Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a preschooler who refuses to take a stat dose of oral diphenhydramine.
Which of the following statements should the nurse make?
A. "The medication isn't bad. It tastes like candy.”
Choice A is wrong because it may not be true that the medication tastes like candy and could lead to mistrust.
B. "Let me know when you want to take the medication.”
Choice B is wrong because it does not address the urgency of taking a stat dose of medication.
C. "The medication will treat your hypersensitivity reaction.”
This statement provides the child with factual information about the purpose of the medication and why it is important for them to take it.
D. "Sometimes, when a child has to take medication, they feel sad.”
Choice D is wrong because it does not provide any information about the purpose of the medication and may not be relevant to the child’s feelings.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Nursing Care of Children 2019 Proctored Exam. Take the full exam now
Full Explanation
This statement provides the child with factual information about the purpose of the medication and why it is important for them to take it.
Choice A is wrong because it may not be true that the medication tastes like candy and could lead to mistrust.
Choice B is wrong because it does not address the urgency of taking a stat dose of medication.
Choice D is wrong because it does not provide any information about the purpose of the medication and may not be relevant to the child’s feelings.
Similar Questions
A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis.
Which of the following statements should the nurse include in the teaching?
A. "A nurse will insert an IV prior to the test.”
Choice A is wrong because an IV is not necessary for this test.
B. "We will measure the amount of protein in your baby's urine over a 24 hour period.”
Choice B is wrong because the test measures chloride in sweat, not protein in urine.
C. "The test will measure the amount of chloride in your baby's sweat.”
Pilocarpine iontophoresis is a test used to diagnose cystic fibrosis by measuring the amount of chloride in a person’s sweat.
D. "Your baby will need to fast for 8 hours prior to the test.”
Choice D is wrong because fasting is not required for this test.
Full Explanation
Pilocarpine iontophoresis is a test used to diagnose cystic fibrosis by measuring the amount of chloride in a person’s sweat.
Choice A is wrong because an IV is not necessary for this test.
Choice B is wrong because the test measures chloride in sweat, not protein in urine.
Choice D is wrong because fasting is not required for this test.
A nurse is providing teaching about the effects of sun exposure to a parent of a toddler.
Which of the following responses by the parent indicates an understanding of the teaching?
A. "My child should remain under a beach umbrella during morning hours.”
Choice A is wrong because while staying under a beach umbrella can provide some protection from the sun, it is not enough on its own.
B. "I should dress my child in loose-weave clothing.”
Choice B is wrong because loose-weave clothing may not provide enough protection from the sun’s rays.
C. "I should apply a 10 SPF sunscreen to my child's entire body.”
Choice C is wrong because a sunscreen with an SPF of at least 30 is recommended for adequate protection.
D. "My child should wear a wide-brimmed hat.”
Wearing a wide-brimmed hat can help protect a child’s face, neck and ears from the harmful effects of the sun.
Full Explanation
Wearing a wide-brimmed hat can help protect a child’s face, neck and ears from the harmful effects of the sun.
Choice A is wrong because while staying under a beach umbrella can provide some protection from the sun, it is not enough on its own.
Choice B is wrong because loose-weave clothing may not provide enough protection from the sun’s rays.
Choice C is wrong because a sunscreen with an SPF of at least 30 is recommended for adequate protection.
A nurse is assessing an infant who has acute otitis media.
Which of the following findings should the nurse expect? (Select all that apply.).
A. Increased appetite.
Choice A is wrong because an infant with acute otitis media may have a decreased appetite.
B. Crying.
An infant with acute otitis media may exhibit crying, restlessness and fever.
C. Restlessness.
An infant with acute otitis media may exhibit crying, restlessness and fever.
D. Fever.
An infant with acute otitis media may exhibit crying, restlessness and fever.
E. Enlarged subclavicular lymph node.
Choice E is not the best answer because an enlarged subclavicular lymph node is not a common finding in acute otitis media.
Full Explanation
An infant with acute otitis media may exhibit crying, restlessness and fever.
Choice A is wrong because an infant with acute otitis media may have a decreased appetite.
Choice E is not the best answer because an enlarged subclavicular lymph node is not a common finding in acute otitis media.