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A nurse is caring for a 13-month-old toddler who has a prescription for a urinary catheter. Which of the following urinary catheters should the nurse use?
- A. 5 French
- B. 12 French
- C. 10 French
- D. 14 French
Correct Answer: A
Rationale: A 5 French catheter is appropriate for a toddler to minimize urethral trauma. Larger sizes (10, 12, 14 French) risk discomfort or injury.
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A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
- A. Loosen restrictive clothing.
- B. Hyperextend the child's neck.
- C. Time the seizure episode.
- D. Place the child in a side-lying position.
- E. Restrain the child.
Correct Answer: A,C,D
Rationale: Loosening clothing, timing the seizure, and side-lying position ensure safety and documentation. Hyperextending the neck risks injury, and restraining is unsafe.
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?
- A. Spinal fluid analysis
- B. Complete blood count
- C. Bone marrow biopsy
- D. Bleeding time
Correct Answer: C
Rationale: Bone marrow biopsy is the definitive test to confirm ALL by examining marrow for abnormal cells. Spinal fluid analysis and CBC may support diagnosis but are not confirmatory. Bleeding time assesses platelet function, not leukemia.
A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate?
- A. Droplet
- B. Contact
- C. Airborne
- D. Protective
Correct Answer: A
Rationale: Pertussis spreads via respiratory droplets, requiring droplet precautions. Contact precautions are for direct contact diseases, airborne for smaller particles like TB, and protective precautions are for immunocompromised patients.
A nurse is reinforcing teaching with the parent of a preschooler who has amblyopia. Which of the following instructions should the nurse include in the teaching?
- A. Instill two drops of antibiotic eye solution into both eyes for 14 days.
- B. Irrigate both eyes with sterile water twice daily.
- C. Patch the unaffected eye during the day.
- D. Apply a warm pack to the affected eye three to four times per day.
Correct Answer: C
Rationale: Patching the unaffected eye strengthens the affected eye in amblyopia. Antibiotics, irrigation, or warm packs are not treatments for this condition.
A nurse is reinforcing car seat safety instructions with the parents of a 15-month-old toddler. Which of the following statements by the parents indicates an understanding of the teaching?
- A. I should place my child in a forward-facing car seat to ensure safety.
- B. I should place my child in the front seat in a rear-facing car seat.
- C. I should continue to use a booster seat until my child is 5 years old.
- D. I should place my child in a rear-facing car seat until age 2.
Correct Answer: D
Rationale: Rear-facing car seats until age 2 protect the child's head, neck, and spine. Forward-facing too early, front-seat placement, or premature booster use increase injury risk.