Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. Cyanosis
Cyanosis can occur in children with heart failure due to inadequate oxygenation of tissues.
B. Weight loss
Weight gain or fluid retention is more common in children with heart failure.
C. Bounding peripheral pulses
Bounding pulses are more commonly associated with conditions such as hypertension or hyperthyroidism, rather than heart failure.
D. Dyspnea
Dyspnea, or difficulty breathing, is a common symptom of heart failure due to fluid buildup in the lungs.
E. Tachycardia
Tachycardia, or a rapid heart rate, can occur as a compensatory mechanism in response to decreased cardiac output in heart failure.
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. Cyanosis can occur in children with heart failure due to inadequate oxygenation of tissues.
B. Weight gain or fluid retention is more common in children with heart failure.
C. Bounding pulses are more commonly associated with conditions such as hypertension or hyperthyroidism, rather than heart failure.
D. Dyspnea, or difficulty breathing, is a common symptom of heart failure due to fluid buildup in the lungs.
E. Tachycardia, or a rapid heart rate, can occur as a compensatory mechanism in response to decreased cardiac output in heart failure.
Similar Questions
A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?
A. "My child might experience mood swings."
Mood swings are a common side effect of prednisone and indicate an understanding of the potential adverse effects.
B. “I should take my child to the clinic for a weekly blood test."
Routine blood tests are not typically required for children on maintenance prednisone therapy for asthma.
C. “I should withhold my child's medication before physical activity."
Prednisone should not be withheld before physical activity, as it is a maintenance medication for asthma.
D. "My child might have a decreased appetite."
Decreased appetite is a common side effect of prednisone but is not the best indicator of understanding the teaching.
Full Explanation
Rationale:
A. Mood swings are a common side effect of prednisone and indicate an understanding of the potential adverse effects.
B. Routine blood tests are not typically required for children on maintenance prednisone therapy for asthma.
C. Prednisone should not be withheld before physical activity, as it is a maintenance medication for asthma.
D. Decreased appetite is a common side effect of prednisone but is not the best indicator of understanding the teaching.
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
A. Lavender
Lavender oil is commonly used for relaxation and calming effects.
B. Eucalyptus
Eucalyptus oil is more commonly used for respiratory issues and may not be as suitable for relaxation.
C. Jasmine
Jasmine oil is often used for its pleasant scent but may not have the same relaxation properties as lavender.
D. Tea tree
Tea tree oil is typically used for its antimicrobial properties and may not be as effective for relaxation purposes as lavender.
Full Explanation
Rationale:
A. Lavender oil is commonly used for relaxation and calming effects.

B. Eucalyptus oil is more commonly used for respiratory issues and may not be as suitable for relaxation.
C. Jasmine oil is often used for its pleasant scent but may not have the same relaxation properties as lavender.
D. Tea tree oil is typically used for its antimicrobial properties and may not be as effective for relaxation purposes as lavender.
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer?Select all that apply.
A. Measles, mumps, and rubella (MMR)
The MMR vaccine is typically administered at 12 months of age as part of routine immunization schedules.
B. Varicella (VAR)
The varicella vaccine is typically administered at 12 months of age as part of routine immunization schedules.
C. Rotavirus (RV)
Rotavirus (RV): The rotavirus vaccine is typically administered at 2, 4, and 6 months of age.
D. Herpes zoster
The herpes zoster vaccine is not routinely administered to infants at 12 months of age.
E. Human papillomavirus (HPV4)
The HPV vaccine is typically administered starting at age 11 or 12 years, not at 12 months of age.
Full Explanation
Rationale:
A. The MMR vaccine is typically administered at 12 months of age as part of routine immunization schedules.
B. The varicella vaccine is typically administered at 12 months of age as part of routine immunization schedules.
C. Rotavirus (RV): The rotavirus vaccine is typically administered at 2, 4, and 6 months of age.
D. The herpes zoster vaccine is not routinely administered to infants at 12 months of age.
E. The HPV vaccine is typically administered starting at age 11 or 12 years, not at 12 months of age.