmental delays
,C. Deficits in adaptive behavior with intellectual impairment. Mental retardation is part of a
broad category of developmental disability and is defined by the American Association of
Mental Deficiency as "significantly subaverage, general intellectual functioning existing
concurrently with deficits in adaptive behavior and manifested during the developmental period
(18 years of age)." - Correct answer ✔✔ The American Association on Mental Deficiency
(AAMD), now American Association on Intellectual and Developmental Disabilities (AAIDD)
definition of mental retardation emphasizes which of the following?
A. An IQ level that must be below 50
B. Cognitive impairment occurring after age 22 years
C. Deficits in adaptive behavior with intellectual impairment
D. No responsiveness to contact
C. Cognitive delays. Children with seizure disorders do not necessarily have cognitive delays.
Epilepsy is one of the most serious neurological conditions and has an impact not only on the
affected individual but also on the family and, indirectly, on the community. A global approach
to the individual must take into account cognitive problems, psychiatric comorbidities and all
psychosocial complications that often accompany epilepsy. - Correct answer ✔✔ After
explaining to the parents about their child's unique psychological needs related to a seizure
disorder and possible stressors, which of the following interests uttered by them would indicate
further teaching?
A. Feeling different from peers
B. Poor self-image
C. Cognitive delays
D. Dependency
C. Increased risk of infections Adolescents with seizure disorders are at no greater risk for
infections than other adolescents. Adolescence is the period during which the child's identity as
an individual in his/her own right should be consolidated. Achieving independence from
parents, establishing healthy interpersonal relationships outside the family and choosing a
vocation are essential developmental tasks of adolescence. - Correct answer ✔✔ Olivia is an
, adolescent who has seizure disorder; which of the following would not be a focus of a teaching
program?
A. Ability to obtain a driver's license
B. Drug and alcohol abuse
C. Increased risk of infections
D. Peer pressure
D. Systematically rotate injection sites. It is necessary to rotate injection sites because injecting
in the same place much of the time can cause hard lumps or extra fat deposits to develop.
Insulin delivery is by multiple daily injections (MDI) or an insulin pump to simulate endogenous
insulin physiology. Multiple daily injections include basal insulin once or twice daily, and bolus
insulin typically is given at meals three or more times daily and is based on carbohydrate
content and current blood glucose. - Correct answer ✔✔ A child newly diagnosed with diabetes
mellitus has been stabilized with insulin injections daily. A nurse prepares a discharge teaching
plan regarding the insulin. The teaching plan should reinforce which of the following concepts?
A. Always keep insulin vials refrigerated
B. Increase the amount of insulin before exercise
C. Ketones in the urine signify a need for less insulin
D. Systematically rotate injection sites
D. Bone growth disruption The epiphyseal plate is a significant region of bone growth. Hence,
any disruption may result in limb shortening. Sometimes, changes in the growth plate from the
fracture can cause problems later. For example, the bone could end up a little crooked or a bit
longer or shorter than expected. - Correct answer ✔✔ When a child injures the epiphyseal plate
from a fracture, the damage may result in which of the following?
A. Rheumatoid arthritis
B. Permanent nerve damage
D. Avoiding contact with people who have upper respiratory tract infections. Otitis media is
commonly precipitated by an upper respiratory tract infection. Therefore, children prone to
otitis media should avoid people known to have an upper respiratory tract infection. Acute otitis
media is the second most common pediatric diagnosis in the emergency department following
upper respiratory infections. Although otitis media can occur at any age, it is most commonly
seen between the ages of 6 to 24 months. - Correct answer ✔✔ Which of the following
instructions should Nurse Cheryl include in her teaching plan for the parents of Reggie with
otitis media?
A. Placing the child in the supine position to bottle-feed
B. Giving prescribed amoxicillin (Amoxil) on an empty stomach
C. Cleaning the inside of the ear canals with cotton swabs
D. Avoiding contact with people who have upper respiratory tract infections
B. Lateness in walking Mild intellectual disability is minimally noticeable in young children, with
one of the signs being a delay in achieving developmental milestones, such as walking at a later
stage. Individuals with an intellectual disability have neurodevelopmental deficits characterized
by limitations in intellectual functioning and adaptive behavior. These disabilities originate and
manifest before the age of 18 and can be associated with a considerable number of related and
co-occurring problems. - Correct answer ✔✔ A child diagnosed with intellectual disability (ID) is
under the supervision of Nurse Tasha. The nurse is aware that the signs and symptoms of mild
ID include which of the following?
A. Few communication skills
B. Lateness in walking
C. Mental age of a toddler
D. Noticeable developmental delays
,C. Deficits in adaptive behavior with intellectual impairment. Mental retardation is part of a
broad category of developmental disability and is defined by the American Association of
Mental Deficiency as "significantly subaverage, general intellectual functioning existing
concurrently with deficits in adaptive behavior and manifested during the developmental period
(18 years of age)." - Correct answer ✔✔ The American Association on Mental Deficiency
(AAMD), now American Association on Intellectual and Developmental Disabilities (AAIDD)
definition of mental retardation emphasizes which of the following?
A. An IQ level that must be below 50
B. Cognitive impairment occurring after age 22 years
C. Deficits in adaptive behavior with intellectual impairment
D. No responsiveness to contact
C. Cognitive delays. Children with seizure disorders do not necessarily have cognitive delays.
Epilepsy is one of the most serious neurological conditions and has an impact not only on the
affected individual but also on the family and, indirectly, on the community. A global approach
to the individual must take into account cognitive problems, psychiatric comorbidities and all
psychosocial complications that often accompany epilepsy. - Correct answer ✔✔ After
explaining to the parents about their child's unique psychological needs related to a seizure
disorder and possible stressors, which of the following interests uttered by them would indicate
further teaching?
A. Feeling different from peers
B. Poor self-image
C. Cognitive delays
D. Dependency
C. Increased risk of infections Adolescents with seizure disorders are at no greater risk for
infections than other adolescents. Adolescence is the period during which the child's identity as
an individual in his/her own right should be consolidated. Achieving independence from
parents, establishing healthy interpersonal relationships outside the family and choosing a
vocation are essential developmental tasks of adolescence. - Correct answer ✔✔ Olivia is an
, adolescent who has seizure disorder; which of the following would not be a focus of a teaching
program?
A. Ability to obtain a driver's license
B. Drug and alcohol abuse
C. Increased risk of infections
D. Peer pressure
D. Systematically rotate injection sites. It is necessary to rotate injection sites because injecting
in the same place much of the time can cause hard lumps or extra fat deposits to develop.
Insulin delivery is by multiple daily injections (MDI) or an insulin pump to simulate endogenous
insulin physiology. Multiple daily injections include basal insulin once or twice daily, and bolus
insulin typically is given at meals three or more times daily and is based on carbohydrate
content and current blood glucose. - Correct answer ✔✔ A child newly diagnosed with diabetes
mellitus has been stabilized with insulin injections daily. A nurse prepares a discharge teaching
plan regarding the insulin. The teaching plan should reinforce which of the following concepts?
A. Always keep insulin vials refrigerated
B. Increase the amount of insulin before exercise
C. Ketones in the urine signify a need for less insulin
D. Systematically rotate injection sites
D. Bone growth disruption The epiphyseal plate is a significant region of bone growth. Hence,
any disruption may result in limb shortening. Sometimes, changes in the growth plate from the
fracture can cause problems later. For example, the bone could end up a little crooked or a bit
longer or shorter than expected. - Correct answer ✔✔ When a child injures the epiphyseal plate
from a fracture, the damage may result in which of the following?
A. Rheumatoid arthritis
B. Permanent nerve damage
