Question 1 of 5

A child has undergone a tonsillectomy, and a nurse is providing postoperative care. What is an important nursing intervention?

A. Encouraging deep breathing exercises B. Encouraging the child to eat C. Administering antibiotics D. Applying ice to the throat

Correct Answer: C

Rationale: Administering antibiotics is a crucial nursing intervention after a tonsillectomy because it helps prevent infections, which are a common postoperative complication. Encouraging deep breathing exercises (
Choice
A) is also important for promoting lung expansion and preventing respiratory complications. Encouraging the child to eat (
Choice
B) may not be appropriate immediately after a tonsillectomy due to the risk of throat irritation and discomfort. Applying ice to the throat (
Choice
D) is generally not recommended post-tonsillectomy as it may cause vasoconstriction and hinder the healing process.

Question 2 of 5

What behavior does a toddler subjected to prolonged hospitalization with limited parental visits typically exhibit?

A. Cheerful interactions with staff members B. Indications of sadness throughout the day C. Excessive crying when parents are not present D. Limited emotional response to the environment

Correct Answer: D

Rationale:
Toddlers subjected to prolonged hospitalization with limited parental visits often exhibit a limited emotional response to the environment. This behavior is a common coping mechanism in young children facing such situations. While cheerful interactions with staff members (choice
A) may occur occasionally, the overall response tends to be subdued. Indications of sadness throughout the day (choice
B) and excessive crying when parents are not present (choice
C) are less typical in this scenario, as the child may have learned to suppress emotions due to the challenging circumstances.

Question 3 of 5

The nurse is caring for a 12-year-old boy with idiopathic thrombocytopenia. The nurse is providing discharge instructions about home care and safety recommendations to the boy and his parents. Which response indicates a need for further teaching?

A. We should avoid aspirin and drugs like ibuprofen. B. He should avoid participating in football for safety. C. Swimming would be a great activity. D. Our son cannot take any antihistamines.

Correct Answer: B

Rationale: The correct answer is B. Participation in contact sports like football should be avoided in children with idiopathic thrombocytopenia due to the increased risk of bleeding.

Choices A, C, and D are incorrect because avoiding aspirin and drugs like ibuprofen, engaging in activities like swimming, and avoiding antihistamines are all appropriate recommendations for a child with idiopathic thrombocytopenia to prevent bleeding episodes and ensure safety.

Question 4 of 5

A child with a fever is prescribed acetaminophen. What should the nurse teach the parents about administering this medication?

A. Administer the medication with food B. Measure the dose with a household spoon C. Measure the dose with a proper measuring device D. Administer the medication only when the child has a high fever

Correct Answer: C

Rationale: The correct answer is to measure the dose with a proper measuring device. Using a proper measuring device ensures accurate dosing, which is crucial to avoid under or overdosing. Administering the medication with food (
Choice
A) is not necessary for acetaminophen. Using a household spoon (
Choice
B) can lead to inaccurate dosing due to variations in spoon sizes. Administering the medication only when the child has a high fever (
Choice
D) is not appropriate as acetaminophen can be used for fever management regardless of the fever intensity.

Question 5 of 5

A 34-year-old woman, who is 36 weeks pregnant, is having a seizure. After you protect her airway and ensure adequate ventilation, you should transport her

A. on her left side B. in the prone position C. in the supine position D. in a semi-sitting position

Correct Answer: A

Rationale: When a pregnant woman experiences a seizure, it is crucial to transport her on her left side. This position helps to improve blood flow to the fetus by preventing compression of the inferior vena cava, reducing the risk of further complications. Placing her in the prone position (lying face down) or supine position (lying on her back) may compromise blood flow to the fetus and lead to adverse outcomes. Similarly, transporting her in a semi-sitting position may not provide the optimal circulation needed for both the woman and the fetus during this critical situation.

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