The parent of a 7-year-old with continued bed-wetting at night says they've tried getting the child up at 11:30 p.m. Which is the best next step?

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Certified Pediatric Nurse Exam Practice Questions Questions

Question 1 of 5

The parent of a 7-year-old with continued bed-wetting at night says they've tried getting the child up at 11:30 p.m. Which is the best next step?

Correct Answer: C

Rationale: Reducing evening fluids and using positive reinforcement (reward system) are effective and developmentally appropriate strategies.

Question 2 of 5

Which of the following diets would the nurse include in the plan of care for a person with AIDS?

Correct Answer: A

Rationale: People with AIDS often experience weight loss and malnutrition due to the disease's impact on the immune system. A high-protein, high-calorie diet can help support the immune system and maintain or improve weight. Dividing the meals into six servings can help with better absorption of nutrients and provide a steady source of energy throughout the day. This type of diet can also help manage symptoms and side effects of the disease and its treatments, such as maintaining muscle mass, managing nausea, and supporting overall health.

Question 3 of 5

A 6-year-old male child presented with a cerebellar mass; after undergoing complete surgical resection of the mass, the histology of the mass reveals pilocytic astrocytoma. Of the following, the MOST appropriate next step in the management is

Correct Answer: C

Rationale: Pilocytic astrocytomas are generally low-grade tumors, and observation is often sufficient after complete resection.

Question 4 of 5

An adult is on long term aspirin therapy and is experiencing tinnitus. What is the best interpretation of this occurrence?

Correct Answer: D

Rationale: Tinnitus (ringing in the ears) is a potential side effect of aspirin overdose. Aspirin can cause toxicity with symptoms like ringing in the ears, dizziness, confusion, and nausea. It is important for the adult to seek medical attention if they are experiencing tinnitus while on long-term aspirin therapy to address the possible overdose situation.

Question 5 of 5

The nurse is caring for a client with diabetes insipidus. The nurse should anticipate the administration of:

Correct Answer: D

Rationale: Diabetes insipidus is a condition characterized by the inability of the kidneys to conserve water, leading to excessive urination and extreme thirst. The main treatment for diabetes insipidus is the administration of vasopressin (also known as antidiuretic hormone or ADH). Vasopressin helps the kidneys retain water, reduce urine output, and stabilize the body's fluid balance. Therefore, in caring for a client with diabetes insipidus, the nurse should anticipate the administration of vasopressin to help manage the symptoms of excessive urination and dehydration.

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