Nokea
When the parents ask about the side effects of taking methylphenidate hydrochloride (Ritalin), the nurse correctly explains that the child may have which common cluster of signs and symptoms?
- A. Nausea, vomiting, and diarrhea
- B. Fatigue, drowsiness, and dry mouth
- C. Insomnia, tachycardia, and anorexia
- D. Hypotension, bradycardia, and constipation
Correct Answer: C
Rationale: Insomnia, tachycardia, and anorexia are common side effects of Ritalin.
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As the infant's growth continues, which physical characteristic of Down syndrome is the nurse correct in describing to the parents?
- A. Large head and curved index fingers
- B. Long fingers and protruding tongue
- C. Small head and upward-slanting eyes
- D. Simian creases on the soles of the feet
Correct Answer: C
Rationale: Down syndrome is characterized by a small head and upward-slanting eyes, among other features.
Which assessment finding is most indicative that the child is developmentally delayed?
- A. The child is being bottle-fed.
- B. The child is not toilet-trained.
- C. The child has no language skills.
- D. The child cannot draw a picture.
Correct Answer: C
Rationale: Lack of language skills at age 2 is a significant indicator of developmental delay.
What is the most appropriate recommendation for eliminating the 2-year-old's tantrums?
- A. Give the child candy before entering the store.
- B. Ask the child to stop kicking and screaming.
- C. Explain to the child that this behavior is childish.
- D. Remind the child of how a big person acts.
Correct Answer: B
Rationale: Calmly addressing the behavior sets boundaries without reinforcing it.
When crisis intervention is provided, which nursing action takes priority?
- A. Explaining the benefits of professional counseling
- B. Encouraging the survivors to talk about the event
- C. Reassuring the survivors that they will adapt
- D. Advising consulting a physician for drug therapy
Correct Answer: B
Rationale: Talking about the event helps process trauma and is a priority in crisis intervention.
What information strongly suggests that the child's fractured femur is the result of physical abuse?
- A. The nurse notes evidence of other healed fractures.
- B. Only the mother witnessed the injury.
- C. The child is not fully immunized yet.
- D. The child is underweight for height.
Correct Answer: A
Rationale: Multiple healed fractures suggest a pattern of abuse.