Questions and Verified Answers| A Grade
(Latest 2023/ 2024)
QUESTION
A nurse is collecting data from a child who has type 1 diabetes mellitus and has slurred speech, is
diaphoretic, and has glucose reading of 45 mg/dl. Which of the following should the nurse
administer?
Answer:
6 oz regular soft drink.
QUESTION
A school nurse is caring for a child who has asthma and begins to have difficulty breathing.
Which of the following actions should the nurse take?
Answer:
- Encourage the use of flutter mucus clearance device.
QUESTION
A nurse is reinforcing teaching with a female adolescent who has dysmen- orrhea. Which of the
following instructions should the nurse include?
Answer:
Mas- sage the lower back area.
QUESTION
A nurse is reinforcing teaching with a guardian of a preschooler who has varicella and is
hospitalized. Which of the following statements by the guardian indicates an understanding of
the teaching?
Answer:
I will wait to bathe for my child once the crust have fallen off the lesions.
,QUESTION
A nurse is caring for child who has dehydration. Which of the following findings should the
nurse expect?
Answer:
Hct 45%.
Urine Output 35 mL/hr.
Capillary refill less than two seconds. Urine specific gravity 1.035.
QUESTION
A nurse is reviewing the medical record of a school age child who has admitted for suspected
physical maltreatment. Which of the following findings in the child's medical history should the
nurse identify as potential risk factor for physical maltreatment?
Answer:
Prematurity.
QUESTION
A nurse is planning to collect a stool specimen from an infant to check for the presence of ova
and parasites. Which of the following actions should the nurse plan to take?
Answer:
Place a urine collection device on the infant until the specimen is obtained.
QUESTION
A nurse is caring for a school age child who has an acute otitis media and a new prescription for
clindamycin. Which of the following findings indicate the child is experiencing an allergic
reaction to the medication?
Answer:
Urticaria.
QUESTION
A nurse is reinforcing teaching with a parent of a child who has otitis media and the new
prescription for amoxicillin oral suspension. Which of the following information should the
nurse include?
Answer:
,This medication can cause loose stools.
QUESTION
A nurse at an urgent care clinic is caring for a child who hit her head on the playground at school
30 minutes ago. Which of the following findings is the nurses priority?
Answer:
Asymmetric pupil's.
QUESTION
A nurse is reviewing the medical record of an adolescent who has bulimia nervosa. Which of the
following information should the nurse report to the provider immediately?
Answer:
HbAt 10.7%.
QUESTION
A nurse is caring for a preschooler who is terminally ill. Which of the follow- ing reactions to
that show the nurse expect?
Answer:
Perceives death as punishment.
QUESTION
A nurse is reinforcing teaching with the parent of a child who has otitis media and a new
prescription for amoxicillin oral suspension. Which of the following information should the
nurse include?
Answer:
This medication can cause loose stools.
QUESTION
A nurse is reinforcing teaching with the parents of a 10 week old infant who is scheduled for
surgical repair of a cleft lip. Which of the following information should the nurse include?
Answer:
, Your baby will be placed in elbow restraints following surgery.
QUESTION
A nurse is reinforcing teaching with a group of adolescence about safety. Which of the following
information should the nurse include in the teaching?-
Answer:
Driving skills can be impaired when friends are present.
QUESTION
A nurse is caring for an 18 month old infant who is 12hr postoperative following a myringotomy.
Which of the following pain rating scales should the nurse use?
Answer:
FLACC Scale.
QUESTION
A nurse is assisting with the plan of care for an adolescent who has rheumatoid arthritis and
reports difficulty feeding themselves. Which of the following referrals should the nurse
recommend?
Answer:
Occupational therapy.
QUESTION
A nurse is reinforcing teaching with the guardian of a school age child who has enuresis. Which
of the following statements should the nurse make?
Answer:
You should limit the amount of fluid your child drinks within two hours before bedtime.
QUESTION
A nurse is reviewing the laboratory report of a newly admitted school age child who has a fever.
The nurse should identify the which of the following laboratory results is an infection and should
be reported to the charge nurse immediately?