with Correct Answers 2025/2026
The nurse discussed treatment of hypoglycemia with an adolescent. Which statement by the
adolescent leads the nurse to determine the patient understood the instructions?
A - When my blood glucose is low or if I begin to feel hungry & weak, I will eat 6 lifesavers
B - When my blood glucose is low or if I begin to feel hungry & weak, I will give myself Lispro
insulin
C - When my blood glucose is low or if I begin to feel hungry & weak, I will have a slice of cheese
D - When my blood glucose is low or if I begin to feel hungry & weak, I will drink a diet soda
Peds Ch. 31 - CORRECT ANSWER-A - When my blood glucose is low or if I begin to feel hungry &
weak, I will eat 6 lifesavers
The immediate treatment of hypoglycemia
A child with diabetes mellitus is observed to have cold symptoms. What signs & symptoms will
alert parents of the possibility of ketoacidosis? (Select all that apply)
A - Chest Congestion
B - Ear Pain
C - Fruity Breath
D - Hyperactivity
E - Nausea
Peds Ch. 31 - CORRECT ANSWER-Answer: C & E
Symptoms of ketoacidosis are compared with those of hypoglycemia
What assessment made by the school nurse would lead to the suspicion of strabismus?
A - Reddened sclera in one eye
,B - Child covers one eye to read the chalkboard
C - Child complains of a headache
D - Copious tears while watching TV
Peds Ch. 23 - CORRECT ANSWER-B - Child covers one eye to read the chalkboard
A child is diagnosed with nonparalytic strabismus. How will this disorder most likely be
corrected?
A - Patching the unaffected eye
B - Corrective lenses
C - Laser treatment
D - Surgery
Peds Ch. 23 - CORRECT ANSWER-B - Corrective lenses
What finding would the nurse assessing the neurovascular status of a child in Russell traction
report immediately?
A - Skin that's warm to the touch
B - Capillary refill less than 3 seconds
C - Ability to wiggle toes
D - Bluish coloration of skin
Peds Ch. 24 - CORRECT ANSWER-D - Bluish coloration of skin
What nursing action will significantly decrease the risk of serious complications for a child in
Bryants traction?
A- Neurovascular checks are done frequently
,B - Bandages are wrapped tightly
C - The child is restrained from rolling over
D - The child buttocks are resting on the bed
Peds Ch. 24 - CORRECT ANSWER-A- Neurovascular checks are done frequently
What would the nurse consider an abnormal finding on a musculoskeletal assessment of a 4
year old child?
A - Has inward turned knees
B - Walks on the toes
C - Appears to have flat feet
D - Swings his arms when walking
Peds Ch. 24 - CORRECT ANSWER-B - Walks on the toes
Which assessment performed by a nursing student performing a neurovascular check alerts the
instructor that further education is necessary?
A - Pulses
B - Capillary refill
C - Movement
D - Pupils
Peds Ch. 24 - CORRECT ANSWER-D - Pupils
Pupils are assessed with a neurological check, the rest are assessed with a neurovascular check
, The nurse performing a neurovascular check on a limb in traction would report and document
which finding(s) as indicative of altered circulation? (Select all that apply)
A - Pulse is equal to uncasted limb
B - Patient is aware of touch and warm and cold application
C - Limb is cool to the touch
D - Capillary refill is 5 seconds
E - Distal limb can flex and extend
Peds Ch. 24 - CORRECT ANSWER-Answer: C & D
The limb should be warm, and capillary refill should be less than 3 seconds
Why is the relaxing phase between contractions important?
A -The laboring woman needs to rest
B - The uterine muscles fatigue without relaxation
C - The contractions can interfere with fetal oxygenation
D - The infant progresses toward delivery at these times
Mother/Baby Ch. 6 - CORRECT ANSWER-C - The contractions can interfere with fetal
oxygenation
The nurse is caring for a woman in the first stage of labor. What will the nurse remind the
patient about contractions during this stage of labor?
A - They get the infant positioned for delivery
B - They push the infant into the vagina
C - They dilate and efface the cervix
D - They get the mother prepared for labor