Practice Questions

18. A 6-year-old child is undergoing a tonsillectomy. Post-operatively, what is the critical clinical sign of hemorrhage that the nurse must urgently assess for?

A. Complaints of mild throat pain.
B. Frequent swallowing, restlessness, or bright red emesis.
C. Increased urine output.
D. Decreased heart rate.
nmdcat.online BS Nursing
Jun 6, 2026

17. A 2-day-old neonate with a myelomeningocele is in the NICU. What technical nursing intervention is critical preoperatively for the sac?

A. Applying a dry dressing.
B. Keeping the sac moist with a sterile, non-adherent dressing (e.g., saline-soaked gauze) to prevent drying and infection.
C. Covering the sac with a tight bandage.
D. Allowing the sac to be exposed to air.
nmdcat.online BS Nursing
Jun 6, 2026

16. A 15-year-old adolescent with depression expresses suicidal ideation. What is the critical initial nursing action in this clinical urgency?

A. Reassure the adolescent that things will get better.
B. Immediately establish a safe environment, implement suicide precautions, and notify the healthcare provider.
C. Encourage the adolescent to keep feelings to themselves.
D. Refer the adolescent to a peer support group.
nmdcat.online BS Nursing
Jun 6, 2026

15. A 5-month-old infant is admitted with hydrocephalus. The infant has a markedly increasing head circumference and a bulging fontanelle. What is the technical nursing priority in monitoring this infant?

A. Assessing abdominal girth.
B. Monitoring for signs of increased intracranial pressure (ICP), such as changes in level of consciousness, vital signs, and pupil reactivity.
C. Checking blood glucose levels frequently.
D. Encouraging prone positioning.
nmdcat.online BS Nursing
Jun 6, 2026

14. A 8-year-old child with a severe allergy to peanuts accidentally ingests peanut butter. The child quickly develops hives, facial swelling, and difficulty breathing. What is the critical situational nursing response?

A. Administering an oral antihistamine.
B. Immediately administering intramuscular epinephrine.
C. Providing a cool compress to the hives.
D. Encouraging the child to drink water.
nmdcat.online BS Nursing
Jun 6, 2026

13. A 16-year-old adolescent is admitted with an overdose of acetaminophen. What urgent medicinal intervention is critical to administer?

A. Activated charcoal (if within appropriate timeframe).
B. N-acetylcysteine (NAC).
C. Sodium bicarbonate.
D. Flumazenil.
nmdcat.online BS Nursing
Jun 6, 2026

12. A 3-month-old infant is brought to the clinic for a routine well-child visit. The nurse notes the infant has not met developmental milestones for head control and smiles. What clinical nursing action is appropriate?

A. Reassure the parents that all children develop at their own pace.
B. Refer the infant for immediate neurological assessment.
C. Conduct a thorough developmental screening and discuss concerns with the healthcare provider for further evaluation.
D. Advise the parents to provide more toys.
nmdcat.online BS Nursing
Jun 6, 2026

11. A 12-year-old child with cystic fibrosis is prescribed pancreatic enzyme supplements. What technical instruction is critical for the nurse to provide regarding administration?

A. Take enzymes after meals.
B. Take enzymes with all meals and snacks to aid digestion and absorption of nutrients.
C. Take enzymes on an empty stomach.
D. Take enzymes only when experiencing abdominal pain.
nmdcat.online BS Nursing
Jun 6, 2026

10. A 5-year-old child is admitted after ingesting a corrosive substance. What is the urgent clinical nursing action?

A. Inducing vomiting.
B. Administering activated charcoal.
C. Assessing airway patency and signs of respiratory distress, and preparing for intubation if needed.
D. Giving milk to neutralize the substance.
nmdcat.online BS Nursing
Jun 6, 2026
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