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Question 1 of 5

The nurse reinforces education to the parent of a child who was diagnosed with attention-deficit hyperactivity disorder and received a prescription of methylphenidate. Which statement by the parent best demonstrates that teaching has been effective?

Correct Answer: C

Rationale: Taking methylphenidate before 6:00 PM (
C) prevents sleep disruption, indicating effective teaching. Diet changes (
A), self-management (
B), and no monitoring (
D) are incorrect or incomplete.

Question 2 of 5

A client has chronic obstructive pulmonary disease exacerbation. The pulse oximeter shows a saturation of 86% on room air. The nurse finds bilateral diminished lung sounds and low-pitched wheezing posteriorly, shallow respirations, respiratory rate of 32/min, and use of accessory muscles. What is the most appropriate oxygen delivery device for this client?

Correct Answer: D

Rationale: A Venturi mask (
D) delivers precise oxygen concentrations, ideal for COPD exacerbation to avoid hypercapnia. Nasal cannula (
A), non-rebreathing mask (
B), and Oxymizer (
C) are less precise.

Question 3 of 5

The nurse is preparing to administer ear drops to a 5-year-old client. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Pulling the pinna upward and back (
A) straightens the ear canal in children over 3. Sitting with chin down (
B), touching the canal (
C), or cold drops (
D) are incorrect.

Question 4 of 5

The nurse helps the health care provider perform a thoracentesis at the bedside. In which position does the nurse place the client to facilitate needle insertion and promote comfort?

Correct Answer: D

Rationale: Upright leaning forward (
D) facilitates lung expansion and fluid access while ensuring comfort. Other positions (A, B,
C) are less effective or uncomfortable.

Question 5 of 5

A child on the playground is experiencing an anaphylactic reaction. The school nurse arrives with an EpiPen. The weather is cold and the child is wearing several layers of clothing. How should the nurse proceed with the EpiPen?

Correct Answer: C

Rationale: Injecting through clothing into the thigh (
C) ensures rapid administration during anaphylaxis. Arm injection (
A) is incorrect, IV injection (
B) is not for EpiPens, and delaying to remove clothing (
D) is dangerous.

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