Practice Questions

118. A 16-year-old adolescent with a history of recurrent urinary tract infections is found to have a neurogenic bladder. What critical situational nursing intervention is most appropriate?

A. Limiting fluid intake to reduce urination.
B. Teaching clean intermittent catheterization (CIC) to prevent urinary stasis and infection.
C. Administering antibiotics only when symptoms appear.
D. Encouraging prolonged periods of bladder holding.
nmdcat.online BS Nursing
Jun 6, 2026

117. A 10-year-old child with a new diagnosis of attention-deficit/hyperactivity disorder (ADHD) is struggling with focus and impulsivity. What clinical nursing intervention is critical for supporting the child in the school environment?

A. Suggesting the child be removed from school.
B. Advocating for a structured classroom, consistent routines, clear expectations, and positive reinforcement.
C. Blaming the teachers for the child's difficulties.
D. Allowing the child to do whatever they want.
nmdcat.online BS Nursing
Jun 6, 2026

116. A 1-year-old infant with a gastrostomy tube (G-tube) is being discharged home. What technical nursing education is critical for parents regarding G-tube care?

A. Changing the tube daily.
B. Teaching proper G-tube feeding techniques, site care, and signs of infection or dislodgement.
C. Inserting objects into the stoma.
D. Avoiding flushing the tube.
nmdcat.online BS Nursing
Jun 6, 2026

115. A 7-year-old child with leukemia is receiving methotrexate. What clinical nursing concern is critical regarding potential drug toxicity?

A. Monitoring for constipation.
B. Monitoring for signs of mucositis, myelosuppression, and renal toxicity.
C. Monitoring for increased appetite.
D. Monitoring for skin rashes.
nmdcat.online BS Nursing
Jun 6, 2026

114. A 2-year-old child is admitted with Kawasaki disease. The nurse is monitoring for cardiac complications. What technical assessment is critical?

A. Assessing for a rash.
B. Monitoring for signs of coronary artery aneurysms (e.g., fever, rash, conjunctivitis, swollen hands/feet) and cardiac rhythm.
C. Checking for swollen lymph nodes.
D. Assessing for strawberry tongue.
nmdcat.online BS Nursing
Jun 6, 2026

112. A 5-year-old child is undergoing a bone marrow aspiration. What clinical nursing intervention is critical to provide pain management during the procedure?

A. Telling the child it won't hurt.
B. Administering conscious sedation and/or local anesthetic as prescribed, and providing distraction techniques.
C. Relying on the child's resilience.
D. Avoiding any pain medication.
nmdcat.online BS Nursing
Jun 6, 2026

111. A 6-month-old infant is admitted with dehydration. The infant’s urine output is very low, and the healthcare provider orders a fluid bolus. What technical medicinal nursing consideration is critical regarding this intervention?

A. Administering rapidly without monitoring.
B. Administering the bolus slowly (e.g., over 20-30 minutes) and reassessing the infant's response frequently.
C. Administering only oral fluids.
D. Using hypertonic solutions.
nmdcat.online BS Nursing
Jun 6, 2026

110. A 12-year-old child with a fracture is in traction. What critical situational nursing intervention is paramount to prevent complications?

A. Adjusting weights freely.
B. Maintaining correct alignment, ensuring weights hang freely, and performing frequent neurovascular assessments.
C. Removing traction periodically.
D. Allowing the child to move vigorously.
nmdcat.online BS Nursing
Jun 6, 2026

109. A 3-year-old child with a genetic disorder has significant developmental delays. The parents are overwhelmed. What clinical nursing intervention is critical for supporting the family?

A. Telling them to cope on their own.
B. Connecting them with early intervention services, support groups, and respite care resources.
C. Focusing only on the child's physical needs.
D. Minimizing the child's developmental delays.
nmdcat.online BS Nursing
Jun 6, 2026
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