Nokea
A nurse is reinforcing teaching with the parent of a toddler about promoting effective sleep patterns. Which of the following statements by the parent indicates an understanding of the teaching?
- A. My child and I will watch TV for 30 minutes before we go to bed.
- B. After my child falls asleep in my bed, I will move them to their bed.
- C. I will allow my child to have a drink of water each night prior to bedtime.
- D. I will allow my child to eat dinner 1 hour before bedtime.
Correct Answer: C
Rationale: Allowing a drink of water before bed supports hydration without stimulating the child, unlike TV watching or eating close to bedtime, which can disrupt sleep. Moving a child after falling asleep may create dependency.
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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.
A nurse is caring for an adolescent client who has a terminal illness. Which of the following statements should the nurse make to the parent?
- A. I will administer pain medication on a schedule.
- B. I will limit visits from siblings who are under the age of 18.
- C. You should go home when your child needs to rest.
- D. You should allow your child to die at home.
Correct Answer: A
Rationale: Scheduled pain medication ensures comfort. Limiting sibling visits, dictating parental presence, or suggesting home death disregard family preferences and needs.
A nurse is reinforcing teaching with an adolescent client who has oral candidiasis and a new prescription for clotrimazole troche. Which of the following instructions should the nurse include in the teaching?
- A. Place the medication in the refrigerator after each use.
- B. Be sure to let the troche dissolve in your mouth for 15 minutes.
- C. Crush the troche before mixing it with applesauce.
- D. Stop the medication if white patches appear in your mouth.
Correct Answer: B
Rationale: Dissolving the troche slowly maximizes effectiveness. Refrigeration isn't needed, crushing alters delivery, and white patches indicate ongoing infection, not a reason to stop.
A nurse is assisting with the care of a hospitalized toddler who has congenital heart disease. The parent calls the nurse to the room to ask for fresh linens and states, 'My child never wets the bed at home. I am not sure why this is happening now.' Which of the following responses should the nurse make to the parent?
- A. I know this must be embarrassing for you. I have kids myself, and I would be concerned, too.
- B. Regression is a common reaction to stress when toddlers are hospitalized. This is temporary.
- C. Your child appears to be just fine. If they aren't worried about it, then you shouldn't be either.
- D. I will talk to the provider about this. It could indicate worsening of your child's condition.
Correct Answer: B
Rationale: Regression like bedwetting is common during hospitalization stress and is typically temporary. Other responses either dismiss concerns or unnecessarily escalate the issue.
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.