Practice Questions

78. A 4-year-old child is undergoing a lumbar puncture. What clinical nursing intervention is critical to ensure the child’s comfort and cooperation?

A. Telling the child to be still.
B. Providing therapeutic holding, distraction techniques, and local anesthetic as ordered.
C. Restraining the child tightly.
D. Performing the procedure quickly without explanation.
nmdcat.online BS Nursing
Jun 6, 2026

77. A 12-year-old child with severe burns is receiving wound care. What technical nursing intervention is critical to prevent infection during dressing changes?

A. Using non-sterile gloves.
B. Strict aseptic technique and thorough hand hygiene.
C. Using only one layer of dressing.
D. Avoiding pain medication.
nmdcat.online BS Nursing
Jun 6, 2026

76. A 2-year-old child with a suspected foreign body aspiration presents with sudden onset of choking, coughing, and stridor. What is the critical situational nursing priority?

A. Attempting to dislodge the object with a finger sweep.
B. Performing age-appropriate basic life support maneuvers (e.g., back blows/chest thrusts for infants, abdominal thrusts for children) if the child is unable to cough effectively.
C. Waiting for the object to pass spontaneously.
D. Offering water to drink.
nmdcat.online BS Nursing
Jun 6, 2026

75. A 6-year-old child with asthma is prescribed a daily inhaled corticosteroid. What medicinal education is critical to ensure effectiveness?

A. Use only when symptoms are present.
B. Use consistently every day, even when feeling well, as it is a controller medication.
C. Increase the dose if symptoms worsen.
D. Discontinue after a week.
nmdcat.online BS Nursing
Jun 6, 2026

74. A 15-year-old adolescent is admitted to the hospital with diabetic ketoacidosis (DKA). The nurse is monitoring for cerebral edema. What critical clinical sign would indicate this urgency?

A. Hyperglycemia.
B. Sudden change in level of consciousness, bradycardia, or irregular respirations (Cushing's triad).
C. Increased urine output.
D. Peripheral edema.
nmdcat.online BS Nursing
Jun 6, 2026

73. A 1-month-old infant presents with a history of feeding difficulties, cyanosis with crying, and a significant heart murmur. What urgent clinical concern is paramount?

A. Mild dehydration.
B. Congenital heart defect with potential for acute cardiac decompensation, requiring immediate cardiac evaluation.
C. Normal neonatal findings.
D. Common cold.
nmdcat.online BS Nursing
Jun 6, 2026

72. A 3-year-old child with a tracheostomy requires suctioning. What technical nursing consideration is critical for safe suctioning?

A. Suctioning for prolonged periods.
B. Limiting suctioning duration to 5-10 seconds, pre-oxygenating, and using appropriate catheter size.
C. Using clean technique only.
D. Avoiding lubrication of the catheter.
nmdcat.online BS Nursing
Jun 6, 2026

71. A 7-year-old child with attention-deficit/hyperactivity disorder (ADHD) is struggling in school. What clinical nursing intervention is critical to support academic success?

A. Recommending stricter discipline.
B. Collaborating with parents and teachers to implement behavioral strategies, providing a structured environment, and advocating for academic accommodations.
C. Blaming the child for poor grades.
D. Ignoring school difficulties.
nmdcat.online BS Nursing
Jun 6, 2026

69. A 4-month-old infant is admitted with bronchiolitis and is in moderate respiratory distress. What technical nursing intervention is critical to improve oxygenation?

A. Placing the infant in a supine position.
B. Administering humidified oxygen via nasal cannula and monitoring oxygen saturation.
C. Encouraging bottle feeding.
D. Administering oral antibiotics.
nmdcat.online BS Nursing
Jun 6, 2026
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