Practice Questions

68. A 16-year-old adolescent with type 2 diabetes is struggling with dietary adherence. What clinical nursing intervention is critical to promote adherence?

A. Imposing strict dietary restrictions.
B. Involving the adolescent in meal planning, providing realistic goals, and focusing on healthy choices rather than deprivation.
C. Giving a list of forbidden foods.
D. Ignoring dietary choices.
nmdcat.online BS Nursing
Jun 6, 2026

67. A 8-year-old child with severe asthma has a peak flow meter reading of 60% of their personal best. What critical situational action should the nurse advise the child and parents to take?

A. Continue with regular medications only.
B. Administering a rescue inhaler (SABA) and following the asthma action plan for yellow zone.
C. Seek immediate emergency care.
D. Increase physical activity.
nmdcat.online BS Nursing
Jun 6, 2026

66. A 1-year-old infant with a history of recurrent otitis media is scheduled for tympanostomy tube insertion. What clinical nursing education is critical for parents post-operatively?

A. To avoid cleaning the ears.
B. To keep the ears dry (e.g., using earplugs during bathing/swimming) and report any ear drainage or fever.
C. To insert cotton swabs into the ear canals.
D. To allow water to enter the ears freely.
nmdcat.online BS Nursing
Jun 6, 2026

65. A 5-year-old child with osteomyelitis is receiving IV antibiotics. What medicinal nursing consideration is critical regarding this long-term therapy?

A. Administering all doses rapidly.
B. Ensuring adherence to the full course of antibiotics and monitoring for adverse drug reactions (ADRs).
C. Discontinuing antibiotics once symptoms improve.
D. Administering antibiotics orally only.
nmdcat.online BS Nursing
Jun 6, 2026

64. A 9-year-old child with a history of recurrent urinary tract infections has undergone a voiding cystourethrogram (VCUG) and has vesicoureteral reflux (VUR). What technical nursing intervention is critical for ongoing management?

A. Limiting fluid intake.
B. Emphasizing complete bladder emptying and proper hygiene, and adhering to prophylactic antibiotics if prescribed.
C. Encouraging bubble baths.
D. Discontinuing antibiotics after symptom resolution.
nmdcat.online BS Nursing
Jun 6, 2026

63. A 14-year-old adolescent with a history of substance abuse presents to the emergency department with altered mental status. What urgent critical nursing assessment is paramount?

A. Asking about school performance.
B. Assessing airway, breathing, circulation, and rapidly identifying potential overdose or withdrawal symptoms.
C. Discussing future career plans.
D. Inquiring about social media use.
nmdcat.online BS Nursing
Jun 6, 2026

62. A 3-year-old child is admitted for surgical repair of a congenital heart defect. The child is agitated and crying preoperatively. What clinical nursing intervention is critical to reduce anxiety?

A. Ignoring the child's crying.
B. Allowing parents to remain with the child, providing age-appropriate explanations, and offering comforting distractions.
C. Administering a sedative without parental consent.
D. Telling the child to be brave.
nmdcat.online BS Nursing
Jun 6, 2026

61. A 7-year-old child with diabetes is receiving intravenous insulin for DKA. What critical technical monitoring is required of the nurse?

A. Monitoring for hyperglycemia.
B. Frequent monitoring of blood glucose, electrolytes (especially potassium), and acid-base balance.
C. Monitoring for increased urine output.
D. Monitoring for increased appetite.
nmdcat.online BS Nursing
Jun 6, 2026

60. A 10-year-old child with chronic kidney disease (CKD) is experiencing fatigue and pallor. Lab results show severe anemia. What technical medicinal intervention might be considered to manage the anemia?

A. Iron supplements (if iron deficient).
B. Erythropoietin-stimulating agents (ESAs).
C. Vitamin B12 injections.
D. Folic acid supplements.
nmdcat.online BS Nursing
Jun 6, 2026

59. A 1-year-old infant is admitted with bacterial meningitis. What urgent medicinal intervention is critical once the diagnosis is made or highly suspected?

A. Antihistamines.
B. Immediate initiation of broad-spectrum intravenous (IV) antibiotics.
C. Oral pain relievers.
D. Antifungal medications.
nmdcat.online BS Nursing
Jun 6, 2026
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