Answers | Latest Version | 2025/2026 |
Correct & Verified
A 3-year-old child with asthma is having an acute attack. Which action should the nurse take
first?
A. Administer a sedative
✔✔B. Provide a short-acting bronchodilator
C. Encourage rest
D. Increase fluid intake
A newborn is assessed 2 hours after birth and has a temperature of 35.9°C. What is the best
nursing intervention?
A. Reassure the parents
✔✔B. Initiate skin-to-skin contact and provide warm blankets
C. Delay feeding
D. Prepare for phototherapy
A 6-month-old infant is admitted with dehydration from diarrhea. What is the priority nursing
action?
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,A. Monitor temperature
✔✔B. Begin oral rehydration therapy or IV fluids
C. Encourage solid foods
D. Assess developmental milestones
A 12-year-old child is prescribed amoxicillin for an ear infection. What teaching should the nurse
provide to the parents?
A. Stop the medication once the child feels better
✔✔B. Complete the full course of antibiotics
C. Give only when the child has a fever
D. Administer only at night
A pregnant client at 36 weeks gestation reports headache, blurred vision, and swelling of hands
and face. What is the priority nursing action?
A. Encourage rest
✔✔B. Assess for preeclampsia and notify the provider
C. Measure fundal height
D. Provide dietary teaching
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,A 4-year-old child is scheduled for surgery and is anxious. What is the most appropriate nursing
intervention?
A. Allow unlimited TV time
B. Administer sedatives without assessment
✔✔C. Provide age-appropriate explanations and allow parent presence
D. Ignore anxiety
A newborn has a heart rate of 80 bpm and weak cry at birth. What is the priority intervention?
A. Document findings
B. Wrap in blankets
✔✔C. Stimulate and provide supplemental oxygen
D. Begin feeding
A 7-year-old child with type 1 diabetes is experiencing hypoglycemia. What should the nurse do
first?
A. Administer insulin
✔✔B. Provide a fast-acting carbohydrate
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, C. Encourage rest
D. Assess urine output
A postpartum client reports bright red bleeding and passage of large clots 1 hour after delivery.
What is the priority nursing action?
A. Monitor vital signs every 4 hours
✔✔B. Massage the fundus and assess for lacerations or retained placenta
C. Encourage oral fluids
D. Document bleeding
A 10-year-old child presents with signs of dehydration: dry mucous membranes and decreased
urine output. What is the first nursing action?
A. Encourage oral fluids
✔✔B. Begin IV fluid replacement as prescribed
C. Provide dietary counseling
D. Monitor blood pressure only
A pregnant client at 32 weeks gestation reports decreased fetal movement. What is the priority
nursing assessment?
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