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Question 1 of 5

The nurse working on a pediatric oncology unit recognizes which as a personal coping strategy for remaining effective when caring for dying children?

Correct Answer: D

Rationale: Increasing exercise (
D) is a healthy coping strategy to manage stress. Attending memorials (
A), avoiding grief expression (
B), or ending contact (
C) may not promote long-term emotional resilience.

Question 2 of 5

The nurse caring for a 2-year-old client should expect the child to be able to perform which of the following actions? Select all that apply.

Correct Answer: C, D, E

Rationale: A 2-year-old can kick a ball (
C), use 2-word phrases (
D), and walk without help (E). Drawing a square (
A) and hopping on one foot (
B) are skills typically developed later.

Question 3 of 5

The nurse is evaluating a parent's understanding of home care management for a 2-week-old client after initial cast placement for treatment of congenital clubfoot. Which of the following statements by the parent indicate a correct understanding? Select all that apply.

Correct Answer: B, D, E

Rationale: Checking toes (
B), weekly casts (
D), and keeping the cast dry (E) are correct. Cradling (
A) is safe, and alternating sleep positions (
C) is not cast-related.

Question 4 of 5

The nurse is caring for a 4-year-old child in the emergency department who has a 104 F (40 C) temperature, is obtunded, and has a positive Kernig's sign. The parents are refusing antibiotics and any treatment. The parents state that their religious belief is to trust in just prayer and believe the child will receive divine healing. What action does the nurse anticipate?

Correct Answer: C

Rationale: A 4-year-old with suspected meningitis requires urgent treatment. Notifying administration (
C) ensures legal and ethical intervention to protect the child. AMA (
A), power of attorney (
B), or respecting autonomy (
D) are inappropriate for a minor.

Question 5 of 5

The clinic nurse is reinforcing teaching to a client about the advance directive form that needs to be completed. Which statement indicates that the client understands the information?

Correct Answer: A

Rationale: Giving a copy to the health care proxy (
A) ensures the advance directive is communicated. Doctor approval (
B), refrigerator posting (
C), and nurse witnessing (
D) are incorrect or unnecessary.

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