NU 170
EXAM 2
Tested Questions with Rationales
Maternal-Child Nursing
Galen College of Nursing
This Document Description:
This document contains a collection of 50 tested
and verified questions with accurate answers
from Exam 2 of NU 170 at the Galen College of
Nursing. It covers core topics assessed in the
course and reflects the actual exam format and
question style. Ideal for exam preparation and concept
reinforcement.
,### 1. The nurse is reinforcing teaching with a teenager who has been diagnosed with diabetes
mellitus (type 2) about exercise. Which of the following statements by the teenager indicates a
need for further teaching?
A) "I should check my urine for protein prior to exercising"
B) "I should monitor my blood glucose before and after exercise"
C) "Exercise can help improve my insulin sensitivity"
D) "I need to carry a fast-acting carbohydrate with me during exercise"
Correct Answer: A
Rationale: Urine protein checks are not necessary prior to exercise and do not provide immediate
information about glycemic status. Blood glucose monitoring before and after exercise is essential to
prevent hypoglycemia or hyperglycemia. The other statements show appropriate knowledge.
---
### 2. The nurse is reinforcing teaching with a mother of a 2-month-old infant about newly
prescribed levothyroxine. Which of the following instructions should the nurse include in the
teaching?
A) "Give the medication with meals for better absorption"
B) "The medication may take up to 3 weeks for full effect"
C) "Stop giving the medication once symptoms improve"
D) "Do not breastfeed while on this medication"
Correct Answer: B
Rationale: Levothyroxine requires several weeks to reach a therapeutic effect in infants. Administering
with meals can reduce absorption, so it is typically given on an empty stomach. The medication is usually
lifelong and compatible with breastfeeding.
---
### 3. The nurse is explaining infection precautions to a parent whose toddler has chickenpox.
The nurse should place the toddler in which type of transmission-based precautions?
A) Contact
B) Droplet
C) Airborne
D) Standard
Correct Answer: C
Rationale: Chickenpox (varicella) virus spreads via airborne and contact routes, requiring airborne
precautions due to its high infectivity through droplet nuclei. Droplet precautions alone are insufficient.
---
### 4. The nurse is explaining infection precautions to a parent whose toddler has whooping
cough (pertussis). The nurse should place the toddler in which type of transmission-based
precautions?
A) Airborne
B) Contact
, C) Droplet
D) Standard
Correct Answer: C
Rationale: Pertussis spreads through respiratory droplets; therefore, droplet precautions are indicated to
prevent transmission.
---
### 5. The nurse working in the outpatient clinic is caring for clients who have come to the clinic
for the varicella vaccination as ordered by the primary health care provider (PHCP). The nurse
should refrain from administering the immunization to which client?
A) A 5-year-old with a mild cold
B) A 17-year-old client being treated for meningitis
C) A 12-year-old with asthma controlled by inhalers
D) A 7-year-old recovering from chickenpox
Correct Answer: B
Rationale: Immunization is contraindicated in clients who are currently being treated for acute severe
infections such as meningitis due to potential vaccine-related adverse effects and ineffective immune
response.
---
### 6. The nurse is caring for children with diabetes mellitus. The nurse should first see the child
who:
A) Has not eaten since receiving regular insulin 1 hour ago
B) Has a blood glucose of 150 mg/dL
C) Is scheduled to receive long-acting insulin later today
D) Is feeling fatigued but has eaten breakfast
Correct Answer: A
Rationale: Administering insulin without adequate carbohydrate intake increases the risk for
hypoglycemia, which is an immediate safety concern requiring prompt intervention.
---
### 7. The school nurse is assessing a child after recess. The nurse notes a rash on the trunk,
extremities, and face with bright red cheeks. This rash is consistent with:
A) Measles
B) Scarlet fever
C) Fifth disease
D) Rubella
Correct Answer: C
Rationale: Fifth disease (erythema infectiosum) caused by parvovirus B19 is characterized by a "slapped
cheek" facial rash and lacy rash on the trunk and extremities.
EXAM 2
Tested Questions with Rationales
Maternal-Child Nursing
Galen College of Nursing
This Document Description:
This document contains a collection of 50 tested
and verified questions with accurate answers
from Exam 2 of NU 170 at the Galen College of
Nursing. It covers core topics assessed in the
course and reflects the actual exam format and
question style. Ideal for exam preparation and concept
reinforcement.
,### 1. The nurse is reinforcing teaching with a teenager who has been diagnosed with diabetes
mellitus (type 2) about exercise. Which of the following statements by the teenager indicates a
need for further teaching?
A) "I should check my urine for protein prior to exercising"
B) "I should monitor my blood glucose before and after exercise"
C) "Exercise can help improve my insulin sensitivity"
D) "I need to carry a fast-acting carbohydrate with me during exercise"
Correct Answer: A
Rationale: Urine protein checks are not necessary prior to exercise and do not provide immediate
information about glycemic status. Blood glucose monitoring before and after exercise is essential to
prevent hypoglycemia or hyperglycemia. The other statements show appropriate knowledge.
---
### 2. The nurse is reinforcing teaching with a mother of a 2-month-old infant about newly
prescribed levothyroxine. Which of the following instructions should the nurse include in the
teaching?
A) "Give the medication with meals for better absorption"
B) "The medication may take up to 3 weeks for full effect"
C) "Stop giving the medication once symptoms improve"
D) "Do not breastfeed while on this medication"
Correct Answer: B
Rationale: Levothyroxine requires several weeks to reach a therapeutic effect in infants. Administering
with meals can reduce absorption, so it is typically given on an empty stomach. The medication is usually
lifelong and compatible with breastfeeding.
---
### 3. The nurse is explaining infection precautions to a parent whose toddler has chickenpox.
The nurse should place the toddler in which type of transmission-based precautions?
A) Contact
B) Droplet
C) Airborne
D) Standard
Correct Answer: C
Rationale: Chickenpox (varicella) virus spreads via airborne and contact routes, requiring airborne
precautions due to its high infectivity through droplet nuclei. Droplet precautions alone are insufficient.
---
### 4. The nurse is explaining infection precautions to a parent whose toddler has whooping
cough (pertussis). The nurse should place the toddler in which type of transmission-based
precautions?
A) Airborne
B) Contact
, C) Droplet
D) Standard
Correct Answer: C
Rationale: Pertussis spreads through respiratory droplets; therefore, droplet precautions are indicated to
prevent transmission.
---
### 5. The nurse working in the outpatient clinic is caring for clients who have come to the clinic
for the varicella vaccination as ordered by the primary health care provider (PHCP). The nurse
should refrain from administering the immunization to which client?
A) A 5-year-old with a mild cold
B) A 17-year-old client being treated for meningitis
C) A 12-year-old with asthma controlled by inhalers
D) A 7-year-old recovering from chickenpox
Correct Answer: B
Rationale: Immunization is contraindicated in clients who are currently being treated for acute severe
infections such as meningitis due to potential vaccine-related adverse effects and ineffective immune
response.
---
### 6. The nurse is caring for children with diabetes mellitus. The nurse should first see the child
who:
A) Has not eaten since receiving regular insulin 1 hour ago
B) Has a blood glucose of 150 mg/dL
C) Is scheduled to receive long-acting insulin later today
D) Is feeling fatigued but has eaten breakfast
Correct Answer: A
Rationale: Administering insulin without adequate carbohydrate intake increases the risk for
hypoglycemia, which is an immediate safety concern requiring prompt intervention.
---
### 7. The school nurse is assessing a child after recess. The nurse notes a rash on the trunk,
extremities, and face with bright red cheeks. This rash is consistent with:
A) Measles
B) Scarlet fever
C) Fifth disease
D) Rubella
Correct Answer: C
Rationale: Fifth disease (erythema infectiosum) caused by parvovirus B19 is characterized by a "slapped
cheek" facial rash and lacy rash on the trunk and extremities.
