Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
A. Sweating
Sweating is more commonly associated with hypoglycemia (low blood sugar) rather than hyperglycemia (high blood sugar).
B. Tremors
Tremors are more commonly associated with hypoglycemia.
C. Pallor
Pallor is not typically associated with hyperglycemia.
D. Thirst
Thirst (polydipsia) is a classic symptom of hyperglycemia in diabetes mellitus, as the body tries to dilute the excess sugar in the bloodstream by increasing fluid intake.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Paediatric Nursing 2023 Proctored Exam. Take the full exam now
Full Explanation
Rationale:
A. Sweating is more commonly associated with hypoglycemia (low blood sugar) rather than hyperglycemia (high blood sugar).
B. Tremors are more commonly associated with hypoglycemia.
C. Pallor is not typically associated with hyperglycemia.
D. Thirst (polydipsia) is a classic symptom of hyperglycemia in diabetes mellitus, as the body tries to dilute the excess sugar in the bloodstream by increasing fluid intake.
Similar Questions
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?
A. "Hemodialysis uses your child's abdominal cavity as a membrane to clean their blood."
This statement describes peritoneal dialysis, not hemodialysis.
B. "Hemodialysis uses an electrolyte solution to clean your child's blood."
Hemodialysis does not use an electrolyte solution to clean the blood.
C. "Hemodialysis uses an artificial membrane outside the body to clean your child's blood."
Hemodialysis indeed involves circulating the blood outside the body through an artificial membrane in the dialysis machine to remove waste products and excess fluids.
D. "Hemodialysis slowly filtrates your child's blood continuously."
Hemodialysis involves intermittent filtration of the blood, not continuous filtration.
Full Explanation
Rationale:
A. This statement describes peritoneal dialysis, not hemodialysis.
B. Hemodialysis does not use an electrolyte solution to clean the blood.
C. Hemodialysis indeed involves circulating the blood outside the body through an artificial membrane in the dialysis machine to remove waste products and excess fluids.
D. Hemodialysis involves intermittent filtration of the blood, not continuous filtration.
A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching?
A. Provide for periods of rest.
Providing for periods of rest is important to conserve energy in children with heart failure.
B. Increase the child's oxygen flow rate until the child no longer has cyanosis.
Increasing the oxygen flow rate until cyanosis resolves may not be appropriate without medical guidance.
C. Withhold digoxin if the child's pulse is greater than 100/min.
Digoxin should not be withheld without consulting the healthcare provider. It is essential to follow the prescribed regimen and contact the provider if there are concerns about the child's pulse rate.
D. Weigh the child once each month.
Weighing the child once each month may not be frequent enough for monitoring fluid status in a child with heart failure. More frequent weight monitoring may be necessary as per the healthcare provider's recommendations.
Full Explanation
Rationale:
A. Providing for periods of rest is important to conserve energy in children with heart failure.
B. Increasing the oxygen flow rate until cyanosis resolves may not be appropriate without medical guidance.
C. Digoxin should not be withheld without consulting the healthcare provider. It is essential to follow the prescribed regimen and contact the provider if there are concerns about the child's pulse rate.
D. Weighing the child once each month may not be frequent enough for monitoring fluid status in a child with heart failure. More frequent weight monitoring may be necessary as per the healthcare provider's recommendations.
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?
A. Inform the client to contact the pharmacy regarding any questions related to the medication.
While informing the client to contact the pharmacy is appropriate, it does not address the immediate need for understanding the medication.
B. Provide instructions to the client's parent with the client present.
Providing instructions to the client's parent may not respect the adolescent's autonomy and privacy regarding their healthcare.
C. Instruct the client's parents to write down the information that is being provided.
Instructing the client's parents to write down the information may not involve the adolescent in the learning process or address their individual needs.
D. Ask how the client prefers to learn new information.
Asking how the client prefers to learn new information demonstrates respect for the adolescent's autonomy and preferences, facilitating effective communication and understanding.
Full Explanation
Rationale:
A. While informing the client to contact the pharmacy is appropriate, it does not address the immediate need for understanding the medication.
B. Providing instructions to the client's parent may not respect the adolescent's autonomy and privacy regarding their healthcare.
C. Instructing the client's parents to write down the information may not involve the adolescent in the learning process or address their individual needs.
D. Asking how the client prefers to learn new information demonstrates respect for the adolescent's autonomy and preferences, facilitating effective communication and understanding.