Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing teaching to a client who has type 1 diabetes and is planning to become pregnant. Which of the following information should the nurse include?
A. "Your baby could be very large if you don't control your blood sugar level."
Poorly controlled blood sugar levels can lead to fetal overgrowth (macrosomia), which increases the risk of a large baby during delivery.
B. "Your baby is at an increased risk for having high blood sugar levels after delivery."
High blood sugar levels after delivery are not specific to babies born to mothers with type 1 diabetes.
C. "You can expect to decrease your insulin dosage during the second and third trimesters.
Insulin dosage requirements often increase during the second and third trimesters due to insulin resistance, not decrease.
D. "You will have an increased risk for developing ketoacidosis during the first trimester."
The risk of ketoacidosis is not typically increased in the first trimester; rather, the focus is on controlling blood sugar levels to minimize risks to the developing fetus.
This question is an excerpt from Nurse Dive's nursing test bank - RN ati Concept-based assessment level proctored exam. Take the full exam now
Full Explanation
Choice A rationale:
Poorly controlled blood sugar levels can lead to fetal overgrowth (macrosomia), which increases the risk of a large baby during delivery.
Choice B rationale:
High blood sugar levels after delivery are not specific to babies born to mothers with type 1 diabetes.
Choice C rationale:
Insulin dosage requirements often increase during the second and third trimesters due to insulin resistance, not decrease.
Choice D rationale:
The risk of ketoacidosis is not typically increased in the first trimester; rather, the focus is on controlling blood sugar levels to minimize risks to the developing fetus.
Similar Questions
A nurse is assessing a school-age child who has Down syndrome. For which of the following findings should the nurse notify the provider?
A. Sparse eyelashes
Sparse eyelashes are a common physical characteristic of individuals with Down syndrome and do not typically require immediate notification of the provider.
B. Reports cracked skin on feet
Cracked skin on feet is not uncommon, and while it may need attention, it does not generally require immediate notification of the provider.
C. Reports persistent neck pain
Persistent neck pain in a child with Down syndrome could indicate an underlying issue and should be reported for further evaluation.
D. Hyperflexibility
Hyperflexibility is a common feature of Down syndrome and does not typically require immediate notification of the provider.
Full Explanation
Choice A rationale:
Sparse eyelashes are a common physical characteristic of individuals with Down syndrome and do not typically require immediate notification of the provider.
Choice B rationale:
Cracked skin on feet is not uncommon, and while it may need attention, it does not generally require immediate notification of the provider.
Choice C rationale:
Persistent neck pain in a child with Down syndrome could indicate an underlying issue and should be reported for further evaluation.
Choice D rationale:
Hyperflexibility is a common feature of Down syndrome and does not typically require immediate notification of the provider.
A nurse is caring for a client who has a fractured hip following a fall. The client is very upset about her planned discharge to a rehabilitation facility because she has always lived independently. The nurse should identify that the client is experiencing which of the following types of crises?
A. Adventitious crisis
An adventitious crisis is a crisis resulting from an external event such as a natural disaster or crime.
B. Psychopathologic crisis
Psychopathologic crises involve individuals with preexisting mental health conditions experiencing acute exacerbations.
C. Psychiatric emergency
A psychiatric emergency involves a sudden onset of severe behavioral symptoms that require immediate intervention.
D. Situational crisis
A situational crisis arises from an unexpected life event, such as injury, illness, or loss of independence, which can disrupt a person's normal routine and coping mechanisms.
Full Explanation
Choice A rationale:
An adventitious crisis is a crisis resulting from an external event such as a natural disaster or crime.
Choice B rationale:
Psychopathologic crises involve individuals with preexisting mental health conditions experiencing acute exacerbations.
Choice C rationale:
A psychiatric emergency involves a sudden onset of severe behavioral symptoms that require immediate intervention.
Choice D rationale:
A situational crisis arises from an unexpected life event, such as injury, illness, or loss of independence, which can disrupt a person's normal routine and coping mechanisms.
A nurse is caring for a 9-month-old infant in a pediatric clinic. The child's guardian tells the nurse that the child has missed the scheduled 6-month immunizations. Which of the following responses should the nurse make?
A. "We can give your child all of the missed immunizations in one injection."
Administering all the missed immunizations in one injection is not recommended and can lead to increased discomfort and potential adverse reactions.
B. "Your child will have to start their immunization series over from the beginning."
Starting the immunization series over is unnecessary and can delay the child's protection against vaccine-preventable diseases.
C. "We will administer the immunizations your child missed today."
The most appropriate action is to administer the immunizations the child missed at the earliest opportunity to catch up on the schedule.
D. "We will give your child all of the needed immunizations at 12 months."
Waiting until 12 months of age is not necessary if the child has already missed scheduled immunizations. The catch-up schedule should be followed based on the child's current age.
Full Explanation
Choice A rationale:
Administering all the missed immunizations in one injection is not recommended and can lead to increased discomfort and potential adverse reactions.
Choice B rationale:
Starting the immunization series over is unnecessary and can delay the child's protection against vaccine-preventable diseases.
Choice C rationale:
The most appropriate action is to administer the immunizations the child missed at the earliest opportunity to catch up on the schedule.
Choice D rationale:
Waiting until 12 months of age is not necessary if the child has already missed scheduled immunizations. The catch-up schedule should be followed based on the child's current age.