QUESTIONS AND VERIFIED ANSWERS 2023
A nurse is caring for a 4-year-old child who refuses to take his medication because of the bad
taste. Which of the following strategies should the nurse use to medication --correct answer:
Offer the child an ice pop prior to administering the medication (numb the tongue ...nerves)
A nurse is reviewing the medical record of an adolescent and notes a calcium level of 11.5 meq/l
which of the following findings should the nurse expect? --correct answer: muscle hypotonicity
A nurse is planning care for a 4-year-old child who has been admitted to the hospital. Which of
the following toys. Should the nurse plan to provide the child? --correct answer: modeling clay
A nurse is reinforcing teaching about elimination with an adolescent who is paralyzed from the
waist down following a spinal cord injury. Which of the following statements by the adolescent
indicates a need for further teaching? --correct answer: " I need to catheterize myself twice a day.
" (catheterize every 4-6 hours)
A parent asks a nurse about toys to provide for a 10-month-old infant. Which of the following
toys should suggest? --correct answer: push- pull toy
A nurse is planning care for a child who has severe diarrhea. Which of the following actions is
the nurse priority? --correct answer: assess fluid balance
A nurse is caring for a toddler whose parent states that the child has a mass in his abdominal area
and his urine is a pink color. Which of the following actions is the nurse's priority? --correct
answer: instruct the parent to avoid pressing on the abdominal area
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is
the nurse's priority? --correct answer: check the child’s weight daily
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the
following is the nurse's priority? --correct answer: administer antibiotics when available
A nurse is collecting data from an adolescent. Which of the following represents the greatest risk
for suicide? --correct answer: active psychiatric disorder (mark, mental problems, patients mind
is unstable)
A nurse is collecting data from an infant who has otitis media (middle ear infection). The nurse
should expect which of the following findings? --correct answer: tugging on the affected ear lobe
A nurse is reinforcing reaching with a parent of a 1-month-old infant who is to undergo the
initial surgery to treat Hirschsprung’s disease (a ganglionic megacolon, part of the colon isn't
, connected to the nerves or not functioning, so there will be an increase size of the colon and stool
gets stuck in there). Which of the following statements should indicate to the nurse that the
parent understanding the goal of surgery? --correct answer: "I’m glad that the ostomy is only
temporary " (1st there going to cut the nonfunctioning of the colon, and then apply temporary
colostomy, after a couple of months they will suture it together)
A nurse is caring for an infant who is 1-day postoperative following surgical repair of a cleft lip.
Which of the following actions should the nurse take? --correct answer: apply an antibiotic
ointment to the suture site
A nurse is reinforcing discharge instructions with a parent of a child who has cystic fibrosis.
Which of the following statements by the parent indicates an understanding of the teaching? --
correct answer: "i will make sure my child washes her hands before eating"
A nurse working at a clinic speaks on the telephone with a parent of a 2-monthold infant. The
parent tells the nurse that the infant has projectile vomiting followed by hunger after meals.
Which of the following response by the nurse is appropriate? --correct answer: "bring your infant
into the clinic today to be seen"
A nurse is caring for a 4-year-old child who is 2 days postoperative following the insertion of a
ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the
priority. (causes ICP hydrocephalus) --correct answer: lethargy (high pitched cry, respiratory
changes, bradycardia, wide pulse pressure, irritability
A nurse is caring for a child following an open reduction and internal fixation of a fractured
femur and application of a cast. The cast has a window cut in it for viewing of the incision.
Which of the following actions should the nurse take first? --correct answer: perform
neurovascular checks of the affected extremity (check for infection, color, capillary refill,
redness)
A nurse is an urgent care clinic is assisting with the care of a toddler who ingested 30 tablets of
aspirin. Which of the following substances should the nurse administer to the toddler? --correct
answer: activated charcoal (can work with toxin, poison. Given through ng tube absorbs toxins)
A nurse is caring for a 3-year-old client who has persistent otitis media. To help identify
contributing factors, the nurse should ask the parents which of the following questions? --correct
answer: does anyone smoke in the same house as your daughter? (smoking can cause irritation,
cause mucus in respiratory and causes otitis media?) (otitis media is purulent color)
A nurse is collecting data from a 2-year-old toddler who has aids. The nurse should inspect
inside the toddler mouth for which of the following opportunistic infections (fungus infections is
usually opportunistic infections)? --correct answer: candidiasis (also called oral thrush)
A nurse is caring for a 4-year-old child who has dehydration. Which of the following findings
should the nurse identify as the priority? --correct answer: potassium 2.5 meq/l