Nokea
A nurse is collecting data from a 7-year-old child. Which of the following findings indicates a developmental delay?
- A. Unable to verbalize the date
- B. Unable to count backwards from 20 to 1
- C. Unable to make change out of a quarter
- D. Unable to tell the difference between right and left
Correct Answer: D
Rationale: Difficulty distinguishing right from left by age 7 suggests a developmental delay, as this milestone is typically achieved earlier. Other options reflect advanced skills not expected at this age.
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A nurse is reviewing the medical records of several children in an outpatient clinic. The nurse should identify that which of the following infections is included on the list of nationally notifiable conditions?
- A. Scarlet fever
- B. Rotavirus
- C. Erythema infectiosum (Fifth disease)
- D. Pertussis
Correct Answer: D
Rationale: Pertussis is nationally notifiable for public health surveillance. Scarlet fever, rotavirus, and fifth disease are not typically required to be reported.
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 guardian of an adolescent who has ADHD and a prescription for methylphenidate. Which of the following statements by the guardian indicates an understanding of the teaching?
- A. I will expect my child to gain weight while taking the medication.
- B. I will use charts to assist my child with organizing their day.
- C. I will alternate my child's study area weekly.
- D. I will give my child the medicine when they need it.
Correct Answer: B
Rationale: Using charts supports organization in ADHD. Methylphenidate may cause weight loss, changing study areas disrupts routine, and it requires regular dosing, not as-needed.
A nurse in a provider's office is collecting data from an adolescent who has juvenile idiopathic arthritis and has been taking ibuprofen daily for the last 6 months. Which of the following client statements should the nurse report to the provider?
- A. I have morning stiffness in my joints.
- B. I have been taking a multivitamin that contains iron.
- C. I noticed some blood in my stool this morning.
- D. I skipped taking my ibuprofen last week after I went swimming.
Correct Answer: C
Rationale: Blood in stool suggests possible GI bleeding from long-term ibuprofen use, requiring urgent reporting. Stiffness is expected, vitamins are benign, and a single missed dose is less critical.
A nurse is caring for a preschooler who has diabetes mellitus and is pale, diaphoretic, and irritable. The child's blood glucose level is 52 mg/dL. Which of the following actions should the nurse take first?
- A. Give 1 tsp of peanut butter to the child.
- B. Recheck the child's blood glucose level.
- C. Administer 1 tbsp of sugar to the child.
- D. Document the incident in the child's record.
Correct Answer: C
Rationale: Administering sugar treats hypoglycemia quickly in a conscious child. Peanut butter is slow-acting, rechecking delays treatment, and documentation follows intervention.