Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
A. "If you don't cry, you can pick out a prize."
Offering a prize for not crying may inadvertently reinforce crying as an expectation.
B. "This medicine will fix you to make you feel better."
This statement is not accurate because the medicine might not fix the problem or make the child feel better immediately.
C. "You will only feel a little stick."
Assuring the child that they will only feel a little stick is not honest because the injection might hurt more than a little stick, and lying to the child can damage the trust between the nurse and the child.
D. "You can choose which leg you get your medicine in."
Allowing the child to choose the injection site allows the child to have some control and autonomy over the situation, which can reduce anxiety and fear.
This question is an excerpt from Nurse Dive's nursing test bank - Rn Pediatric Nursing 2023 Proctored Exam. Take the full exam now
Full Explanation
A. Offering a prize for not crying may inadvertently reinforce crying as an expectation.
B. This statement is not accurate because the medicine might not fix the problem or make the child feel better immediately.
C. Assuring the child that they will only feel a little stick is not honest because the injection might hurt more than a little stick, and lying to the child can damage the trust between the nurse and the child.
D. Allowing the child to choose the injection site allows the child to have some control and autonomy over the situation, which can reduce anxiety and fear.
Similar Questions
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
A. Temperature 37.2° C (99° F)
A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis.
B. No report of pain with voiding
Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness.
C. Clear urine
Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness.
D. Odorless urine
Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.
Full Explanation
A. A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis.
B. Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness.
C. Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness.
D. Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
A. Hemoglobin 6.8 g/dL (9.5 to 14 g/dL)
A low hemoglobin level indicates anemia, which is common in leukemia but does not necessarily indicate treatment effectiveness.
B. Platelet count 98,000/mm3 (150,000 to 400,000/mm3)
A low platelet count is a sign of bone marrow suppression, which is a common side effect of chemotherapy for leukemia.
C. RBC count 5/mm3 (4 to 5.5/mm3)
A normal RBC count indicates that the child's bone marrow is producing enough red blood cells to carry oxygen throughout the body.
D. WBC count 15,000/mm3 (5,000 to 10,000/mm3)
Elevated WBC count is typical in leukemia and does not necessarily indicate treatment effectiveness.
Full Explanation
A. A low hemoglobin level indicates anemia, which is common in leukemia but does not necessarily indicate treatment effectiveness.
B. A low platelet count is a sign of bone marrow suppression, which is a common side effect of chemotherapy for leukemia.
C. A normal RBC count indicates that the child's bone marrow is producing enough red blood cells to carry oxygen throughout the body.
D. Elevated WBC count is typical in leukemia and does not necessarily indicate treatment effectiveness.
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?
A. "My child held their urine for about 15 minutes before going to the bathroom."
Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis.
B. "My child has been drinking a lot less since they started treatment."
Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration.
C. "My child went to the bathroom two times when the alarm went off last night."
Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis.
D. "My child has been doing Kegel exercises to strengthen their pelvic muscles."
Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis.
Full Explanation
A. Holding urine for extended periods may indicate urinary retention, which is not the desired outcome of treatment for enuresis.
B. Drinking less may not necessarily indicate treatment effectiveness and could lead to dehydration.
C. Waking to urinate in response to the alarm indicates improved bladder control and responsiveness to conditioning therapy for enuresis.
D. Kegel exercises primarily target pelvic floor muscles and may not directly address the underlying causes of enuresis.