Question

A nurse is providing teaching to a 14-year-old adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

Answer 1

Correct Answers:

"l will increase my food intake before I exercise."

Rationale :

🔹 Exercise increases glucose utilization, so extra carbohydrate intake helps prevent hypoglycemia.

🔹 Adolescents with type 1 diabetes must learn to balance insulin, food, and activity.

🔹 Increased food intake before exercise ensures safe energy availability.

🔹 This demonstrates an understanding of diabetes management in daily life.

🔹 Failure to eat before activity can result in hypoglycemic episodes.

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Answer 2

Correct Answers:

"Tell her that she may have a sandwich or soup for lunch."

Rationale :

♦ Giving limited choices helps toddlers cope with negativism.

♦ It allows autonomy but within safe boundaries.

♦ This promotes cooperation while minimizing power struggles.

♦ Toddlers thrive with structure and independence simultaneously.

♦ This aligns with Erikson’s stage of autonomy vs shame/doubt.

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Answer 3

Correct Answers:

Koplik spots

Rationale :

💎 Koplik spots are small white lesions on buccal mucosa, pathognomonic for rubeola (measles).

💎 They typically appear before the skin rash, aiding early recognition.

💎 Other symptoms include cough, coryza, and conjunctivitis.

💎 Identifying this sign ensures prompt isolation to prevent spread.

💎 Nurses must report and implement airborne precautions.

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Answer 4

Correct Answers:

Neurological deficit

Rationale :

✍️ Neurological impairment increases aspiration risk due to weakened gag/swallow reflexes.

✍️ Bacterial pneumonia plus a neuro deficit raises chance of aspiration pneumonia.

✍️ Clients may fail to protect their airway effectively.

✍️ This is more dangerous than fever or tachypnea alone.

✍️ Nurses should ensure swallowing safety in such clients.

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Answer 5

Correct Answers:

Have the child bend forward at the waist and check for asymmetry of the scapula.

Rationale :

✔️ This is the scoliosis screening method in adolescents.

✔️ Asymmetry of scapula, shoulders, or hips suggests spinal curvature.

✔️ Early detection allows orthopedic referral and treatment.

✔️ The FACES scale is for younger children, not teens.

✔️ This assessment fits the age group of 13-year-olds.

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Answer 6

Correct Answers:

Short stature

Rationale :

➡️ Radiation therapy in childhood can impair growth hormone secretion.

➡️ This leads to short stature as a late effect.

➡️ Radiation may damage the pituitary gland or bone growth plates.

➡️ Growth failure may not appear until years after treatment.

➡️ Nurses should monitor growth trends in survivors.

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Answer 7

Correct Answers:

Tachypnea

Rationale :

🍃 Infants with CHF compensate for poor cardiac output with rapid breathing.

🍃 Tachypnea occurs as the lungs become congested with fluid.

🍃 It is a cardinal sign of left-sided heart failure in infants.

🍃 Other expected findings: poor feeding, irritability, sweating.

🍃 Nurses should assess for respiratory distress progression.

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Answer 8

Correct Answers:

Administer oral rehydration solution after each diarrheal stool.

Rationale :

◈ ORS replaces lost electrolytes and fluids safely.

◈ It prevents dehydration in children with acute diarrhea.

◈ Broths and sodas worsen electrolyte imbalance.

◈ The BRAT diet is outdated and not nutritionally sufficient.

◈ WHO/CDC recommend ORS as the gold standard.

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Answer 9

Correct Answers:

Give the child 3 to 6 oz of orange juice.

Rationale :

🔷 Symptoms (altered mental status, diaphoresis, tremors) indicate hypoglycemia.

🔷 Orange juice provides rapid-acting carbohydrates for quick glucose rise.

🔷 IV fluids or glucagon are reserved for severe or unconscious cases.

🔷 15g carbohydrate rule applies for children too (OJ, milk, glucose tabs).

🔷 Nurses must recheck glucose after intervention to confirm correction.

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Answer 10

Correct Answers:

Move the child to the floor.

Rationale :

🟡 Safety is the priority during a tonic-clonic seizure.

🟡 Moving to the floor prevents injury from falls.

🟡 Restraints and oral airway insertion are unsafe.

🟡 Protecting the head and allowing seizure to run its course is correct.

🟡 After seizure, airway and breathing should be reassessed.

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RN Pediatric Nursing 2023- U of TX Arlington

No.

1 :
A nurse is providing teaching to a 14-year-old adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

2 :
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?

3 :
A nurse is assessing a child who has rubeola. Which of the following findings should the nurse expect?

4 :
A nurse is assessing a child who has bacterial pneumonia. Which of the following findings should the nurse identify as a potential risk for aspiration?

5 :
A nurse is performing a physical assessment for a 13-year-old adolescent. Which of the following actions should the nurse take?

6 :
A nurse is caring for a toddler who received radiation therapy 2 years ago for a brain tumor. Which of the following should the nurse identify as a late adverse effect of the radiation therapy?

7 :
A nurse is assessing an infant who has congestive heart failure. Which of the following findings should the nurse expect?

🍃 Infants with CHF compensate for poor cardiac output with rapid breathing.

8 :
A nurse is providing teaching to the guardian of a school-age child who has acute diarrhea. Which of the following instructions should the nurse include in the teaching?

9 :
A nurse is caring for an II-year-old child who has type 1 diabetes mellitus and receives insulin injections. The child is experiencing an altered mental status, diaphoresis. and tremors. Which of the following actions should the nurse take?

10 :
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?

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RN Pediatric Nursing 2023- U of TX Arlington

No.

1 : A nurse is providing teaching to a 14-year-old adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

2 : 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?

3 : A nurse is assessing a child who has rubeola. Which of the following findings should the nurse expect?

4 : A nurse is assessing a child who has bacterial pneumonia. Which of the following findings should the nurse identify as a potential risk for aspiration?

5 : A nurse is performing a physical assessment for a 13-year-old adolescent. Which of the following actions should the nurse take?

6 : A nurse is caring for a toddler who received radiation therapy 2 years ago for a brain tumor. Which of the following should the nurse identify as a late adverse effect of the radiation therapy?

7 : A nurse is assessing an infant who has congestive heart failure. Which of the following findings should the nurse expect?

🍃 Infants with CHF compensate for poor cardiac output with rapid breathing.

8 : A nurse is providing teaching to the guardian of a school-age child who has acute diarrhea. Which of the following instructions should the nurse include in the teaching?

9 : A nurse is caring for an II-year-old child who has type 1 diabetes mellitus and receives insulin injections. The child is experiencing an altered mental status, diaphoresis. and tremors. Which of the following actions should the nurse take?

10 : 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?

1 :
A nurse is providing teaching to a 14-year-old adolescent who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

2 :
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?

3 :
A nurse is assessing a child who has rubeola. Which of the following findings should the nurse expect?

4 :
A nurse is assessing a child who has bacterial pneumonia. Which of the following findings should the nurse identify as a potential risk for aspiration?

5 :
A nurse is performing a physical assessment for a 13-year-old adolescent. Which of the following actions should the nurse take?

6 :
A nurse is caring for a toddler who received radiation therapy 2 years ago for a brain tumor. Which of the following should the nurse identify as a late adverse effect of the radiation therapy?

7 :
A nurse is assessing an infant who has congestive heart failure. Which of the following findings should the nurse expect?

8 :
A nurse is providing teaching to the guardian of a school-age child who has acute diarrhea. Which of the following instructions should the nurse include in the teaching?

9 :
A nurse is caring for an II-year-old child who has type 1 diabetes mellitus and receives insulin injections. The child is experiencing an altered mental status, diaphoresis. and tremors. Which of the following actions should the nurse take?

10 :
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?