Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing support to a family whose infant died from sudden infant death syndrome (SIDS).
Which of the following actions should the nurse take?
A. Discourage the parents from allowing siblings to view the body.
Choice A is wrong because there are no specific instructions discouraging the parents from allowing siblings to view the body.
B. Avoid discussing details of the attempt to revive the infant.
Choice B is wrong because avoiding discussing details of the attempt to revive the infant may not necessarily provide support to the family.
C. Provide a follow-up phone call 1 week following the infant's death.
Choice C is wrong because while providing a follow-up phone call 1 week following the infant’s death may be helpful, it is not the only action that should be taken by the nurse.
D. Acknowledge the family members' feelings of guilt.
Sudden infant death syndrome (SIDS) death has a devastating effect on parents. There is no known cause, so parents experience guilt about what they might have done or not done to contribute to the death. Acknowledging the family members’ feelings of guilt can help provide support to the family.
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
Sudden infant death syndrome (SIDS) death has a devastating effect on parents.
There is no known cause, so parents experience guilt about what they might have done or not done to contribute to the death.
Acknowledging the family members’ feelings of guilt can help provide support to the family.
Choice A is wrong because there are no specific instructions discouraging the parents from allowing siblings to view the body.
Choice B is wrong because avoiding discussing details of the attempt to revive the infant may not necessarily provide support to the family.
Choice C is wrong because while providing a follow-up phone call 1 week following the infant’s death may be helpful, it is not the only action that should be taken by the nurse.
Similar Questions
A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy.
Which of the following actions should the nurse take?
A. Encourage the child to deep breathe and cough.
Choice A is wrong because deep breathing and coughing may cause discomfort and bleeding after a tonsillectomy.
B. Offer the child ice cream when alert.
Choice B is wrong because while ice cream may be soothing for the throat, it is not the only food that can be offered when the child is alert.
C. Instruct the child to drink fluids through a straw.
Choice C is wrong because drinking fluids through a straw may cause discomfort and bleeding after a tonsillectomy.
D. Place the child in a side-lying position.
After a tonsillectomy surgery, it is important to place the child in a side-lying position to help keep their airway open and prevent aspiration 1.
Full Explanation
After a tonsillectomy surgery, it is important to place the child in a side-lying position to help keep their airway open and prevent aspiration 1.
Choice A is wrong because deep breathing and coughing may cause discomfort and bleeding after a tonsillectomy.
Choice B is wrong because while ice cream may be soothing for the throat, it is not the only food that can be offered when the child is alert.
Choice C is wrong because drinking fluids through a straw may cause discomfort and bleeding after a tonsillectomy.
A nurse is assessing a school-age child's cranial nerve function.
Which of the following actions should the nurse ask the child to take when assessing the accessory nerve?
A. Follow a light in the six cardinal positions.
Choice A is wrong because following a light in the six cardinal positions tests the function of cranial nerves III, IV, and VI.
B. Move their tongue in all directions.
Choice B is wrong because moving their tongue in all directions tests the function of cranial nerve XII.
C. Show their teeth while smiling.
Choice C is wrong because showing their teeth while smiling tests the function of cranial nerve VII.
D. Shrug their shoulders against mild pressure.
The accessory nerve is tested by evaluating the function of the trapezius and sternocleidomastoid muscles. The trapezius muscle is tested by asking the patient to shrug their shoulders with and without resistance.
Full Explanation
The accessory nerve is tested by evaluating the function of the trapezius and sternocleidomastoid muscles.
The trapezius muscle is tested by asking the patient to shrug their shoulders with and without resistance.
Choice A is wrong because following a light in the six cardinal positions tests the function of cranial nerves III, IV, and VI.
Choice B is wrong because moving their tongue in all directions tests the function of cranial nerve XII.
Choice C is wrong because showing their teeth while smiling tests the function of cranial nerve VII.
A nurse is caring for a 10-month-old child who was brought to the emergency department by his parents following a head injury.
Which of the following actions should the nurse take first?
A. Assess respiratory status.
The first action the nurse should take is to assess the respiratory status of the infant. After a head injury, it is important to ensure that the child’s airway is clear and that they are breathing adequately. This is a crucial step in providing care for a patient with a head injury.
B. Inspect for fluid leaking from the ears.
Choice B is wrong because inspecting for fluid leaking from the ears is not the first priority.
C. Examine the scalp for lacerations.
Choice C is wrong because examining the scalp for lacerations is not the first priority.
D. Check pupil reactions.
Choice D is wrong because checking pupil reactions is not the first priority.
Full Explanation
The first action the nurse should take is to assess the respiratory status of the infant.
After a head injury, it is important to ensure that the child’s airway is clear and that they are breathing adequately.
This is a crucial step in providing care for a patient with a head injury.
Choice B is wrong because inspecting for fluid leaking from the ears is not the first priority.
Choice C is wrong because examining the scalp for lacerations is not the first priority.
Choice D is wrong because checking pupil reactions is not the first priority.