Practice Questions

88. A 4-year-old child with cerebral palsy uses a wheelchair. What clinical nursing intervention is critical to prevent skin breakdown?

A. Allowing the child to sit in the same position all day.
B. Repositioning frequently, ensuring proper seating, and assessing skin for redness or pressure areas.
C. Using harsh soaps for bathing.
D. Avoiding pressure relief cushions.
nmdcat.online BS Nursing
Jun 6, 2026

87. A 6-month-old infant is admitted with dehydration. The nurse is administering IV fluids. What technical nursing intervention is critical to prevent fluid overload?

A. Administering fluids as quickly as possible.
B. Monitoring strict intake and output, hourly urine output, and assessing for signs of fluid overload (e.g., crackles, edema).
C. Not monitoring weight.
D. Giving large boluses continuously.
nmdcat.online BS Nursing
Jun 6, 2026

86. A 16-year-old adolescent with a history of generalized tonic-clonic seizures is admitted after a seizure. What critical situational nursing intervention is paramount during the post-ictal phase?

A. Administering oral fluids immediately.
B. Ensuring a patent airway, placing the adolescent on their side, and monitoring for further seizures or complications.
C. Restraining the adolescent.
D. Asking complex questions.
nmdcat.online BS Nursing
Jun 6, 2026

85. A 2-year-old child with acute otitis media is prescribed amoxicillin. What medicinal education is critical for the nurse to provide to the parents regarding antibiotic administration?

A. Stop medication when symptoms improve.
B. Administer the full course of antibiotics, even if symptoms resolve, to prevent antibiotic resistance and recurrence.
C. Mix with fruit juice only.
D. Give only once a day.
nmdcat.online BS Nursing
Jun 6, 2026

84. A 12-year-old child with leukemia is experiencing stomatitis (oral sores) due to chemotherapy. What clinical nursing intervention is critical for managing this complication?

A. Providing crunchy, acidic foods.
B. Offering soft, bland foods, frequent oral hygiene with a soft toothbrush, and using oral rinses as prescribed.
C. Using harsh mouthwashes.
D. Avoiding oral care.
nmdcat.online BS Nursing
Jun 6, 2026

83. A 5-year-old child with a cast on their leg complains of numbness and tingling in their toes. What technical nursing assessment is critical?

A. Assessing the child's ability to wiggle their toes and checking capillary refill and pulse.
B. Asking the child if they want to play.
C. Checking the temperature of the cast.
D. Assessing for redness around the cast.
nmdcat.online BS Nursing
Jun 6, 2026

82. A 3-month-old infant is admitted with bronchiolitis and is on a cardiorespiratory monitor. The alarm sounds indicating bradycardia. What urgent clinical nursing action is critical?

A. Waiting for the heart rate to normalize.
B. Immediately assessing the infant's respiratory status, stimulating the infant, and preparing for resuscitation if needed.
C. Administering a sedative.
D. Checking the monitor settings.
nmdcat.online BS Nursing
Jun 6, 2026

81. A 8-year-old child with diabetes is participating in a school sports day. What critical situational advice should the nurse provide regarding blood glucose management during exercise?

A. Skip insulin doses.
B. Monitor blood glucose closely, adjust insulin/carbohydrate intake as needed, and carry quick-acting carbohydrates.
C. Eat extra sugary snacks.
D. Avoid exercise entirely.
nmdcat.online BS Nursing
Jun 6, 2026

80. A 15-year-old adolescent with migraines is prescribed sumatriptan. What medicinal education is critical for the nurse to provide regarding its use?

A. Take daily for prevention.
B. Take at the onset of a migraine attack, and do not use if there are signs of cardiovascular disease.
C. Use for any headache.
D. Take with alcohol.
nmdcat.online BS Nursing
Jun 6, 2026

79. A 1-month-old infant with jaundice is receiving phototherapy. What technical nursing intervention is critical during phototherapy?

A. Keeping the infant clothed.
B. Protecting the infant's eyes, ensuring adequate hydration, and monitoring temperature and skin integrity.
C. Turning off the lights every hour.
D. Avoiding diaper changes.
nmdcat.online BS Nursing
Jun 6, 2026
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