Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is teaching the guardian of a child who is suspected of having cystic fibrosis and is scheduled for a sweat chloride test. Which of the following statements should the nurse include?
A. "Two separate samples will be collected to ensure accuracy of the test results."
"Two separate samples will be collected to ensure accuracy of the test results." For accuracy, the sweat chloride test is typically done with two separate samples to confirm the diagnosis of cystic fibrosis. The results are compared to ensure consistency.
B. "It will take approximately 3 hours to complete the test."
"It will take approximately 3 hours to complete the test." The sweat chloride test typically takes around 30 to 60 minutes, not 3 hours. The process of stimulating sweat production and collecting it is usually brief.
C. "Your child will need to receive sedation to minimize pain during the test."
"Your child will need to receive sedation to minimize pain during the test." The sweat chloride test is non-invasive and does not require sedation. It involves the application of a sweat-stimulating chemical, and the child may feel mild discomfort but does not require sedation.
D. "Your child should avoid eating and drinking 6 hours prior to the test."
"Your child should avoid eating and drinking 6 hours prior to the test." There are no specific fasting requirements before a sweat chloride test, although the child may be asked to stay well-hydrated to help produce sweat during the test.
This question is an excerpt from Nurse Dive's nursing test bank - Ati rn paediatrics nursing proctored exam 2023. Take the full exam now
Full Explanation
A. "Two separate samples will be collected to ensure accuracy of the test results." For accuracy, the sweat chloride test is typically done with two separate samples to confirm the diagnosis of cystic fibrosis. The results are compared to ensure consistency.
B. "It will take approximately 3 hours to complete the test." The sweat chloride test typically takes around 30 to 60 minutes, not 3 hours. The process of stimulating sweat production and collecting it is usually brief.
C. "Your child will need to receive sedation to minimize pain during the test." The sweat chloride test is non-invasive and does not require sedation. It involves the application of a sweat-stimulating chemical, and the child may feel mild discomfort but does not require sedation.
D. "Your child should avoid eating and drinking 6 hours prior to the test." There are no specific fasting requirements before a sweat chloride test, although the child may be asked to stay well-hydrated to help produce sweat during the test.
Similar Questions
A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during mealtimes. Which of the following statements by the nurse is appropriate?
A. "Ask her if she is ready to eat her sandwich for lunch."
"Ask her if she is ready to eat her sandwich for lunch." Asking if the child is ready to eat might increase resistance, as toddlers often assert their autonomy by saying "no." This does not provide an option that would allow the toddler to make a choice.
B. "Ask her if she would like to have her favorite sandwich for lunch."
"Ask her if she would like to have her favorite sandwich for lunch." This is a yes/no question which might lead to refusal, especially if the child is already in a stage of negativism, where they are more likely to resist being told what to do.
C. "Tell her that she may have a sandwich or soup for lunch."
"Tell her that she may have a sandwich or soup for lunch." Offering choices between two acceptable options gives the toddler a sense of control, which can help reduce oppositional behavior. This approach aligns with the developmental stage of toddlers who are asserting independence.
D. "Tell her she is having her favorite sandwich for lunch."
"Tell her she is having her favorite sandwich for lunch." Telling the child what they will have to eat might lead to resistance. Providing a choice rather than making a statement gives the child more agency in their decision-making.
Full Explanation
A. "Ask her if she is ready to eat her sandwich for lunch." Asking if the child is ready to eat might increase resistance, as toddlers often assert their autonomy by saying "no." This does not provide an option that would allow the toddler to make a choice.
B. "Ask her if she would like to have her favorite sandwich for lunch." This is a yes/no question which might lead to refusal, especially if the child is already in a stage of negativism, where they are more likely to resist being told what to do.
C. "Tell her that she may have a sandwich or soup for lunch." Offering choices between two acceptable options gives the toddler a sense of control, which can help reduce oppositional behavior. This approach aligns with the developmental stage of toddlers who are asserting independence.
D. "Tell her she is having her favorite sandwich for lunch." Telling the child what they will have to eat might lead to resistance. Providing a choice rather than making a statement gives the child more agency in their decision-making.
A nurse is caring for a preschooler who has a new diagnosis of celiac disease. Which of the following findings should the nurse expect?
A. Redcurrant, jelly-like stools
Redcurrant, jelly-like stools. This is more characteristic of intussusception, a different gastrointestinal condition, rather than celiac disease.
B. Increased hemoglobin level
Increased hemoglobin level. Celiac disease often leads to malabsorption, which can cause iron-deficiency anemia, leading to a decreased hemoglobin level, not an increased one.
C. Pale, oily stools
Pale, oily stools. Children with celiac disease have difficulty absorbing fats, leading to steatorrhea (pale, oily stools). This is a classic sign of malabsorption in celiac disease.
D. Hematemesis
Hematemesis. Hematemesis (vomiting blood) is not a typical sign of celiac disease. It may indicate a different GI issue, such as gastric bleeding.
Full Explanation
A. Redcurrant, jelly-like stools. This is more characteristic of intussusception, a different gastrointestinal condition, rather than celiac disease.
B. Increased hemoglobin level. Celiac disease often leads to malabsorption, which can cause iron-deficiency anemia, leading to a decreased hemoglobin level, not an increased one.
C. Pale, oily stools. Children with celiac disease have difficulty absorbing fats, leading to steatorrhea (pale, oily stools). This is a classic sign of malabsorption in celiac disease.
D. Hematemesis. Hematemesis (vomiting blood) is not a typical sign of celiac disease. It may indicate a different GI issue, such as gastric bleeding.
A nurse is transporting a 12-year-old child in a wheelchair. The child begins to experience a tonic-clonic seizure. Which of the following actions should the nurse take?
A. Insert an oral airway for the child.
Insert an oral airway for the child. Inserting an oral airway during a tonic-clonic seizure is not recommended, as it could cause injury to the child or block the airway. During a seizure, the priority is ensuring safety rather than trying to insert devices.
B. Apply soft restraints to the child's wrists.
Apply soft restraints to the child's wrists. Restraints are not recommended during a seizure, as they can increase the risk of injury. Instead, the focus should be on protecting the child from injury and allowing the seizure to run its course.
C. Place a pillow under the child's knees.
Place a pillow under the child's knees. While positioning the child is important, placing a pillow under the knees is not a recommended action. The goal is to move the child to the floor to prevent falls or injury during the seizure.
D. Move the child to the floor
Move the child to the floor. If a child is in a wheelchair and begins to have a seizure, moving them to the floor is the first step to prevent injury. Once the child is on the floor, ensure they are on their side to allow for airway clearance and reduce the risk of aspiration.
Full Explanation
A. Insert an oral airway for the child. Inserting an oral airway during a tonic-clonic seizure is not recommended, as it could cause injury to the child or block the airway. During a seizure, the priority is ensuring safety rather than trying to insert devices.
B. Apply soft restraints to the child's wrists. Restraints are not recommended during a seizure, as they can increase the risk of injury. Instead, the focus should be on protecting the child from injury and allowing the seizure to run its course.
C. Place a pillow under the child's knees. While positioning the child is important, placing a pillow under the knees is not a recommended action. The goal is to move the child to the floor to prevent falls or injury during the seizure.
D. Move the child to the floor. If a child is in a wheelchair and begins to have a seizure, moving them to the floor is the first step to prevent injury. Once the child is on the floor, ensure they are on their side to allow for airway clearance and reduce the risk of aspiration.