Practice Questions

188. A 10-year-old child with a new diagnosis of inflammatory bowel disease (IBD) is struggling with adherence to a complex medication regimen. What clinical nursing intervention is critical?

A. Scolding for non-adherence.
B. Providing clear, concise medication instructions, using visual aids, involving the child in scheduling, and addressing barriers to adherence.
C. Giving all medications at once.
D. Telling parents to manage everything.
nmdcat.online BS Nursing
Jun 6, 2026

187. A 1-year-old infant is admitted with dehydration. The infant has a rapid heart rate and decreased peripheral pulses. What technical nursing assessment is critical for monitoring circulatory status?

A. Assessing pupil reaction.
B. Monitoring capillary refill time, peripheral pulses, and blood pressure (if appropriate for age and clinical condition).
C. Assessing for rash.
D. Checking temperature only.
nmdcat.online BS Nursing
Jun 6, 2026

186. A 4-year-old child with a developmental delay is admitted for an MRI. The child is unable to remain still. What medicinal intervention might be required?

A. Oral antiemetics.
B. Sedation (e.g., oral chloral hydrate or IV propofol) to ensure the child remains still for the scan.
C. Oral cough syrup.
D. Laxatives.
nmdcat.online BS Nursing
Jun 6, 2026

185. A 8-year-old child with asthma is experiencing increasing nocturnal cough and wheezing. What clinical nursing education is critical for parents regarding asthma control?

A. Only use rescue inhaler at night.
B. Reviewing asthma triggers, ensuring proper use of controller medications, and identifying nocturnal symptoms as a sign of inadequate control.
C. Avoid medications at night.
D. Ignore night symptoms.
nmdcat.online BS Nursing
Jun 6, 2026

184. A 16-year-old adolescent with depression is prescribed a selective serotonin reuptake inhibitor (SSRI). What critical situational nursing education is paramount regarding the onset of action?

A. The medication will immediately cure depression.
B. It may take several weeks for the full therapeutic effect, and monitoring for worsening mood or suicidal ideation (especially initially) is crucial.
C. Side effects are immediate and severe.
D. Discontinue if no improvement in 2 days.
nmdcat.online BS Nursing
Jun 6, 2026

183. A 3-month-old infant is admitted with pyloric stenosis. The infant is experiencing projectile vomiting. What technical nursing intervention is critical preoperatively?

A. Encouraging more oral fluids.
B. Monitoring for signs of dehydration and metabolic alkalosis, and ensuring NPO status prior to surgery.
C. Administering antiemetics.
D. Allowing the infant to feed freely.
nmdcat.online BS Nursing
Jun 6, 2026

182. A 12-year-old child with a new diagnosis of cancer is experiencing hair loss due to chemotherapy. What clinical nursing intervention is critical for supporting the child’s body image?

A. Telling them hair will grow back immediately.
B. Encouraging head coverings (hats, scarves, wigs), providing emotional support, and normalizing the experience.
C. Avoiding any discussion of hair loss.
D. Shaving their head without consent.
nmdcat.online BS Nursing
Jun 6, 2026

181. A 5-year-old child is undergoing a minor surgical procedure. What medicinal consideration is critical for pain management in the immediate post-operative period?

A. Administering only oral analgesics.
B. Administering age-appropriate analgesics (e.g., acetaminophen, ibuprofen, opioids) on a scheduled basis to prevent pain.
C. Waiting for the child to cry loudly.
D. Relying on distraction only.
nmdcat.online BS Nursing
Jun 6, 2026

180. A 8-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is learning about insulin storage. What technical nursing instruction is critical?

A. Store all insulin in the freezer.
B. Store unopened insulin in the refrigerator; opened vials/pens can be kept at room temperature for a specific duration (e.g., 28 days).
C. Store in direct sunlight.
D. Store in the car.
nmdcat.online BS Nursing
Jun 6, 2026

179. A 1-year-old infant is admitted with bronchiolitis and is on oxygen via nasal cannula. The infant’s oxygen saturation drops to 85%. What is the urgent critical nursing action?

A. Waiting for improvement.
B. Immediately assessing the infant's respiratory status, increasing oxygen flow, and notifying the healthcare provider.
C. Removing oxygen.
D. Administering cough syrup.
nmdcat.online BS Nursing
Jun 6, 2026
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