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1. A pregnant patient has been diagnosed with gestational diabetes. Which
of the following would be an appropriate nursing intervention?
 A. Encourage a diet high in simple carbohydrates.
 B. Administer insulin as prescribed.
 C. Discourage exercise due to risk of injury.
 D. Increase intake of fatty foods to maintain energy.
 Answer: B. Administer insulin as prescribed.
 Rationale: Insulin therapy is used to manage blood sugar levels in
gestational diabetes when diet and exercise are not sufficient.
2. A child is admitted with suspected rheumatic fever. Which assessment
finding supports this diagnosis?
 A. Presence of a sore throat several weeks prior.
 B. A rash on the trunk and extremities.
 C. Irregular heart rate and murmur.
 D. Elevated blood pressure and headache.
 Answer: C. Irregular heart rate and murmur.
 Rationale: Rheumatic fever can result in carditis, which may manifest as
an irregular heart rate and murmur.
3. During a well-baby visit, the nurse notes that a 6-month-old infant has
not gained weight since the last visit 2 months ago. What is the nurse's
best action?
 A. Advise the parents to feed the infant more frequently.
 B. Schedule a follow-up visit in another 2 months.
 C. Assess the infant's feeding and digestion history.
 D. Immediately start the infant on high-calorie formula.
 Answer: C. Assess the infant's feeding and digestion history.
 Rationale: Weight stagnation may indicate feeding issues or
malabsorption problems; a thorough assessment is needed.
4. A nursing student is learning about pediatric medication administration.
Which principle is most important?
 A. Medications for children are always dosed based on their age.
 B. Children's medications should be mixed with food to improve taste.
 C. The nurse should always verify the correct dose based on body
weight.
 D. Pediatric patients do not require consent for medicationÂ
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