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An 8-year-old child with asthma states, 'I want to play some sports like my friends. What can I do?' The nurse responds to the child based on the understanding of which of the following?
- A. Physical activities are inappropriate for children with asthma.
- B. Children with asthma must be excluded from team sports.
- C. Vigorous physical exercise frequently precipitates an asthmatic episode.
- D. Most children with asthma can participate in sports if the asthma is controlled.
Correct Answer: D
Rationale: Most children with asthma can participate in sports if their condition is well-controlled with appropriate medications and trigger management, allowing them to engage in physical activities safely.
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Parents bring their child to the emergency department because the child has stopped breathing. A nurse obtains a brief history of events occurring before and after the parents found the infant not breathing. Which of the following questions should the nurse ask the parents first?
- A. Was the infant sleeping while wrapped in a blanket?
- B. Was the infant lying on his stomach?
- C. What did the infant look like when you found him?
- D. When had you last checked on the infant?
Correct Answer: B
Rationale: Asking if the infant was lying on his stomach is critical, as prone sleeping is a major risk factor for SIDS and could explain the cessation of breathing.
The nurse is explaining the nature of the fracture to the parents of a 10-year-old who has a greenstick fracture. Which drawing should the nurse choose to explain the fracture to the parents?
- A. fracture-1.png
- B. fracture-2.png
- C. fracture-3.png
- D. fracture-4.png
Correct Answer: C
Rationale: A greenstick fracture involves an incomplete break, typically shown as a bend or partial break in the bone, common in children due to their flexible bones.
The nurse is caring for a child with leukemia who reports mouth sores. Which intervention should the nurse implement?
- A. Encourage spicy foods to stimulate appetite.
- B. Provide a soft toothbrush and mild mouth rinse.
- C. Administer aspirin for pain relief.
- D. Avoid oral care until sores heal.
Correct Answer: B
Rationale: A soft toothbrush and mild mouth rinse prevent irritation and infection in mouth sores, common in leukemia due to chemotherapy. Aspirin and spicy foods worsen sores.
A mother asks the nurse, 'How did my children get pinworms?' The nurse explains that pinworms are most commonly spread by which of the following when contaminated?
- A. Food.
- B. Hands.
- C. Animals.
- D. Toilet seats.
Correct Answer: B
Rationale: Pinworms are spread primarily through hand-to-mouth contact after touching contaminated surfaces.
The father of a neonate scheduled for gastrointestinal surgery asks the nurse how newborns respond to painful stimuli. Which of the following should be the nurse's best response?
- A. Newborns cry and cannot be distracted to stop crying.
- B. When faced with a pain, newborns try to roll away from it.
- C. Newborns typically move their whole body in response to pain.
- D. Pain causes the newborn to withdraw the affected part.
Correct Answer: C
Rationale: Newborns exhibit a generalized body response to pain, such as squirming or thrashing.