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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.
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A nurse is preparing to obtain a blood pressure reading from a school-age child. Which of the following actions should the nurse take?
- A. Record the diastolic value as the first Korotkoff sound (K1).
- B. Release the cuff pressure at a rate of about 5 mm Hg/second.
- C. Position the child's arm at the level of the heart.
- D. Select a cuff with a bladder size that is approximately 20% of the child's upper arm circumference.
Correct Answer: C
Rationale: Positioning the arm at heart level ensures accuracy. Diastolic is K5, cuff release should be 2-3 mm Hg/second, and cuff size is ~40% of arm circumference.
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.
A nurse is assisting with providing care for an adolescent client who has neuropathic pain. Which of the following medications should the nurse anticipate administering?
- A. Oxycodone
- B. Gabapentin
- C. Acetaminophen
- D. Duloxetine
Correct Answer: B
Rationale: Gabapentin is effective for neuropathic pain by modulating nerve activity. Oxycodone and acetaminophen are less specific, and duloxetine is not first-line for adolescents.
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 teaching about injury prevention with the parents of a toddler. Which of the following instructions should the nurse include in the teaching?
- A. Install window guards on windows.
- B. Place scatter rugs over hardwood floors.
- C. Keep doors locked.
- D. Supervise at playgrounds.
- E. Turn pot handles toward the front of the stove.
Correct Answer: A,C,D
Rationale: Window guards prevent falls, locked doors limit access to hazards, and supervision at playgrounds ensures safety. Scatter rugs increase tripping risks, and pot handles should face inward to prevent burns.