Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is assessing a school-age child who has Down syndrome. For which of the following findings should the nurse notify the provider?
A. Sparse eyelashes
Sparse eyelashes are a common physical characteristic of individuals with Down syndrome and do not typically require immediate notification of the provider.
B. Reports cracked skin on feet
Cracked skin on feet is not uncommon, and while it may need attention, it does not generally require immediate notification of the provider.
C. Reports persistent neck pain
Persistent neck pain in a child with Down syndrome could indicate an underlying issue and should be reported for further evaluation.
D. Hyperflexibility
Hyperflexibility is a common feature of Down syndrome and does not typically require immediate notification of the provider.
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Full Explanation
Choice A rationale:
Sparse eyelashes are a common physical characteristic of individuals with Down syndrome and do not typically require immediate notification of the provider.
Choice B rationale:
Cracked skin on feet is not uncommon, and while it may need attention, it does not generally require immediate notification of the provider.
Choice C rationale:
Persistent neck pain in a child with Down syndrome could indicate an underlying issue and should be reported for further evaluation.
Choice D rationale:
Hyperflexibility is a common feature of Down syndrome and does not typically require immediate notification of the provider.
Similar Questions
A nurse is caring for a client who has a fractured hip following a fall. The client is very upset about her planned discharge to a rehabilitation facility because she has always lived independently. The nurse should identify that the client is experiencing which of the following types of crises?
A. Adventitious crisis
An adventitious crisis is a crisis resulting from an external event such as a natural disaster or crime.
B. Psychopathologic crisis
Psychopathologic crises involve individuals with preexisting mental health conditions experiencing acute exacerbations.
C. Psychiatric emergency
A psychiatric emergency involves a sudden onset of severe behavioral symptoms that require immediate intervention.
D. Situational crisis
A situational crisis arises from an unexpected life event, such as injury, illness, or loss of independence, which can disrupt a person's normal routine and coping mechanisms.
Full Explanation
Choice A rationale:
An adventitious crisis is a crisis resulting from an external event such as a natural disaster or crime.
Choice B rationale:
Psychopathologic crises involve individuals with preexisting mental health conditions experiencing acute exacerbations.
Choice C rationale:
A psychiatric emergency involves a sudden onset of severe behavioral symptoms that require immediate intervention.
Choice D rationale:
A situational crisis arises from an unexpected life event, such as injury, illness, or loss of independence, which can disrupt a person's normal routine and coping mechanisms.
A nurse is caring for a 9-month-old infant in a pediatric clinic. The child's guardian tells the nurse that the child has missed the scheduled 6-month immunizations. Which of the following responses should the nurse make?
A. "We can give your child all of the missed immunizations in one injection."
Administering all the missed immunizations in one injection is not recommended and can lead to increased discomfort and potential adverse reactions.
B. "Your child will have to start their immunization series over from the beginning."
Starting the immunization series over is unnecessary and can delay the child's protection against vaccine-preventable diseases.
C. "We will administer the immunizations your child missed today."
The most appropriate action is to administer the immunizations the child missed at the earliest opportunity to catch up on the schedule.
D. "We will give your child all of the needed immunizations at 12 months."
Waiting until 12 months of age is not necessary if the child has already missed scheduled immunizations. The catch-up schedule should be followed based on the child's current age.
Full Explanation
Choice A rationale:
Administering all the missed immunizations in one injection is not recommended and can lead to increased discomfort and potential adverse reactions.
Choice B rationale:
Starting the immunization series over is unnecessary and can delay the child's protection against vaccine-preventable diseases.
Choice C rationale:
The most appropriate action is to administer the immunizations the child missed at the earliest opportunity to catch up on the schedule.
Choice D rationale:
Waiting until 12 months of age is not necessary if the child has already missed scheduled immunizations. The catch-up schedule should be followed based on the child's current age.
A nurse is teaching a male client who has erectile dysfunction and a new prescription for sildenafil. Which of the following information should the nurse include in the teaching?
A. "Take this medication twice per day."
Sildenafil is typically taken as needed, not twice per day.
B. "Constipation is a common adverse effect of this medication."
Constipation is not a common adverse effect of sildenafil.
C. "Change positions slowly after taking this medication."
Changing positions slowly after taking the medication is not related to sildenafil's mechanism of action.
D. "You should expect temporary visual changes while taking this medication."
Sildenafil is a medication used to treat erectile dysfunction. Temporary visual changes, often described as a blue-green tinge or increased light sensitivity, are potential side effects of sildenafil due to its effect on the retinal enzyme.
Full Explanation
Choice A rationale:
Sildenafil is typically taken as needed, not twice per day.
Choice B rationale:
Constipation is not a common adverse effect of sildenafil.
Choice C rationale:
Changing positions slowly after taking the medication is not related to sildenafil's mechanism of action.
Choice D rationale:
Sildenafil is a medication used to treat erectile dysfunction. Temporary visual changes, often described as a blue-green tinge or increased light sensitivity, are potential side effects of sildenafil due to its effect on the retinal enzyme.