The nurse is preparing to administer an immunization to a C- administer the immunization using a 24-gauge needle; The nurse should
four-year-old child. administer an immunization for a 4-year-old child using a 24-
Which of the following actions should the nurse plan to gauge needle to minimize the amount of pain experienced by the toddler.
take?
A- Place the child in a prone position for the
immunization
B- request that the child's caregiver leave the room
during the immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3
seconds
A nurse is reviewing the laboratory report of an infant B- sodium 140; The nurse should identify that a sodium level of 140 mEq/L is within
who is receiving the
treatment for severe dehydration. The nurse should expected reference range and indicates the current treatment regimen the infant
identify which of the is receiving for dehydration is effective.
following laboratory values indicates effectiveness of the
current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
,The nurse is providing teaching about Social D- playing dress-up; The nurse should instruct the parents that at the preschool
Development to the parents of a age, play should focus
preschooler. Which of the following play activities should on social, mental, and physical development. Therefore, playing dress-up is a
the nurse recommended play activity for this child.
recommend for the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
,A nurse is teaching the parents of a newborn about ways D- Give the infant a pacifier at bedtime; The nurse should inform the parent that
to prevent sudden protective factors against SIDS include
infant death syndrome SIDS. Which of the following breastfeeding and the use of a pacifier when the infant is sleeping.
instructions should the A- The nurse should instruct the parent to place the infant in a supine
nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.
A nurse is assessing an infant who has pneumonia. Which A- Nasal flaring; When using the airway, breathing, circulation approach to client
of the following care, the nurse
findings is the priority for the nurse to report to the should place the priority on nasal flaring. Nasal flaring indicates that the
provider? infant is experiencing acute respiratory distress.
A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension
, A school nurse is assessing a school-age child blood C- assist the child to a side-lying position on the floor; The greatest risk to this
pressure while he is seated child is aspiration, occlusion of the airway, and bodily
in a chair. The child starts to experience a tonic-clonic injury from falling out of the chair. The nurse should ease the child down to
seizure. Which of the floor in a side-lying position immediately. This position enables the child's
following actions should the nurse take first? secretions to drain from the mouth, preventing aspiration, and maintaining a
A- Clear the immediate area around the child of patent airway.
hazardous objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child
A nurse is receiving change-of-shift Report on for A- A toddler who has a concussion and an episode of forceful vomiting; When
children. Which of the using the urgent vs. no urgent approach to client care, the nurse should assess
following children should the nurse assesses first? this child first. An episode of forceful vomiting is an indication of increased
A- A toddler who has a concussion and an episode of intracranial pressure in a toddler who has a concussion.
forceful vomiting
B- an adolescent who has infective endocarditis and
reports having a headache
C- an adolescent who was placed into Halo traction 1
hour ago and rates his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis
and brown colored urine
four-year-old child. administer an immunization for a 4-year-old child using a 24-
Which of the following actions should the nurse plan to gauge needle to minimize the amount of pain experienced by the toddler.
take?
A- Place the child in a prone position for the
immunization
B- request that the child's caregiver leave the room
during the immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3
seconds
A nurse is reviewing the laboratory report of an infant B- sodium 140; The nurse should identify that a sodium level of 140 mEq/L is within
who is receiving the
treatment for severe dehydration. The nurse should expected reference range and indicates the current treatment regimen the infant
identify which of the is receiving for dehydration is effective.
following laboratory values indicates effectiveness of the
current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
,The nurse is providing teaching about Social D- playing dress-up; The nurse should instruct the parents that at the preschool
Development to the parents of a age, play should focus
preschooler. Which of the following play activities should on social, mental, and physical development. Therefore, playing dress-up is a
the nurse recommended play activity for this child.
recommend for the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
,A nurse is teaching the parents of a newborn about ways D- Give the infant a pacifier at bedtime; The nurse should inform the parent that
to prevent sudden protective factors against SIDS include
infant death syndrome SIDS. Which of the following breastfeeding and the use of a pacifier when the infant is sleeping.
instructions should the A- The nurse should instruct the parent to place the infant in a supine
nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.
A nurse is assessing an infant who has pneumonia. Which A- Nasal flaring; When using the airway, breathing, circulation approach to client
of the following care, the nurse
findings is the priority for the nurse to report to the should place the priority on nasal flaring. Nasal flaring indicates that the
provider? infant is experiencing acute respiratory distress.
A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension
, A school nurse is assessing a school-age child blood C- assist the child to a side-lying position on the floor; The greatest risk to this
pressure while he is seated child is aspiration, occlusion of the airway, and bodily
in a chair. The child starts to experience a tonic-clonic injury from falling out of the chair. The nurse should ease the child down to
seizure. Which of the floor in a side-lying position immediately. This position enables the child's
following actions should the nurse take first? secretions to drain from the mouth, preventing aspiration, and maintaining a
A- Clear the immediate area around the child of patent airway.
hazardous objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child
A nurse is receiving change-of-shift Report on for A- A toddler who has a concussion and an episode of forceful vomiting; When
children. Which of the using the urgent vs. no urgent approach to client care, the nurse should assess
following children should the nurse assesses first? this child first. An episode of forceful vomiting is an indication of increased
A- A toddler who has a concussion and an episode of intracranial pressure in a toddler who has a concussion.
forceful vomiting
B- an adolescent who has infective endocarditis and
reports having a headache
C- an adolescent who was placed into Halo traction 1
hour ago and rates his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis
and brown colored urine
