Practice Questions

26. A 5-year-old child with a cast on their arm after a fracture complains of severe pain unrelieved by analgesia, paresthesia, and pallor of the fingers. What is the critical situational nursing concern?

A. Normal post-fracture pain.
B. Compartment syndrome, requiring urgent notification of the healthcare provider and potential cast removal/fasciotomy.
C. Allergic reaction to the cast material.
D. Nerve impingement.
nmdcat.online BS Nursing
Jun 6, 2026

25. A 13-year-old adolescent with asthma uses a long-acting beta-agonist (LABA) for maintenance. What medicinal education is critical for the nurse to provide regarding its use?

A. Use for acute asthma attacks.
B. Use for long-term control, not for acute relief of asthma symptoms.
C. Use only when feeling breathless.
D. Use only before exercise.
nmdcat.online BS Nursing
Jun 6, 2026

24. A 1-year-old infant with gastroesophageal reflux (GER) is experiencing frequent spitting up and poor weight gain. What technical nursing intervention is critical to teach the parents to manage GER?

A. Placing the infant in a car seat after feeding.
B. Maintaining the infant in an upright position for 30 minutes after feeding, and offering smaller, more frequent feeds.
C. Offering large volumes of formula.
D. Encouraging immediate playtime after feeding.
nmdcat.online BS Nursing
Jun 6, 2026

23. A 7-year-old child is admitted with a severe head injury after a fall. The nurse notes a Glasgow Coma Scale (GCS) score of 8 and sluggish pupil reaction. What is the urgent critical nursing intervention?

A. Providing a warm blanket.
B. Immediately notifying the healthcare provider, assisting with intubation, and preparing for emergent neuroimaging.
C. Offering oral fluids.
D. Encouraging the child to sleep.
nmdcat.online BS Nursing
Jun 6, 2026

22. A 3-month-old infant with heart failure is prescribed digoxin. The nurse needs to administer the medication. What technical medicinal nursing action is critical before administering digoxin to an infant?

A. Checking the infant's temperature.
B. Counting the apical pulse for a full minute and withholding the dose if the heart rate is below parameters (e.g., 90-110 bpm, depending on age and institutional policy).
C. Assessing the infant's weight.
D. Checking the infant's blood pressure.
nmdcat.online BS Nursing
Jun 6, 2026

21. A 4-year-old child with a new diagnosis of acute lymphoblastic leukemia (ALL) is about to start chemotherapy. The nurse is discussing potential side effects with the parents. What clinical nursing implication is critical regarding immunosuppression?

A. Encouraging large gatherings.
B. Stressing meticulous hand hygiene and avoiding exposure to sick individuals.
C. Recommending raw fruits and vegetables.
D. Encouraging swimming in public pools.
nmdcat.online BS Nursing
Jun 6, 2026

20. A 10-year-old child with ADHD is prescribed methylphenidate. What medicinal education is critical for the nurse to provide to the parents regarding administration time?

A. Administer at bedtime to promote sleep.
B. Administer in the morning with breakfast to minimize appetite suppression and insomnia.
C. Administer only when the child is feeling hyperactive.
D. Administer on an empty stomach twice a day.
nmdcat.online BS Nursing
Jun 6, 2026

19. A 1-month-old infant with pyloric stenosis presents with projectile vomiting after feeding. What technical pathophysiological reason explains this clinical finding?

A. Impaired esophageal motility.
B. Hypertrophy of the pyloric muscle, obstructing gastric outflow.
C. Gastric ulceration.
D. Immature digestive enzymes.
nmdcat.online BS Nursing
Jun 6, 2026

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
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