Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
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.
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. 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.
Similar Questions
A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?
A. Unable to roll from back to abdomen
Rolling over from back to abdomen typically occurs around 4 to 6 months of age.While it may be slightly delayed, it is not usually concerning at 5 months.
B. Exhibits head lag when pulled to a sitting position
Head lag at 5 months is abnormal and may indicate weakness or poor muscle tone, warranting further evaluation by the healthcare provider.
C. Unable to hold a bottle
Not all infants are able to hold a bottle at 5 months, and this finding alone may not be concerning.
D. Absent grasp reflex
The grasp reflex typically diminishes by 3 to 4 months of age, so it may not be present at 5 months. While it's a developmental milestone, its absence alone may not warrant immediate concern at this age.
Full Explanation
Rationale:
A. Rolling over from back to abdomen typically occurs around 4 to 6 months of age.
While it may be slightly delayed, it is not usually concerning at 5 months.
B. Head lag at 5 months is abnormal and may indicate weakness or poor muscle tone, warranting further evaluation by the healthcare provider.
C. Not all infants are able to hold a bottle at 5 months, and this finding alone may not be concerning.
D. The grasp reflex typically diminishes by 3 to 4 months of age, so it may not be present at 5 months. While it's a developmental milestone, its absence alone may not warrant immediate concern at this age.
A nurse is caring for a school-age child who is having a tonic-clonic seizure. Which of the following actions should the nurse take?
A. Administer chlorothiazide.
Chlorothiazide is a diuretic and is not indicated during a seizure.
B. Hold the child down.
Holding the child down during a seizure can lead to injury and is not recommended. It's essential to ensure the child's safety by protecting the head from injury and removing any objects that could cause harm.
C. Place the child in a prone position.
Placing the child in a prone position during a seizure can compromise their ability to breathe and is not recommended. Instead, the child should be placed in a safe position on their side to prevent aspiration.
D. Time the episode.
Timing the duration of the seizure is crucial for medical management and documentation purposes. This action allows healthcare providers to assess theseverity of the seizure and determine the need for intervention or medication administration.
Full Explanation
Rationale:
A. Chlorothiazide is a diuretic and is not indicated during a seizure.
B. Holding the child down during a seizure can lead to injury and is not recommended. It's essential to ensure the child's safety by protecting the head from injury and removing any objects that could cause harm.
C. Placing the child in a prone position during a seizure can compromise their ability to breathe and is not recommended. Instead, the child should be placed in a safe position on their side to prevent aspiration.
D. Timing the duration of the seizure is crucial for medical management and documentation purposes. This action allows healthcare providers to assess the
severity of the seizure and determine the need for intervention or medication administration.
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis.
Which of the following statements by the guardian indicates an understanding of the teaching?
A. "I will ensure that my child consumes a high-calorie diet."
A child with cystic fibrosis needs a high-calorie diet to meet their nutritional needs and prevent malnutrition.
B. "I will expect my child to need annual sweat chloride testing."
Sweat chloride testing is used to diagnose cystic fibrosis, not to monitor its progression.
C. "I will have my child chew the pancrelipase medication before eating."
Chewing pancrelipase medication before eating is incorrect. Pancrelipase should be swallowed whole with meals to aid in digestion.
D. "I will administer dornase alfa every 4 hours for wheezing."
Administering dornase alfa every 4 hours for wheezing is not appropriate. Dornase alfa is typically used for cystic fibrosis to help thin mucus and improve lung function, but it is not indicated for wheezing, and the dosing frequency provided is incorrect.
Full Explanation
Rationale:
A. A child with cystic fibrosis needs a high-calorie diet to meet their nutritional needs and prevent malnutrition.
B. Sweat chloride testing is used to diagnose cystic fibrosis, not to monitor its progression.
C. Chewing pancrelipase medication before eating is incorrect. Pancrelipase should be swallowed whole with meals to aid in digestion.
D. Administering dornase alfa every 4 hours for wheezing is not appropriate. Dornase alfa is typically used for cystic fibrosis to help thin mucus and improve lung function, but it is not indicated for wheezing, and the dosing frequency provided is incorrect.