A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?

Periods of apnea for 20 seconds

Paradoxic respirations of 26/min

Shallow respirations of 10/min

Deep respirations of 32/min

Answer and Explanation

The Correct Answer is D

A. Periods of apnea are not typical for DKA and may indicate other respiratory issues.

B. Paradoxic respirations are abnormal and occur when chest and abdomen move in opposite directions, which is not typically associated with DKA.

C. Shallow respirations are not typical of DKA; they would indicate respiratory depression or other issues.

D. Deep, rapid respirations (Kussmaul respirations) are characteristic of diabetic ketoacidosis (DKA). They occur as the body tries to compensate for acidosis by exhaling more carbon dioxide.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Hypertension is less commonly associated with nephrotic syndrome. Hypotension or normal blood pressure is more common.

B. Facial edema is a hallmark sign of nephrotic syndrome due to fluid retention and protein loss.

C. Smoky brown urine is characteristic of glomerulonephritis, not nephrotic syndrome.

D. Polyuria is more often associated with diabetes or diuretic use, not nephrotic syndrome, where oliguria (low urine output) is common.

A. "I reported the incident to my supervisor who decided to contact the authorities." B. "I am unable to discuss this, but I can contact my supervisor to speak with you." C. "As a nurse, I am required by law to report suspected child abuse." D. "The provider will be coming to explain the situation."

Correct Answer is C

Explanation

A. While the nurse is required to report, it is not the supervisor’s decision. The nurse should clarify that they are the mandated reporter.

B. Deferring the explanation to the supervisor avoids the nurse’s responsibility. The nurse should directly explain their duty.

C. Nurses are mandated reporters and are legally required to report suspected child abuse. This response is appropriate as it aligns with the nurse’s professional and legal responsibilities.

D. The nurse should address the issue, not refer to the provider for an explanation of their actions.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

The nurse is caring for a newly-admitted infant diagnosed with "failure to thrive." The nurse begins to implement the healthcare provider prescribed orders by taking blood pressures in all four extremities. Which congenital cardiac defect does the nurse anticipate based on the prescribed order?

A nurse in an emergency department is caring for an adolescent who is experiencing an anaphylactic reaction. Which of the following is the priority action by the nurse?

A nurse is assessing the pain level of a 3-year old toddler. Which of the following pain assessment scales should the nurse use?

A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receive treatment. Which of the following nursing actions is appropriate at this time?

The nurse would suspect a hearing impairment in an infant who demonstrates which behavior?

A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?

A nurse is educating caregivers about dietary management for a child who has burn injuries. Which of the following recommendations should the nurse provide?

A nurse in the pediatric clinic is discussing Piaget's theory of cognitive development with a newly licensed nurse. The nurse should review which of the following types of thinking that occur during adolescent development?