Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse is observing a group of 2- and 3-year-olds in a playgroup.
Which behavior noted in one of the children indicates to the nurse that the child may have autism spectrum disorder (ASD)?
A. After another child takes a toy, the child cries and stomps his feet.
Choice A is incorrect because crying and stomping feet after another child takes a toy is normal behavior for a 2- or 3-year-old child.
B. A child playing in the kitchen area pretends to pour a glass of milk and repeats this over and over.
Choice B is incorrect because repeating an action over and over is not necessarily indicative of autism spectrum disorder.
C. While the other children are eating a snack, the child walks around the room feeling the walls and ignores the caregiver who offers him a snack.
A child with autism spectrum disorder may have problems with social communication and interaction, including ignoring a caregiver who offers them a snack.
D. A child flips the light switch off and on until the caregiver asks her to stop and join the other children in play.
Choice D is incorrect because flipping a light switch off and on until asked to stop and join other children in playing is not necessarily indicative of autism spectrum disorder.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom- Wn23 NS122 Proctored Exam. Take the full exam now
Full Explanation
A child with autism spectrum disorder may have problems with social communication and interaction, including ignoring a caregiver who offers them a snack.
Choice A is incorrect because crying and stomping feet after another child takes a toy is normal behavior for a 2- or 3-year-old child.
Choice B is incorrect because repeating an action over and over is not necessarily indicative of autism spectrum disorder.
Choice D is incorrect because flipping a light switch off and on until asked to stop and join other children in playing is not necessarily indicative of autism spectrum disorder.
Similar Questions
A school nurse is screening an 11-year-old child for idiopathic scoliosis.
Which of the following instructions should the nurse give the child for this examination?
A. "Touch your chin to your chest, and then look up at the ceiling.".
Choice A is incorrect because touching the chin to the chest and looking up at the ceiling does not provide a view of the spine necessary for scoliosis screening.
B. "Bend forward from the waist with your head and arms downward.".
This is known as the Adams Forward Bend Test and is a standard screening test for scoliosis.
C. "Turn to the side, and remain in a relaxed position.".
Choice C is incorrect because turning to the side and remaining relaxed does not provide a view of the spine necessary for scoliosis screening.
D. "Lie prone on the examination table.".
Choice D is incorrect because lying prone on the examination table does not provide a view of the spine necessary for scoliosis screening.
Full Explanation
This is known as the Adams Forward Bend Test and is a standard screening test for scoliosis.
Choice A is incorrect because touching the chin to the chest and looking up at the ceiling does not provide a view of the spine necessary for scoliosis screening.
Choice C is incorrect because turning to the side and remaining relaxed does not provide a view of the spine necessary for scoliosis screening.
Choice D is incorrect because lying prone on the examination table does not provide a view of the spine necessary for scoliosis screening.
The nurse is teaching the parent of a child with newly diagnosed Juvenile idiopathic arthritis (JIA).
The nurse would evaluate the teaching as successful when the parent understands treatment involves the use of what medication?
A. Indomethacin.
Choice A is incorrect because it only mentions one medication, Indomethacin.
B. All of the above.
Treatment for Juvenile idiopathic arthritis (JIA) involves the use of various medications to decrease pain, improve function and minimize potential joint damage. These medications can include Nonsteroidal anti-inflammatory drugs (NSAIDs) such as Ibuprofen, Disease-modifying antirheumatic drugs (DMARDs) such as Methotrexate, and other medications such as Indomethacin 1.
C. Methotrexate.
Choice C is incorrect because it only mentions one medication, Methotrexate.
D. Ibuprofen.
Choice D is incorrect because it only mentions one medication, Ibuprofen.
Full Explanation
Treatment for Juvenile idiopathic arthritis (JIA) involves the use of various medications to decrease pain, improve function and minimize potential joint damage.
These medications can include Nonsteroidal anti-inflammatory drugs (NSAIDs) such as Ibuprofen, Disease-modifying antirheumatic drugs (DMARDs) such as Methotrexate, and other medications such as Indomethacin 1.
Choice A is incorrect because it only mentions one medication, Indomethacin.
Choice C is incorrect because it only mentions one medication, Methotrexate.
Choice D is incorrect because it only mentions one medication, Ibuprofen.
Which comment would indicate that a pregnant woman understands the recommended dietary caloric increase for pregnancy?
A. "I will add an additional 500 calories/day by drinking milkshakes.".
Choice A is incorrect because adding an additional 500 calories/day by drinking milkshakes is not a healthy way to increase caloric intake during pregnancy.
B. "I need to add 300 calories/day by increasing intake of the basic food groups.".
During pregnancy, a woman needs to increase her caloric intake by approximately 300 extra calories per day. These extra calories should come from a balanced diet of protein, fruits, vegetables, and whole grains.
C. "I will need to double my caloric/day intake since I am eating for two.".
Choice C is incorrect because doubling caloric intake is not necessary during pregnancy.
D. "I really need to watch my caloric intake, so I will not gain too much weight.".
Choice D is incorrect because while it is important to watch caloric intake during pregnancy, it is also important to increase caloric intake by approximately 300 extra calories per day.
Full Explanation
During pregnancy, a woman needs to increase her caloric intake by approximately 300 extra calories per day.
These extra calories should come from a balanced diet of protein, fruits, vegetables, and whole grains.
Choice A is incorrect because adding an additional 500 calories/day by drinking milkshakes is not a healthy way to increase caloric intake during pregnancy.
Choice C is incorrect because doubling caloric intake is not necessary during pregnancy.
Choice D is incorrect because while it is important to watch caloric intake during pregnancy, it is also important to increase caloric intake by approximately 300 extra calories per day.