MCQs

11142 questions found

Practice Questions

28. A 10-year-old child with sickle cell anemia is admitted with a vaso-occlusive crisis. The child is complaining of severe pain in their legs. What is the clinical nursing priority?

A. Restricting fluid intake.
B. Administering opioids for pain management and providing adequate hydration.
C. Encouraging vigorous exercise.
D. Limiting physical activity completely.
nmdcat.online BS Nursing
Jun 6, 2026

26. A 5-year-old child with a cast on their arm after a fracture complains of severe pain unrelieved by analgesia, paresthesia, and pallor of the fingers. What is the critical situational nursing concern?

A. Normal post-fracture pain.
B. Compartment syndrome, requiring urgent notification of the healthcare provider and potential cast removal/fasciotomy.
C. Allergic reaction to the cast material.
D. Nerve impingement.
nmdcat.online BS Nursing
Jun 6, 2026

25. A 13-year-old adolescent with asthma uses a long-acting beta-agonist (LABA) for maintenance. What medicinal education is critical for the nurse to provide regarding its use?

A. Use for acute asthma attacks.
B. Use for long-term control, not for acute relief of asthma symptoms.
C. Use only when feeling breathless.
D. Use only before exercise.
nmdcat.online BS Nursing
Jun 6, 2026

24. A 1-year-old infant with gastroesophageal reflux (GER) is experiencing frequent spitting up and poor weight gain. What technical nursing intervention is critical to teach the parents to manage GER?

A. Placing the infant in a car seat after feeding.
B. Maintaining the infant in an upright position for 30 minutes after feeding, and offering smaller, more frequent feeds.
C. Offering large volumes of formula.
D. Encouraging immediate playtime after feeding.
nmdcat.online BS Nursing
Jun 6, 2026

23. A 7-year-old child is admitted with a severe head injury after a fall. The nurse notes a Glasgow Coma Scale (GCS) score of 8 and sluggish pupil reaction. What is the urgent critical nursing intervention?

A. Providing a warm blanket.
B. Immediately notifying the healthcare provider, assisting with intubation, and preparing for emergent neuroimaging.
C. Offering oral fluids.
D. Encouraging the child to sleep.
nmdcat.online BS Nursing
Jun 6, 2026

22. A 3-month-old infant with heart failure is prescribed digoxin. The nurse needs to administer the medication. What technical medicinal nursing action is critical before administering digoxin to an infant?

A. Checking the infant's temperature.
B. Counting the apical pulse for a full minute and withholding the dose if the heart rate is below parameters (e.g., 90-110 bpm, depending on age and institutional policy).
C. Assessing the infant's weight.
D. Checking the infant's blood pressure.
nmdcat.online BS Nursing
Jun 6, 2026

21. A 4-year-old child with a new diagnosis of acute lymphoblastic leukemia (ALL) is about to start chemotherapy. The nurse is discussing potential side effects with the parents. What clinical nursing implication is critical regarding immunosuppression?

A. Encouraging large gatherings.
B. Stressing meticulous hand hygiene and avoiding exposure to sick individuals.
C. Recommending raw fruits and vegetables.
D. Encouraging swimming in public pools.
nmdcat.online BS Nursing
Jun 6, 2026

20. A 10-year-old child with ADHD is prescribed methylphenidate. What medicinal education is critical for the nurse to provide to the parents regarding administration time?

A. Administer at bedtime to promote sleep.
B. Administer in the morning with breakfast to minimize appetite suppression and insomnia.
C. Administer only when the child is feeling hyperactive.
D. Administer on an empty stomach twice a day.
nmdcat.online BS Nursing
Jun 6, 2026

19. A 1-month-old infant with pyloric stenosis presents with projectile vomiting after feeding. What technical pathophysiological reason explains this clinical finding?

A. Impaired esophageal motility.
B. Hypertrophy of the pyloric muscle, obstructing gastric outflow.
C. Gastric ulceration.
D. Immature digestive enzymes.
nmdcat.online BS Nursing
Jun 6, 2026

18. A 6-year-old child is undergoing a tonsillectomy. Post-operatively, what is the critical clinical sign of hemorrhage that the nurse must urgently assess for?

A. Complaints of mild throat pain.
B. Frequent swallowing, restlessness, or bright red emesis.
C. Increased urine output.
D. Decreased heart rate.
nmdcat.online BS Nursing
Jun 6, 2026

17. A 2-day-old neonate with a myelomeningocele is in the NICU. What technical nursing intervention is critical preoperatively for the sac?

A. Applying a dry dressing.
B. Keeping the sac moist with a sterile, non-adherent dressing (e.g., saline-soaked gauze) to prevent drying and infection.
C. Covering the sac with a tight bandage.
D. Allowing the sac to be exposed to air.
nmdcat.online BS Nursing
Jun 6, 2026

16. A 15-year-old adolescent with depression expresses suicidal ideation. What is the critical initial nursing action in this clinical urgency?

A. Reassure the adolescent that things will get better.
B. Immediately establish a safe environment, implement suicide precautions, and notify the healthcare provider.
C. Encourage the adolescent to keep feelings to themselves.
D. Refer the adolescent to a peer support group.
nmdcat.online BS Nursing
Jun 6, 2026

15. A 5-month-old infant is admitted with hydrocephalus. The infant has a markedly increasing head circumference and a bulging fontanelle. What is the technical nursing priority in monitoring this infant?

A. Assessing abdominal girth.
B. Monitoring for signs of increased intracranial pressure (ICP), such as changes in level of consciousness, vital signs, and pupil reactivity.
C. Checking blood glucose levels frequently.
D. Encouraging prone positioning.
nmdcat.online BS Nursing
Jun 6, 2026

14. A 8-year-old child with a severe allergy to peanuts accidentally ingests peanut butter. The child quickly develops hives, facial swelling, and difficulty breathing. What is the critical situational nursing response?

A. Administering an oral antihistamine.
B. Immediately administering intramuscular epinephrine.
C. Providing a cool compress to the hives.
D. Encouraging the child to drink water.
nmdcat.online BS Nursing
Jun 6, 2026

13. A 16-year-old adolescent is admitted with an overdose of acetaminophen. What urgent medicinal intervention is critical to administer?

A. Activated charcoal (if within appropriate timeframe).
B. N-acetylcysteine (NAC).
C. Sodium bicarbonate.
D. Flumazenil.
nmdcat.online BS Nursing
Jun 6, 2026

12. A 3-month-old infant is brought to the clinic for a routine well-child visit. The nurse notes the infant has not met developmental milestones for head control and smiles. What clinical nursing action is appropriate?

A. Reassure the parents that all children develop at their own pace.
B. Refer the infant for immediate neurological assessment.
C. Conduct a thorough developmental screening and discuss concerns with the healthcare provider for further evaluation.
D. Advise the parents to provide more toys.
nmdcat.online BS Nursing
Jun 6, 2026

11. A 12-year-old child with cystic fibrosis is prescribed pancreatic enzyme supplements. What technical instruction is critical for the nurse to provide regarding administration?

A. Take enzymes after meals.
B. Take enzymes with all meals and snacks to aid digestion and absorption of nutrients.
C. Take enzymes on an empty stomach.
D. Take enzymes only when experiencing abdominal pain.
nmdcat.online BS Nursing
Jun 6, 2026

10. A 5-year-old child is admitted after ingesting a corrosive substance. What is the urgent clinical nursing action?

A. Inducing vomiting.
B. Administering activated charcoal.
C. Assessing airway patency and signs of respiratory distress, and preparing for intubation if needed.
D. Giving milk to neutralize the substance.
nmdcat.online BS Nursing
Jun 6, 2026
Page 482 of 587
Jump to:

🏆 Top Contributors

  • N

    nmdcat.online

    11140 MCQs

  • N

    NMDCAT.ONLINE

    1 MCQ

  • G

    GULABsb

    1 MCQ

Categories

View all →