Question

A nurse is reinforcing teaching with the parent of a 15-month-old toddler about nutritional guidelines. Which of the following statements by the parent indicates an understanding of the teaching?

Answer 1

Correct Answers:

"My child's intake of calcium should average 500 milligrams every day."

Rationale :

💎Adequate calcium intake is essential for toddlers to support bone mineralization and tooth development.

💎At 15 months, the daily recommended intake of calcium is approximately 500 mg, which can be achieved through whole milk, cheese, and yogurt.

💎Toddlers do not yet require high-calorie intake of 1,500–1,800 calories; rather, they need about 1,000–1,300 calories per day depending on activity.

💎Excess juice intake, not calcium, leads to problems such as tooth decay and diarrhea, not constipation when above 6 ounces.

💎Understanding nutrient needs at this age ensures balanced growth, bone strength, and prevention of deficiencies.

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Answer 2

Correct Answers:

Heart rate

Rationale :

🔷The priority finding in an infant with gastroenteritis and dehydration is a tachycardic heart rate of 182/min.

🔷Tachycardia in infants often indicates compensatory response to hypovolemia due to fluid loss from vomiting and diarrhea.

🔷If unaddressed, this can progress to hypotension, shock, and organ failure.

🔷Other findings such as poor skin turgor or delayed capillary refill are important, but airway, breathing, and circulation (ABCs) guide prioritization.

🔷Therefore, recognizing the elevated heart rate as an early sign of circulatory compromise is crucial in initiating prompt interventions like IV fluid replacement.

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Answer 3

Correct Answers:

A toddler has a spiral fracture, and the parent reports a fall from a swing.

Rationale :

🟡A spiral fracture in a toddler is highly suspicious of non-accidental trauma because it typically results from twisting forces rather than a simple fall.

🟡Spiral fractures from a swing are inconsistent with normal play injuries, making the explanation questionable.

🟡Child maltreatment often presents when injuries and caregiver reports do not align.

🟡Nurses are legally mandated to report suspected abuse and initiate protective interventions for child safety.

🟡Early recognition of red-flag injuries like spiral fractures is vital to prevent ongoing harm.

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Answer 4

Correct Answers:

Bone marrow biopsy

Rationale :

⚫The definitive diagnostic test for acute lymphoid leukemia (ALL) is a bone marrow biopsy.

⚫This procedure identifies the presence of immature lymphoblasts that replace normal bone marrow cells.

⚫A complete blood count may show abnormalities, but it is not confirmatory without biopsy evidence.

⚫Spinal fluid analysis is done to check for CNS involvement, but it does not confirm diagnosis.

⚫Accurate diagnosis with a biopsy is critical to initiate chemotherapy and targeted treatment for leukemia.

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Answer 5

Correct Answers:

Monitor capillary refill of the casted extremity.

Rationale :

✔️The priority nursing action after cast application is to monitor neurovascular status, especially capillary refill.

✔️Compartment syndrome is a life-threatening complication of fractures and casts, and early detection is key.

✔️Monitoring capillary refill ensures adequate circulation and tissue perfusion in the affected limb.

✔️Delay in identifying neurovascular compromise can lead to permanent nerve damage or limb loss.

✔️Although cast care and skin protection are important, circulation assessment always comes first.

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Answer 6

Correct Answers:

"I will allow my child to have a drink of water each night prior to bedtime."

Rationale :

✳️Establishing consistent bedtime routines is crucial for toddlers to develop healthy sleep patterns.

✳️A small drink of water before bedtime is acceptable and does not disrupt sleep or promote unhealthy habits.

✳️Watching TV before bed overstimulates children and interferes with melatonin release.

✳️Moving a child from the parent’s bed disrupts the sense of security and routine, increasing night waking.

✳️Supporting hydration while maintaining structure and comfort encourages restful sleep in toddlers.

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Answer 7

Correct Answers:

Droplet

Rationale :

🔴Pertussis (whooping cough) is transmitted via respiratory droplets released when an infected person coughs or sneezes.

🔴Droplet precautions include mask use, private room if possible, and hand hygiene.

🔴This prevents spread to vulnerable populations, especially infants and unvaccinated children.

🔴Airborne precautions are not needed since pertussis particles are larger and do not remain suspended in air.

🔴Nurses must implement standard and droplet precautions to protect both staff and patients.

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Answer 8

Correct Answers:

Ask the child to cough deeply.

Rationale :

🖍A sputum specimen must come from the lower respiratory tract, not saliva or throat secretions.

🖍Asking the child to cough deeply mobilizes secretions from the bronchi and lungs.

🖍Proper technique ensures the sample accurately reflects pathogens causing respiratory infection.

🖍Using suction or a bulb syringe would collect only oral or throat secretions, which are not diagnostic.

🖍Collecting sputum this way ensures valid culture results and targeted antibiotic therapy.

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Answer 9

Correct Answers:

Ensure the child receives pain medication 30 to 45 min prior to therapy.

Rationale :

🔵Burn wound care is extremely painful, especially in children, requiring anticipatory pain management.

🔵Administering analgesics 30–45 minutes before therapy ensures peak effectiveness during dressing changes or physical therapy.

🔵Pain control reduces anxiety, promotes cooperation, and facilitates wound healing activities.

🔵Children with burns also have high metabolic demands, so adequate nutrition is important, but pain control comes first for therapeutic participation.

🔵Prioritizing comfort demonstrates holistic and family-centered pediatric care.

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Answer 10

Correct Answers:

The parent is withdrawn and rarely interacts with the child.

Rationale :

🌟A parent who is withdrawn and minimally engaged with a child who has a chronic condition like cerebral palsy indicates caregiver strain and need for support.

🌟Lack of interaction can affect the child’s emotional development, social skills, and bonding.

🌟Families managing chronic illnesses often experience stress, fatigue, and feelings of isolation, requiring community resources.

🌟Nurses should connect families with support groups, respite care, and counseling services.

🌟Early recognition of caregiver burnout ensures better outcomes for both the child and the family unit.

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QLexNursing

1 :
A nurse is reinforcing teaching with the parent of a 15-month-old toddler about nutritional guidelines. Which of the following statements by the parent indicates an understanding of the teaching?

2 :
A nurse is assisting in the admission of a 9-month-old infant who has gastroenteritis with vomiting and diarrhea.

Answer Options

3 :
A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment?

4 :
A nurse is reinforcing teaching with the parent of a school-age child who is undergoing testing for acute lymphoid leukemia (ALL). The nurse should inform the parent that the child will undergo which of the following tests to confirm the diagnosis?

5 :
A nurse is caring for a preschooler immediately following the application of a long-leg plaster cast due to a fracture. Which of the following actions is the nurse's priority?

6 :
A nurse is reinforcing teaching with the parent of a toddler about promoting effective sleep patterns. Which of the following statements by the parent indicates an understanding of the teaching?

7 :
A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate?

8 :
A nurse is obtaining a sputum sample from a school-age child. Which of the following actions should the nurse take?

9 :
A nurse is contributing to the plan of care for a preschooler who has moderate partial- thickness burns on both lower extremities. Which of the following interventions should the nurse recommend?

10 :
A nurse is making a home visit to a 5-year-old child who has cerebral palsy and uses a wheelchair. Which of the following observations made by the nurse indicates that the family needs support and resources to cope with the child's condition?

QLexNursing

1 : A nurse is reinforcing teaching with the parent of a 15-month-old toddler about nutritional guidelines. Which of the following statements by the parent indicates an understanding of the teaching?

2 : A nurse is assisting in the admission of a 9-month-old infant who has gastroenteritis with vomiting and diarrhea.

Answer Options

3 : A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment?

4 : A nurse is reinforcing teaching with the parent of a school-age child who is undergoing testing for acute lymphoid leukemia (ALL). The nurse should inform the parent that the child will undergo which of the following tests to confirm the diagnosis?

5 : A nurse is caring for a preschooler immediately following the application of a long-leg plaster cast due to a fracture. Which of the following actions is the nurse's priority?

6 : A nurse is reinforcing teaching with the parent of a toddler about promoting effective sleep patterns. Which of the following statements by the parent indicates an understanding of the teaching?

7 : A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate?

8 : A nurse is obtaining a sputum sample from a school-age child. Which of the following actions should the nurse take?

9 : A nurse is contributing to the plan of care for a preschooler who has moderate partial- thickness burns on both lower extremities. Which of the following interventions should the nurse recommend?

10 : A nurse is making a home visit to a 5-year-old child who has cerebral palsy and uses a wheelchair. Which of the following observations made by the nurse indicates that the family needs support and resources to cope with the child's condition?

1 :
A nurse is reinforcing teaching with the parent of a 15-month-old toddler about nutritional guidelines. Which of the following statements by the parent indicates an understanding of the teaching?

2 :
A nurse is assisting in the admission of a 9-month-old infant who has gastroenteritis with vomiting and diarrhea.

3 :
A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment?

4 :
A nurse is reinforcing teaching with the parent of a school-age child who is undergoing testing for acute lymphoid leukemia (ALL). The nurse should inform the parent that the child will undergo which of the following tests to confirm the diagnosis?

5 :
A nurse is caring for a preschooler immediately following the application of a long-leg plaster cast due to a fracture. Which of the following actions is the nurse's priority?

6 :
A nurse is reinforcing teaching with the parent of a toddler about promoting effective sleep patterns. Which of the following statements by the parent indicates an understanding of the teaching?

7 :
A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate?

8 :
A nurse is obtaining a sputum sample from a school-age child. Which of the following actions should the nurse take?

9 :
A nurse is contributing to the plan of care for a preschooler who has moderate partial- thickness burns on both lower extremities. Which of the following interventions should the nurse recommend?

10 :
A nurse is making a home visit to a 5-year-old child who has cerebral palsy and uses a wheelchair. Which of the following observations made by the nurse indicates that the family needs support and resources to cope with the child's condition?