Practice Questions

38. A 7-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is experiencing frequent hypoglycemic episodes. What clinical nursing education is critical for the parents regarding managing hypoglycemia?

A. Administering more insulin.
B. Administering a rapid-acting carbohydrate (e.g., fruit juice, glucose tablets) and retesting blood glucose in 15 minutes.
C. Encouraging strenuous exercise.
D. Delaying mealtime.
nmdcat.online BS Nursing
Jun 6, 2026

37. A 1-month-old infant requires medication administration. What technical consideration is critical when administering medications to infants compared to older children?

A. Using adult dosages.
B. Relying on weight-based dosing, considering immature organ function (liver/kidneys), and using appropriate formulations.
C. Administering all medications rectally.
D. Giving all medications with food.
nmdcat.online BS Nursing
Jun 6, 2026

36. A 14-year-old adolescent is admitted to the hospital with acute appendicitis. The nurse notes increasing abdominal pain, rigidity, and rebound tenderness. What urgent clinical concern is paramount?

A. Constipation.
B. Perforation of the appendix and peritonitis, requiring urgent surgical intervention.
C. Gastroenteritis.
D. Urinary tract infection.
nmdcat.online BS Nursing
Jun 6, 2026

35. A 3-year-old child is admitted with epiglottitis. The child is sitting upright, leaning forward, drooling, and has difficulty swallowing. What is the critical situational nursing priority?

A. Attempting to visualize the throat.
B. Maintaining a patent airway, avoiding any procedures that could cause laryngospasm (e.g., throat examination), and preparing for emergent intubation.
C. Offering oral fluids.
D. Administering oral antibiotics.
nmdcat.online BS Nursing
Jun 6, 2026

34. A 6-year-old child with Duchenne muscular dystrophy is increasingly having difficulty walking. What technical nursing intervention is critical for maintaining mobility and preventing complications?

A. Encouraging prolonged bed rest.
B. Implementing a progressive exercise program and providing assistive devices to maintain mobility and prevent contractures.
C. Limiting fluid intake.
D. Avoiding physical therapy.
nmdcat.online BS Nursing
Jun 6, 2026

32. A 16-year-old adolescent with anorexia nervosa is admitted for refeeding. What critical clinical nursing consideration is paramount during the initial refeeding phase?

A. Allowing the adolescent to choose all their meals.
B. Monitoring for refeeding syndrome (e.g., electrolyte imbalances, fluid shifts, cardiac arrhythmias).
C. Encouraging rapid weight gain.
D. Limiting calorie intake.
nmdcat.online BS Nursing
Jun 6, 2026

31. A 1-month-old infant is diagnosed with an inguinal hernia. The parents are concerned about strangulation. What technical clinical sign should the nurse instruct the parents to watch for as an urgency?

A. Mild redness of the skin.
B. Inconsolable crying, abdominal distension, vomiting, or a firm, non-reducible lump.
C. Increased urine output.
D. Increased appetite.
nmdcat.online BS Nursing
Jun 6, 2026

30. A 8-year-old child with a new diagnosis of Type 1 Diabetes Mellitus is learning to self-administer insulin. What critical technical education is essential for the nurse to provide for safe injection technique?

A. Inserting the needle at a 45-degree angle.
B. Cleaning the site with alcohol, pinching up the skin, inserting the needle at a 90-degree angle (or 45 for thin children), and pressing the plunger slowly.
C. Massaging the site after injection.
D. Reusing needles for convenience.
nmdcat.online BS Nursing
Jun 6, 2026
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