Practice Questions

58. A 4-year-old child with a developmental delay is admitted for assessment. The parents express frustration with the child’s communication difficulties. What clinical nursing intervention is critical for the nurse to implement?

A. Suggesting the parents seek therapy for themselves.
B. Teaching parents alternative communication strategies (e.g., picture exchange systems, sign language) and emphasizing patience.
C. Telling the parents to give up.
D. Ignoring the parents' concerns.
nmdcat.online BS Nursing
Jun 6, 2026

57. A 6-year-old child is diagnosed with iron deficiency anemia. What technical nutritional instruction is critical for the nurse to provide to the parents?

A. Limiting iron-rich foods.
B. Encouraging iron-rich foods (e.g., red meat, fortified cereals) and Vitamin C to enhance absorption.
C. Avoiding dairy products.
D. Giving only sugary drinks.
nmdcat.online BS Nursing
Jun 6, 2026

56. A 2-year-old child is admitted with croup. The child’s oxygen saturation is 88% on room air, and they have marked retractions. What urgent medicinal intervention might be considered?

A. Oral cough syrup.
B. Nebulized budesonide (corticosteroid) and/or nebulized racemic epinephrine.
C. Oral antibiotics.
D. IV fluids only.
nmdcat.online BS Nursing
Jun 6, 2026

55. A 13-year-old adolescent with newly diagnosed inflammatory bowel disease (IBD) is struggling with body image due to weight loss. What clinical nursing intervention is critical for supporting the adolescent?

A. Telling them to eat more.
B. Encouraging open communication, providing emotional support, and connecting them with peer support groups or mental health professionals.
C. Focusing only on physical symptoms.
D. Avoiding discussions about body image.
nmdcat.online BS Nursing
Jun 6, 2026

54. A 9-month-old infant with a cleft lip and palate is recovering from cleft lip repair. What technical nursing intervention is critical to prevent injury to the surgical site?

A. Placing the infant on their abdomen.
B. Using elbow restraints (arm immobilizers) to prevent the infant from touching the incision.
C. Allowing the infant to use a pacifier.
D. Encouraging aggressive crying.
nmdcat.online BS Nursing
Jun 6, 2026

53. A 3-year-old child is in the post-anesthesia care unit (PACU) after surgery. The child is restless, crying, and grimacing. What clinical nursing priority is critical in this situational assessment?

A. Providing a favorite toy.
B. Assessing for and managing pain using an age-appropriate pain scale.
C. Asking the child to talk.
D. Offering a snack.
nmdcat.online BS Nursing
Jun 6, 2026

52. A 6-year-old child with Type 1 Diabetes Mellitus has a blood glucose of 250 mg/dL before dinner. The child’s insulin sliding scale indicates 2 units of rapid-acting insulin. What technical medicinal nursing action is appropriate?

A. Administer 4 units of insulin.
B. Administer the prescribed 2 units of rapid-acting insulin as indicated by the sliding scale.
C. Withhold the insulin.
D. Administer 1 unit of insulin.
nmdcat.online BS Nursing
Jun 6, 2026

51. A 16-year-old adolescent is admitted to the hospital with an acute asthma exacerbation. The adolescent is refusing to use the nebulizer. What critical situational nursing intervention is most appropriate?

A. Force the nebulizer on the adolescent.
B. Assess the reason for refusal, educate, involve the adolescent in decision-making, and offer alternatives like a MDI with spacer.
C. Tell the parents to make the adolescent comply.
D. Ignore the refusal.
nmdcat.online BS Nursing
Jun 6, 2026

49. A 8-year-old child with asthma is discharged on inhaled corticosteroids. What technical medicinal instruction is critical for the nurse to provide to prevent oral thrush?

A. Rinse mouth with water after each use.
B. Administer the inhaled corticosteroid before meals.
C. Use a spacer only if absolutely necessary.
D. Discontinue the medication if any side effects occur.
nmdcat.online BS Nursing
Jun 6, 2026
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