Question: The nurse is caring for a client with a family history of a genetic disorder and who is planning a pregnancy. How does the nurse best support this client?
Answer Choices:
providing information about genetic counseling and testing options
reassuring the client that genetic disorders are rare and unlikely to occur
advising the client to avoid pregnancy due to the risk for genetic disorders
informing the client that genetic counseling and testing can be completed only after conception
Answer: providing information about genetic counseling and testing options
Question: Post thyroidectomy, an 8 year-old child has a serum calcium level of 7.2 mg/dl. During the physical examination, the nurse noted that the child has tetany. Which of the following nursing interventions should take priority?
Answer Choices:
Notifying the health care provider
Administering calcium supplement
Calling the emergency Pediatric Team
Placing the child on seizure precautions
Answer: Administering calcium supplement
Question: A nurse taking care of a school age child diagnosed with diabetes mellitus has checked the client’s blood glucose and obtained a reading of 45 mg/dL. Which signs and symptoms, if exhibited by the child, would indicate to the nurse that the blood glucose reading is correct?
Answer Choices:
Polyuria, headache, and fatigue
Polydipsia, pallor, and irritability
Bradycardia, flushed skin, and pallor
Nervousness, diaphoresis, and confusion
Answer: Nervousness, diaphoresis, and confusion
Question: A client is taking an oral antidiabetic agent, to treat type 2 diabetes. Which statement indicates the need for further client teaching about treatment of this disease?
Answer Choices:
“I often skip lunch because I don’t feel hungry.”
“I avoid exposure to the sun as much as possible.”
“I always wear my medical identification bracelet.”
“I always carry hard candy to eat in case my blood sugar level drops.”
Answer: “I often skip lunch because I don’t feel hungry.”
Question: A client with hypothyroidism (myxedema) is receiving levothyroxine, 25 mcg P.O. daily. Which finding should the nurse recognize as an adverse drug effect?
Answer Choices:
Dysuria
Leg cramps
Tachycardia
Blurred vision
Answer: Tachycardia
Question: A health care provider prescribes diet, exercise, and oral antidiabetic agents for an 11 year-old child with diabetes. For which type of diabetes will the nurse reinforce teaching?
Answer Choices:
Type 1 diabetes
Type 2 diabetes
Diabetes insipidus
Diabetic ketoacidosis
Answer: Type 2 diabetes
Question: The nurse is caring for a client at 16 weeks’ gestation who learns of a fetal diagnosis of trisomy 18 during the antenatal appointment. What is the nurse’s priority in this client’s care?
Answer Choices:
monitoring fetal growth and well-being closely
providing emotional support and coping strategies for the parents
initiating discussions about potential surgical interventions after birth
facilitating discussions about advance directives and end-of-life decisions
Answer: providing emotional support and coping strategies for the parents
Question: The nurse is conducting a teaching session for the parents of a 10 year old female with Down Syndrome. When providing guidance to the parents, which information should the nurse include in the teaching?
Answer Choices:
Encourage parents to integrate their child into mainstream education
Advise the parents that the child will need yearly thyroid testing.
Teach the parents about their child’s need for a high-fiber diet
Instruct the parents that their child needs dental visits every 6 months
All the above
None of the above
Answer: All the above
Question: An 8 year-old girl is diagnosed with Precocious Puberty. The endocrinologist ordered Administration of gonadotropin-releasing hormone (GnRH) analog. What is the goal of this medication?
Answer Choices:
To stop puberty
To reverse the abnormal puberty
To delay the progression of the abnormal puberty
To cure the signs and symptoms of Precocious Puberty
Answer: To delay the progression of the abnormal puberty
Question: The nurse is recording a 24 hr. Intake & output for a 4 year-old child who weighs 34 kg. Which of the following daily intake is a normal intake for a 34 kg child?
Answer Choices:
1,780 ml of fluid
3,040 ml of fluid
2000 ml of fluid
2200 ml of fluid
Answer: 1,780 ml of fluid
Question: The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. What is most important for the nurse to incorporate into the plan of care when working with this family?
Answer Choices:
Maintaining the confidentiality of the information
Presenting the information in a nondirective manner
Gathering information from at least three generations
informing the family of the need for a wide range of information
Answer: Presenting the information in a nondirective manner
Question: While teaching a group of caregivers about newborn care and development, what will the nurse include as an example(s) of passive immunity?
Answer Choices:
Acquisition of IgA via breastmilk
Transfer of IgG through the placenta
All the above
None of the above
Answer: All the above
Question: A 17 year-old is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse informs the adolescent that the physician will prescribe diuretic therapy and restrict fluid to treat the disorder. If the adolescent doesn’t comply with the recommended treatment, which complication may arise?
Answer Choices:
Hypovolemic shock
Hypernatremia
Severe dehydration
Seizure activities
Answer: Seizure activities
Question: A nurse is educating the parents of a 1-day-old child about newborn metabolic screening. Which statement by the parents indicates a need for further teaching?
Answer Choices:
“The test involves a small blood sample taken from our baby’s heel.”
“If this screening is positive, our baby will need further testing to confirm a diagnosis.”
“Our baby does not need this screening if there is no family history of metabolic disorders.”
“The screening will help detect conditions that can be treated early to prevent complications.”
Answer: “Our baby does not need this screening if there is no family history of metabolic disorders.”