Practice Questions

138. A 4-year-old child with Down syndrome is hospitalized for a respiratory infection. What clinical nursing intervention is critical for providing family-centered care?

A. Limiting parental visitation.
B. Involving parents in care planning, providing clear and concise information, and respecting family routines and preferences.
C. Making all decisions for the family.
D. Focusing only on the child's medical needs.
nmdcat.online BS Nursing
Jun 6, 2026

137. A 16-year-old adolescent is admitted after a motor vehicle accident with a traumatic brain injury. The nurse notes posturing. What technical pathophysiological sign does this indicate?

A. Spinal cord injury.
B. Severe brain injury and increased intracranial pressure (ICP).
C. Peripheral nerve damage.
D. Muscle spasms.
nmdcat.online BS Nursing
Jun 6, 2026

136. A 2-month-old infant is admitted with pertussis (whooping cough). What urgent clinical medicinal concern is paramount?

A. Mild cough.
B. Severe paroxysmal coughing, potential for apnea, and the need for urgent antibiotic treatment and respiratory support.
C. Nasal congestion.
D. Increased appetite.
nmdcat.online BS Nursing
Jun 6, 2026

135. A 15-year-old adolescent with a history of depression is refusing to take prescribed medications. What clinical nursing intervention is critical?

A. Forcing the medication.
B. Exploring the adolescent's reasons for refusal, educating about the medication, addressing concerns, and involving the healthcare provider.
C. Telling the parents to force it.
D. Discharging the adolescent.
nmdcat.online BS Nursing
Jun 6, 2026

134. A 7-year-old child with acute glomerulonephritis is experiencing fluid overload. What critical situational nursing intervention is paramount?

A. Encouraging high fluid intake.
B. Restricting sodium and fluid intake, monitoring for signs of worsening edema or respiratory distress.
C. Administering large volumes of IV fluids.
D. Providing sugary drinks.
nmdcat.online BS Nursing
Jun 6, 2026

133. A 12-year-old child with cerebral palsy uses a feeding tube. What technical nursing consideration is critical to prevent clogged tubes?

A. Flushing with soda.
B. Flushing the tube with water before and after medication administration and feedings.
C. Not flushing the tube.
D. Using cold water for flushing.
nmdcat.online BS Nursing
Jun 6, 2026

132. A 1-year-old infant is admitted with severe dehydration and metabolic acidosis. What medicinal intervention might be considered for metabolic acidosis?

A. Oral rehydration solution.
B. Sodium bicarbonate (IV) if acidosis is severe and persists despite fluid resuscitation.
C. Antiemetics.
D. Antipyretics.
nmdcat.online BS Nursing
Jun 6, 2026

131. A 5-year-old child is in the PACU after a minor surgical procedure. The child is awake but disoriented. What clinical nursing intervention is critical?

A. Leaving the child alone to rest.
B. Reorienting the child gently, providing a calm environment, and ensuring parental presence if possible.
C. Speaking loudly to the child.
D. Administering sedatives.
nmdcat.online BS Nursing
Jun 6, 2026

130. A 8-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is learning about insulin injection sites. What technical instruction is critical for the nurse to provide regarding site selection?

A. Use the same site every time.
B. Rotate injection sites regularly to prevent lipohypertrophy and ensure consistent absorption.
C. Only inject into the abdomen.
D. Inject into muscles.
nmdcat.online BS Nursing
Jun 6, 2026

129. A 3-month-old infant is admitted with bronchiolitis and is experiencing increasing respiratory distress. The nurse notes retractions, nasal flaring, and grunting. What technical nursing assessment is critical for detecting worsening respiratory status?

A. Only monitoring oxygen saturation.
B. Continuous monitoring of respiratory rate, effort, breath sounds, and color, and assessing for signs of fatigue.
C. Only monitoring heart rate.
D. Checking temperature.
nmdcat.online BS Nursing
Jun 6, 2026
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