Practice Question
A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?
Answer Choices:
Correct Answer:
"I only need to catheterize myself twice every day."
Rationale:
◽ Clients with spina bifida often have neurogenic bladder, requiring intermittent catheterization every 3–4 hours, not just twice daily.
◽ Infrequent catheterization can lead to urinary retention, infections, and renal damage.
◽ The other statements reflect positive and accurate self-care behaviors, including mobility, hydration, and bowel regimen.
◽ Teaching should reinforce correct catheterization frequency and technique.
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This question is from RN ATI Nur 2708 Pediatrics Final Exam which contains 51 questions.
More Questions from This Exam
A nurse is caring for an infant in the emergency department.
Answer Choices:
A. Stabilize the infant's spine.
B. Palpate fontanel level.
C. Assess pupillary reaction to light.
D. Encourage the guardian to feed the infant.
E. Measure the infant's head circumference.
F. Evaluate for the presence of a Babinski reflex
The nurse is teaching a group of parents about signs of depression in adolescents. Which statement by a parent indicates the need for further education?
Answer Choices:
A. The child prefers being with their friends rather than family
B. Child has gained or lost weight more than expected
C. Child sleeps more than usual
D. Child is not doing well in school
A nurse is teaching a school-age child who has type 1 diabetes mellitus and their parents about management during an illness. Which of the following instructions should the nurse include? (Select All that Apply.)
Answer Choices:
A. "If child is not able to eat solid foods, you can offer fluids with some carbohydrates"
B. “Test urine for protein twice a day.”
C. "Encourage fluid without sugar during illness"
D. “Limit carbohydrates during illness"
E. Test the blood/urine for ketones."
F. Withhold insulin dose if feeling nauseous."
A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?
Answer Choices:
A. Perform a neurovascular assessment.
B. Apply an ice pack to the casted leg.
C. Provide reassurance to the client and parents.
D. Explain the discharge instructions to the client and parents.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4