Practice Questions

48. A 2-year-old child is admitted with suspected child abuse (e.g., multiple fractures in various stages of healing). What clinical nursing responsibility is critical?

A. Confronting the parents about the abuse.
B. Documenting all observations objectively, ensuring child safety, and fulfilling mandatory reporting requirements.
C. Discharging the child to parental care.
D. Discussing findings with neighbors.
nmdcat.online BS Nursing
Jun 6, 2026

47. A 3-month-old infant is admitted with bacterial meningitis. What is the critical situational nursing priority regarding infection control?

A. No specific precautions are needed.
B. Implementing droplet precautions immediately.
C. Implementing contact precautions only.
D. Implementing airborne precautions.
nmdcat.online BS Nursing
Jun 6, 2026

46. A 15-year-old adolescent with severe depression is prescribed an antidepressant. What medicinal education is critical for the nurse to provide regarding the onset of action and potential side effects?

A. The medication will work immediately.
B. It may take several weeks for the full therapeutic effect, and monitoring for worsened suicidal ideation (especially initially) is crucial.
C. There are no side effects.
D. Stop the medication if symptoms don't improve in a few days.
nmdcat.online BS Nursing
Jun 6, 2026

45. A 7-year-old child with autism spectrum disorder is admitted for a diagnostic procedure. What clinical nursing intervention is critical to reduce the child’s anxiety and promote cooperation?

A. Forcing the child to comply.
B. Providing a structured, predictable environment, using visual aids, and minimizing sensory overload.
C. Speaking loudly to get attention.
D. Limiting parental presence.
nmdcat.online BS Nursing
Jun 6, 2026

44. A 10-year-old child with acute kidney injury is experiencing hyperkalemia. What technical nursing intervention might be included in the management plan?

A. Administering potassium supplements.
B. Administering a potassium-binding resin (e.g., Kayexalate) or preparing for IV interventions like insulin/glucose.
C. Encouraging high-potassium foods.
D. Limiting fluid intake.
nmdcat.online BS Nursing
Jun 6, 2026

43. A 1-year-old infant is admitted with dehydration. The nurse notes weak, thready pulses, cool extremities, and a capillary refill time >3 seconds. What clinical urgency is indicated by these findings?

A. Mild dehydration.
B. Hypovolemic shock, requiring immediate fluid resuscitation.
C. Overhydration.
D. Normal circulatory status.
nmdcat.online BS Nursing
Jun 6, 2026

42. A 5-year-old child is admitted with severe asthma exacerbation and is agitated and restless. What is the critical situational interpretation of the child’s behavior by the nurse?

A. The child is being uncooperative.
B. The child's agitation and restlessness may indicate worsening hypoxemia.
C. The child needs a sedative.
D. The child is tired.
nmdcat.online BS Nursing
Jun 6, 2026

41. A 6-month-old infant with heart failure is receiving a diuretic (e.g., Furosemide). What technical medicinal nursing assessment is critical to monitor for adverse effects?

A. Monitoring for constipation.
B. Monitoring for signs of dehydration, electrolyte imbalances (especially hypokalemia), and daily weights.
C. Assessing for increased appetite.
D. Checking for skin rashes.
nmdcat.online BS Nursing
Jun 6, 2026
nmdcat.online BS Nursing
Jun 6, 2026

39. A 4-year-old child with spina bifida has a neurogenic bladder. What technical nursing intervention is critical for preventing urinary tract infections and preserving renal function?

A. Limiting fluid intake.
B. Implementing a clean intermittent catheterization (CIC) program.
C. Administering daily antibiotics.
D. Encouraging infrequent voiding.
nmdcat.online BS Nursing
Jun 6, 2026
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