Questions and Answers Latest Version
Graded A+
A 4-year-old child with asthma is wheezing and has difficulty breathing after playing outside.
What should the nurse do first?
✔✔ Administer the prescribed bronchodilator and reassess the child's breathing.
A 2-year-old child has a fever of 102°F and is refusing to eat. What is the nurse's best action?
✔✔ Offer small amounts of fluids and assess for signs of dehydration.
A newborn presents with jaundice on day 2 of life. What is the nurse’s most appropriate action?
✔✔ Monitor bilirubin levels and assess the baby’s feeding patterns.
A 6-month-old infant presents with a persistent cough and nasal congestion. What is the most
likely diagnosis?
✔✔ The child may have a respiratory syncytial virus (RSV) infection, and supportive care
should be provided.
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,A 10-year-old child with a history of type 1 diabetes is complaining of dizziness and irritability.
What should the nurse check?
✔✔ Check the child's blood glucose level immediately.
A 5-year-old child is admitted with a diagnosis of dehydration after vomiting and diarrhea for 3
days. What is the first intervention?
✔✔ Administer oral rehydration solution and monitor hydration status.
A 3-year-old child is hospitalized for pneumonia and is receiving antibiotics. What should the
nurse monitor for in this patient?
✔✔ Monitor the child’s respiratory rate and oxygen saturation levels.
A 7-year-old child with chickenpox is being discharged. What is the most important instruction
for the parent?
✔✔ Keep the child home from school until all lesions have crusted over.
A 12-year-old child has a leg cast and is complaining of pain that is worsening despite pain
medication. What should the nurse do first?
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, ✔✔ Assess for signs of compartment syndrome, such as swelling or a change in color or
temperature of the limb.
A 3-month-old infant is being evaluated for failure to thrive. What is the most important factor to
assess?
✔✔ The infant’s feeding history, including frequency, quantity, and type of feeding.
A 4-year-old child presents with a fever of 101°F and a painful, swollen red area on the cheek.
What is the most likely diagnosis?
✔✔ Mumps, and isolation precautions should be implemented.
A 10-year-old child with ADHD is not responding to medication as expected. What should the
nurse assess?
✔✔ Evaluate the child’s adherence to the medication regimen and assess for any side effects or
interactions with other medications.
A 6-year-old child has a new diagnosis of scoliosis. What is the primary nursing intervention?
✔✔ Educate the child and family about the treatment plan, which may include wearing a brace.
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