NURS 2513 MATERNAL CHILD NURSING LATEST EXAM
2024/2025 QUESTIONS AND VERIFIED CORRECT ANSWERS/
ALREADY GRADED A++
Which specific nursing interventions are implemented in the care of a child
with leukemia who is at risk for infection? Select all that apply.
1. Maintain the child in a semiprivate room.
2. Reduce exposure to environmental organisms.
3. use strict aseptic technique for all procedures.
4. Ensure that anyone entering the child's room wears a mask,
5. Apply firm pressure to a needle stick area for at least 10 minutes -
ANSWER 2. Reduce exposure to environmental organisms.
3. use strict aseptic technique for all procedures.
4. Ensure that anyone entering the child's room wears a mask,
The nurse is performing an assessment on a 10-year-old child suspected to
have Hodgkin's disease. The nurse understands that which assessment
findings are specifically characteristic of this disease? Select all that apply.
1. Abdominal pain
2. Fever and malaise
3. Anorexia and weight loss
4. Painful, enlarged inguinal lymph nodes
5. Painless, firm, and movable adenopathy in the cervical area - ANSWER
1. Abdominal pain
5. Painless, firm, and movable adenopathy in the cervical area
Hodgkin's lymphoma is a type of cancer that affects the lymphatic system,
which is part of the body's germ-fighting immune system.
A school-age child with type 1 diabetes mellitus has soccer practice three
afternoons a week. The school nurse provides instructions regarding how
to prevent hypoglycemia during practice. Which should the school nurse tell
the child to do?
1. Eat twice the amount normally eaten at lunchtime.
2. Take half the amount of prescribed insulin on practice days.
3. Take the prescribed insulin at noontime rather than in the morning.
4. Eat a small box of raisins or drink a cup of orange juice before soccer
practice. - ANSWER 4. Eat a small box of raisins or drink a cup of orange
juice before soccer practice.
,The mother of a 6-year-old child who has type 1 diabetes mellitus calls a
clinic nurse and tells the nurse that the child has been sick. The mother
reports that she checked the child's urine and it was positive for ketones.
The nurse should instruct the mother to take which action?
1. Hold the next dose of insulin.
2. Come to the clinic immediately
3. Encourage the child to drink liquids.
4. Administer an additional dose of regular insulin. - ANSWER 3.
Encourage the child to drink liquids.
Euglycemic DKA treatment is on the same principles as for DKA with
correction of dehydration, electrolytes deficit and insulin replacement.
A health care provider prescribes an intravenous (IV) solution of 5%
dextrose and half-normal saline (0.45%) with 40 mEq of potassium chloride
for a child with hypotonic dehydration. The nurse performs which priority
assessment before administering this IV prescription?
1. Obtains a weight
2. Takes the temperature
3. Takes the blood pressure
4. Checks the amount of urine output - ANSWER 4. Checks the amount of
urine output
An adolescent client with type 1 diabetes mellitus is admitted to the
emergency department for treatment of diabetic ketoacidosis. Which
assessment findings should the nurse expect to note?
1. Sweating and tremors
2. Hunger and hypertension
3. Cold, clammy skin and irritability
4. Fruity breath odor and decreasing level of consciousness - ANSWER 4.
Fruity breath odor and decreasing level of consciousness
A mother brings her 3-week-old infant to a clinic for a phenylketonuria
rescreening blood test. The test indicates a serum phenylalanine level of 1
mg/ dL. The nurse reviews this result and makes which interpretation?
1. It is positive.
2. It is negative.
3. It is inconclusive.
4. It requires rescreening at age 6 weeks. - ANSWER 2. It is negative.
,1.2-3.4 normal range
A child with type 1 diabetes mellitus is brought to the emergency
department by the mother, who states that the child has been complaining
of e abdominal pain and has been lethargic. Diabetic ketoacidosis is
diagnosed. Anticipating the plan of care, the nurse prepares to administer
which type of intravenous (IV) infusion?
1. Potassium infusion
2. NPH insulin infusion
3. 5% dextrose infusion
4. Normal saline infusion - ANSWER 4. Normal saline infusion (for
dehydration)
The nurse has just administered ibuprofen (Motrin 1B) to a child with a
temperature of 38.8 0 C (102 0 F). The nurse should also take which
action?
1. Withhold oral fluids for 8 hours.
2. Sponge the child with cold water.
3. Plan to administer salicylate (aspirin) in 4 hours.
4. Remove excess clothing and blankets from the child. - ANSWER 4.
Remove excess clothing and blankets from the child.
A child has fluid volume deficit. The nurse performs an assessment and
determines that the child is improving and the deficit is resolving if which
finding is noted?
1. The child has no tears.
2. Urine specific gravity is 1.030.
3. Urine output is less than 1 mL/kg/hr.
4. Capillary refill is less than 2 seconds. - ANSWER 4. Capillary refill is less
than 2 seconds.
1.2.3 severe dehydration
The nurse should implement which interventions for a child older than 2
years with type 1 diabetes mellitus who has a blood glucose level of 60 mg/
dL? Select all that apply.
1. Administer regular insulin.
2. Encourage the child to ambulate.
3. Give the child a teaspoon of honey.
, 4. Provide electrolyte replacement therapy intravenously.
5. Wait 30 minutes and confirm the blood glucose reading.
6. Prepare to administer glucagon subcutaneously if unconsciousness
occurs. - ANSWER 3. Give the child a teaspoon of honey.
6. Prepare to administer glucagon subcutaneously if unconsciousness
occurs
A child is hospitalized because of persistent vomiting. The nurse should
monitor the child closely for which problem?
1. Diarrhea
2. Metabolic acidosis
3. Metabolic alkalosis
4. Hyperactive bowel sounds - ANSWER 3. Metabolic alkalosis
An infant has just returned to the nursing unit after surgical repair of a cleft
lip on the right side. The nurse should place the infant in which best
position at this time?
1. Prone position
2. On the stomach
3. Left lateral position
4. Right lateral position - ANSWER 3. Left lateral position
The nurse reviews the record of a newborn infant and notes that a
diagnosis of esophageal atresia with tracheoesophageal fistula is
suspected. The nurse expects to note which most likely sign of this
condition documented in the record?
1. Incessant crying
2. Coughing at nighttime
3. Choking with feedings
4. Severe projectile vomiting - ANSWER 3. Choking with feedings
The nurse provides feeding instructions to a parent of an infant diagnosed
with gastroesophageal reflux disease. Which instruction should the nurse
give to the parent to assist in reducing the episodes of emesis?
1. Provide less frequent, larger feedings.
2. Burp the infant less frequently during feedings.
3. Thin the feedings by adding water to the formula.
4. Thicken the feedings by adding rice cereal to the formula. - ANSWER 4.
Thicken the feedings by adding rice cereal to the formula.
2024/2025 QUESTIONS AND VERIFIED CORRECT ANSWERS/
ALREADY GRADED A++
Which specific nursing interventions are implemented in the care of a child
with leukemia who is at risk for infection? Select all that apply.
1. Maintain the child in a semiprivate room.
2. Reduce exposure to environmental organisms.
3. use strict aseptic technique for all procedures.
4. Ensure that anyone entering the child's room wears a mask,
5. Apply firm pressure to a needle stick area for at least 10 minutes -
ANSWER 2. Reduce exposure to environmental organisms.
3. use strict aseptic technique for all procedures.
4. Ensure that anyone entering the child's room wears a mask,
The nurse is performing an assessment on a 10-year-old child suspected to
have Hodgkin's disease. The nurse understands that which assessment
findings are specifically characteristic of this disease? Select all that apply.
1. Abdominal pain
2. Fever and malaise
3. Anorexia and weight loss
4. Painful, enlarged inguinal lymph nodes
5. Painless, firm, and movable adenopathy in the cervical area - ANSWER
1. Abdominal pain
5. Painless, firm, and movable adenopathy in the cervical area
Hodgkin's lymphoma is a type of cancer that affects the lymphatic system,
which is part of the body's germ-fighting immune system.
A school-age child with type 1 diabetes mellitus has soccer practice three
afternoons a week. The school nurse provides instructions regarding how
to prevent hypoglycemia during practice. Which should the school nurse tell
the child to do?
1. Eat twice the amount normally eaten at lunchtime.
2. Take half the amount of prescribed insulin on practice days.
3. Take the prescribed insulin at noontime rather than in the morning.
4. Eat a small box of raisins or drink a cup of orange juice before soccer
practice. - ANSWER 4. Eat a small box of raisins or drink a cup of orange
juice before soccer practice.
,The mother of a 6-year-old child who has type 1 diabetes mellitus calls a
clinic nurse and tells the nurse that the child has been sick. The mother
reports that she checked the child's urine and it was positive for ketones.
The nurse should instruct the mother to take which action?
1. Hold the next dose of insulin.
2. Come to the clinic immediately
3. Encourage the child to drink liquids.
4. Administer an additional dose of regular insulin. - ANSWER 3.
Encourage the child to drink liquids.
Euglycemic DKA treatment is on the same principles as for DKA with
correction of dehydration, electrolytes deficit and insulin replacement.
A health care provider prescribes an intravenous (IV) solution of 5%
dextrose and half-normal saline (0.45%) with 40 mEq of potassium chloride
for a child with hypotonic dehydration. The nurse performs which priority
assessment before administering this IV prescription?
1. Obtains a weight
2. Takes the temperature
3. Takes the blood pressure
4. Checks the amount of urine output - ANSWER 4. Checks the amount of
urine output
An adolescent client with type 1 diabetes mellitus is admitted to the
emergency department for treatment of diabetic ketoacidosis. Which
assessment findings should the nurse expect to note?
1. Sweating and tremors
2. Hunger and hypertension
3. Cold, clammy skin and irritability
4. Fruity breath odor and decreasing level of consciousness - ANSWER 4.
Fruity breath odor and decreasing level of consciousness
A mother brings her 3-week-old infant to a clinic for a phenylketonuria
rescreening blood test. The test indicates a serum phenylalanine level of 1
mg/ dL. The nurse reviews this result and makes which interpretation?
1. It is positive.
2. It is negative.
3. It is inconclusive.
4. It requires rescreening at age 6 weeks. - ANSWER 2. It is negative.
,1.2-3.4 normal range
A child with type 1 diabetes mellitus is brought to the emergency
department by the mother, who states that the child has been complaining
of e abdominal pain and has been lethargic. Diabetic ketoacidosis is
diagnosed. Anticipating the plan of care, the nurse prepares to administer
which type of intravenous (IV) infusion?
1. Potassium infusion
2. NPH insulin infusion
3. 5% dextrose infusion
4. Normal saline infusion - ANSWER 4. Normal saline infusion (for
dehydration)
The nurse has just administered ibuprofen (Motrin 1B) to a child with a
temperature of 38.8 0 C (102 0 F). The nurse should also take which
action?
1. Withhold oral fluids for 8 hours.
2. Sponge the child with cold water.
3. Plan to administer salicylate (aspirin) in 4 hours.
4. Remove excess clothing and blankets from the child. - ANSWER 4.
Remove excess clothing and blankets from the child.
A child has fluid volume deficit. The nurse performs an assessment and
determines that the child is improving and the deficit is resolving if which
finding is noted?
1. The child has no tears.
2. Urine specific gravity is 1.030.
3. Urine output is less than 1 mL/kg/hr.
4. Capillary refill is less than 2 seconds. - ANSWER 4. Capillary refill is less
than 2 seconds.
1.2.3 severe dehydration
The nurse should implement which interventions for a child older than 2
years with type 1 diabetes mellitus who has a blood glucose level of 60 mg/
dL? Select all that apply.
1. Administer regular insulin.
2. Encourage the child to ambulate.
3. Give the child a teaspoon of honey.
, 4. Provide electrolyte replacement therapy intravenously.
5. Wait 30 minutes and confirm the blood glucose reading.
6. Prepare to administer glucagon subcutaneously if unconsciousness
occurs. - ANSWER 3. Give the child a teaspoon of honey.
6. Prepare to administer glucagon subcutaneously if unconsciousness
occurs
A child is hospitalized because of persistent vomiting. The nurse should
monitor the child closely for which problem?
1. Diarrhea
2. Metabolic acidosis
3. Metabolic alkalosis
4. Hyperactive bowel sounds - ANSWER 3. Metabolic alkalosis
An infant has just returned to the nursing unit after surgical repair of a cleft
lip on the right side. The nurse should place the infant in which best
position at this time?
1. Prone position
2. On the stomach
3. Left lateral position
4. Right lateral position - ANSWER 3. Left lateral position
The nurse reviews the record of a newborn infant and notes that a
diagnosis of esophageal atresia with tracheoesophageal fistula is
suspected. The nurse expects to note which most likely sign of this
condition documented in the record?
1. Incessant crying
2. Coughing at nighttime
3. Choking with feedings
4. Severe projectile vomiting - ANSWER 3. Choking with feedings
The nurse provides feeding instructions to a parent of an infant diagnosed
with gastroesophageal reflux disease. Which instruction should the nurse
give to the parent to assist in reducing the episodes of emesis?
1. Provide less frequent, larger feedings.
2. Burp the infant less frequently during feedings.
3. Thin the feedings by adding water to the formula.
4. Thicken the feedings by adding rice cereal to the formula. - ANSWER 4.
Thicken the feedings by adding rice cereal to the formula.
