Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take?
A. Perform developmental testing for delays.
Toddlers with a history of lead poisoning are at risk for developmental delays.Developmental testing can help identify any delays that may require intervention or support.
B. Initiate a low-iron diet for lead absorption.
Lead absorption is not related to iron intake. However, a diet rich in iron can help reduce the absorption of lead.
C. Obtain a stool specimen for lead levels.
Blood testing, not stool testing, is the primary method for assessing lead levels. Blood lead levels provide the most accurate information about lead exposure.
D. Inspect the skin for discoloration.
While lead poisoning can cause changes in skin color in severe cases, it is not the primary assessment for lead exposure. Blood lead levels and developmental testing are more indicative of lead poisoning.
This question is an excerpt from Nurse Dive's nursing test bank - RN Nursing Care of Children 2019 with NGN Proctored Exam. Take the full exam now
Full Explanation
A. Toddlers with a history of lead poisoning are at risk for developmental delays.
Developmental testing can help identify any delays that may require intervention or support.
B. Lead absorption is not related to iron intake. However, a diet rich in iron can help reduce the absorption of lead.
C. Blood testing, not stool testing, is the primary method for assessing lead levels. Blood lead levels provide the most accurate information about lead exposure.
D. While lead poisoning can cause changes in skin color in severe cases, it is not the primary assessment for lead exposure. Blood lead levels and developmental testing are more indicative of lead poisoning.
Similar Questions
A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning.
Which of the following information should the nurse include in the teaching?
A. Increase the toddler's protein consumption.
Toddlers with phenylketonuria (PKU) need to limit their intake of phenylalanine, an amino acid found in protein. Therefore, the toddler's protein consumption should be carefully controlled and monitored.
B. Limit foods high in iron.
Foods high in iron do not need to be specifically limited for a child with PKU. Iron- rich foods are important for overall health and should be included in the diet.
C. Use aspartame as a sugar substitute.
Aspartame contains phenylalanine and should be avoided by individuals with PKU. PKU is a metabolic disorder that impairs the body's ability to break down phenylalanine, so it is important to limit phenylalanine intake.
D. Avoid foods containing milk products.
This is correct. Foods containing milk products should be avoided, as they are a source of phenylalanine and can contribute to an excessive intake of this amino acid in a child with PKU. Instead, specialized medical foods low in phenylalanine are recommended.
Full Explanation
A. Toddlers with phenylketonuria (PKU) need to limit their intake of phenylalanine, an amino acid found in protein. Therefore, the toddler's protein consumption should be carefully controlled and monitored.
B. Foods high in iron do not need to be specifically limited for a child with PKU. Iron-rich foods are important for overall health and should be included in the diet.
C. Aspartame contains phenylalanine and should be avoided by individuals with PKU. PKU is a metabolic disorder that impairs the body's ability to break down phenylalanine, so it is important to limit phenylalanine intake.
D. This is correct. Foods containing milk products should be avoided, as they are a source of phenylalanine and can contribute to an excessive intake of this amino acid in a child with PKU. Instead, specialized medical foods low in phenylalanine are recommended.
A nurse is planning care for an adolescent who has sickle cell anemia which of the following immunizations should the nurse include in the plan?
A. Rotavirus
Rotavirus vaccine is not typically indicated for adolescents. It is usually administered to infants.
B. Pneumococcal conjugate (PCV)
Adolescents with sickle cell anemia are at increased risk for infections, including those caused by Streptococcus pneumoniae. The pneumococcal conjugate vaccine (PCV) helps protect against certain types of pneumococcal bacteria.
C. Measles, mumps and rubelle (MMR)
The MMR vaccine provides immunity against measles, mumps, and rubella, but it is not specifically indicated for adolescents with sickle cell anemia. They should receivethis vaccine as recommended for their age group.
D. Respiratory syncytial virus (RSV)
The RSV vaccine is primarily recommended for infants and young children at high risk for severe respiratory syncytial virus (RSV) infection. It is not typically indicated for adolescents with sickle cell anemia.
Full Explanation
A. Rotavirus vaccine is not typically indicated for adolescents. It is usually administered to infants.
B. Correct. Adolescents with sickle cell anemia are at increased risk for infections,
including those caused by Streptococcus pneumoniae. The pneumococcal conjugate vaccine (PCV) helps protect against certain types of pneumococcal bacteria.
C. The MMR vaccine provides immunity against measles, mumps, and rubella, but it is not specifically indicated for adolescents with sickle cell anemia. They should receive
this vaccine as recommended for their age group.
D. The RSV vaccine is primarily recommended for infants and young children at high risk for severe respiratory syncytial virus (RSV) infection. It is not typically indicated for adolescents with sickle cell anemia.
A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant. Which of the following actions should the nurse plan to take?
A. Start the IV in the infant's foot.
Starting the IV in the infant's foot is not the preferred site for a 12-month-old who is ambulatory or beginning to walk, as it can interfere with mobility. The hand, forearm, or scalp (if necessary) are preferred sites.
B. Use a 24-gauge catheter to start the IV.
Using a 24-gauge catheter is the correct choice, as smaller-gauge catheters (24- to 26-gauge) are appropriate for infants to minimize trauma and facilitate proper IV access.
C. Change the IV site every 3 days.
Changing the IV site every 3 days is a general guideline for adults, but in infants, the site should be assessed frequently and changed as needed based on signs of infiltration or complications.
D. Cover the insertion site with an opaque dressing.
Covering the insertion site with an opaque dressing is incorrect because a transparent dressing is preferred to allow for continuous assessment of the site for complications such as infiltration or phlebitis.
Full Explanation
A. Starting the IV in the infant's foot is not the preferred site for a 12-month-old who is ambulatory or beginning to walk, as it can interfere with mobility. The hand, forearm, or scalp (if necessary) are preferred sites.
B. Using a 24-gauge catheter is the correct choice, as smaller-gauge catheters (24- to 26-gauge) are appropriate for infants to minimize trauma and facilitate proper IV access.
C. Changing the IV site every 3 days is a general guideline for adults, but in infants, the site should be assessed frequently and changed as needed based on signs of infiltration or complications.
D. Covering the insertion site with an opaque dressing is incorrect because a transparent dressing is preferred to allow for continuous assessment of the site for complications such as infiltration or phlebitis.