Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a preschool-age child who is dying.
Which of the following findings is an age-appropriate reaction to death by the child? (Select all that apply).
A. The child is interested in what happens to the body after death.
Choice A is not correct because preschool-age children may not necessarily be interested in what happens to the body after death.
B. The child believes his thoughts can cause death.
Preschool-age children often have a limited understanding of death and may believe that their thoughts can cause death. They may also view death as similar to sleep 1 and may think that death is a punishment.
C. The child recognizes that death is permanent.
Choice C is not correct because preschool-age children usually do not recognize that death is permanent.
D. The child views death as similar to sleep.
Preschool-age children often have a limited understanding of death and may believe that their thoughts can cause death. They may also view death as similar to sleep 1 and may think that death is a punishment.
E. The child thinks death is a punishment.
Preschool-age children often have a limited understanding of death and may believe that their thoughts can cause death. They may also view death as similar to sleep 1 and may think that death is a punishment.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom SP23 N23 N240 Proctored Exam 3 Ch 11 24 32 43 44. Take the full exam now
Full Explanation
Preschool-age children often have a limited understanding of death and may believe that their thoughts can cause death.
They may also view death as similar to sleep 1 and may think that death is a punishment.
Choice A is not correct because preschool-age children may not necessarily be interested in what happens to the body after death.
Choice C is not correct because preschool-age children usually do not recognize that death is permanent.
Similar Questions
A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin.
Which of the following adverse effects should the nurse instruct the client is the priority to report to the provider?
A. Feelings of isolation.
Isotretinoin has been associated with depression and other psychiatric side effects. The client should report any changes in mood or behavior, including feelings of isolation, to the provider immediately.
B. Frequent nosebleeds.
Choice B is not an answer because while frequent nosebleeds can be a side effect of isotretinoin, it is not the priority to report to the provider.
C. Back pain.
Choice C is not an answer because while back pain can be a side effect of isotretinoin, it is not the priority to report to the provider.
D. Itching of skin.
Choice D is not an answer because while itching of the skin can be a side effect of isotretinoin, it is not the priority to report to the provider.
Full Explanation
Isotretinoin has been associated with depression and other psychiatric side effects.
The client should report any changes in mood or behavior, including feelings of isolation, to the provider immediately.
Choice B is not an answer because while frequent nosebleeds can be a side
effect of isotretinoin, it is not the priority to report to the provider.
Choice C is not an answer because while back pain can be a side effect of isotretinoin, it is not the priority to report to the provider.
Choice D is not an answer because while itching of the skin can be a side effect of isotretinoin, it is not the priority to report to the provider.
A nurse is admitting a 6-month-old infant who has dehydration.
Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?
A. 0.5 mL/kg/hr.
An output of 0.5 mL/kg/hr is insufficient and indicative of ongoing dehydration or inadequate fluid intake.
B. 15 mL/kg/hr.
An output of 15 mL/kg/hr is excessive and could suggest overhydration or a different pathology.
C. 2 mL/kg/hr.
A urinary output of 2 mL/kg/hr is an ideal measure for indicating that fluid balance has been restored in infants.
D. 7.5 mL/kg/hr.
An output of 7.5 mL/kg/hr is unusually high and not typical for a corrected fluid balance in infants.
Full Explanation
The correct answer is C. 2 mL/kg/hr.
Choice A rationale: An output of 0.5 mL/kg/hr is insufficient and indicative of ongoing dehydration or inadequate fluid intake.
Choice B rationale: An output of 15 mL/kg/hr is excessive and could suggest overhydration or a different pathology.
Choice C rationale: A urinary output of 2 mL/kg/hr is an ideal measure for indicating that fluid balance has been restored in infants.
Choice D rationale: An output of 7.5 mL/kg/hr is unusually high and not typical for a corrected fluid balance in infants.
A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate.
Which of the following instructions should the nurse provide to the parent?
A. Bring the child to the office for a rapid infusion of deferoxamine.
Choice A is not correct because rapid infusion of deferoxamine is not the first step in managing iron overdose.
B. Give the child syrup of ipecac.
Choice B is not correct because syrup of ipecac is no longer recommended for use in cases of poisoning.
C. Contact the poison control center.
In the event of a potential poisoning, the first step should be to contact the poison control center for guidance on how to proceed.
D. Provide a high-carbohydrate meal.
Choice D is not correct because providing a high-carbohydrate meal is not an appropriate intervention for iron overdose.
Full Explanation
In the event of a potential poisoning, the first step should be to contact the poison control center for guidance on how to proceed.
Choice A is not correct because rapid infusion of deferoxamine is not the first step in managing iron overdose.
Choice B is not correct because syrup of ipecac is no longer recommended for use in cases of poisoning.
Choice D is not correct because providing a high-carbohydrate meal is not an appropriate intervention for iron overdose.
