Nokea
The nurse is inserting a nasogastric (NG) tube in a child admitted with head trauma. The nurse should explain to the parents that the NG tube will be used to:
- A. Administer medications.
- B. Decompress the stomach.
- C. Obtain gastric specimens for analysis.
- D. Provide adequate nutrition.
Correct Answer: B
Rationale: An NG tube in head trauma decompresses the stomach to prevent aspiration and manage gastric distension.
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When assessing an infant with an undescended testis, the nurse should be alert for which of the following?
- A. Abnormal lower extremity reflexes.
- B. A history of frequent emesis.
- C. A bulging in the inguinal area.
- D. Poor weight gain.
Correct Answer: C
Rationale: An inguinal bulge may indicate an undescended testis.
When performing cardiopulmonary resuscitation (CPR), which of the following indicates that external chest compressions are effective?
- A. Mottling of the skin.
- B. Pupillary dilation.
- C. Palpable pulse.
- D. Cool, dry skin.
Correct Answer: C
Rationale: A palpable pulse during CPR indicates effective chest compressions, as it confirms adequate circulation.
When planning a visit to the parents of an infant who died of sudden infant death syndrome (SIDS) at home, the nurse should visit the parents at which of the following times?
- A. A few days after the funeral.
- B. Two weeks after the funeral.
- C. As soon as the parents are ready to talk.
- D. As soon after the infant's death as possible.
Correct Answer: C
Rationale: Visiting as soon as the parents are ready to talk respects their grieving process and ensures they are emotionally prepared to receive support.
Which of the following should the nurse include in the discharge teaching for a parent of an infant with a repaired cleft lip to promote healing?
- A. Avoid pacifier use for 2 weeks.
- B. Apply antibiotic ointment daily.
- C. Keep the infant in a supine position.
- D. Offer large, frequent feedings.
Correct Answer: A
Rationale: Avoiding pacifier use prevents stress on the suture line, promoting healing.
The father of a 16-month-old child calls the clinic because the child has a low-grade fever, cold symptoms, and a hoarse cough. Which of the following should the nurse suggest that the father do?
- A. Offer extra fluids frequently.
Correct Answer: A
Rationale: Offering extra fluids frequently helps keep the child hydrated and may soothe the throat, alleviating symptoms of croup.