lOMoAR cPSD| 19500986
1-A nurse is caring for a child who is receiving treatment for diabetic
ketoacidosis and has a current blood glucose level of 250mg/dL. Which of the
following actions should the nurse take?
Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
MY A N S W ER
RATIONALE: When the child’s blood glucose level falls between 250 and 300 mg/dL, the
nurse shouldbegin IV infusion of 5% or 10% dextrose in 0.9% sodium chloride. The goal
is to maintain blood glucose levels between 120 and 240 mg/dL. If dextrose is not
added, hypoglycemia might occur.
2-A nurse is caring for a child who has epistaxis. Which of the following
actions should the nurse take?
Apply continuous pressure to the child's nose for at least 10 min.
MY A N S W ER
RATIONALE: The nurse needs to apply continuous pressure for at least 10 minutes to help
stopbleeding.
3-A nurse is teaching the parents of a 3-year-old child who has
persistent otitis media about prevention. Which of the following statements
by the parents indicates an understanding of the teaching?
"We should not smoke around our child."
MY A N S W ER
RATIONALE: Preventing exposure to tobacco smoke at home can prevent further episodes
of earinfections because tobacco smoke can cause inflammation of the respiratory tract.
4-A nurse is assessing the pain level of a 3-year-old child who is postoperative
following abdominal surgery. Which of the following pain scales should the
nurse use?
FACES pain rating scale
MY A N S W ER
RATIONALE: The FACES scale is a scale that looks at various faces, which represent
various levels ofpain. A 3-year-old child is able to identify faces that represent different
pain levels.
5-A nurse is caring for a child who has acute glomerulonephritis. Which of the
following actions should the nurse take?
, lOMoAR cPSD| 19500986
Check the child's blood pressure every 4 hr.
MY A N S W ER
1-A nurse is caring for a child who is receiving treatment for diabetic
ketoacidosis and has a current blood glucose level of 250mg/dL. Which of the
following actions should the nurse take?
Administer 5% dextrose in 0.9% sodium chloride by continuous IV infusion.
MY A N S W ER
RATIONALE: When the child’s blood glucose level falls between 250 and 300 mg/dL, the
nurse shouldbegin IV infusion of 5% or 10% dextrose in 0.9% sodium chloride. The goal
is to maintain blood glucose levels between 120 and 240 mg/dL. If dextrose is not
added, hypoglycemia might occur.
2-A nurse is caring for a child who has epistaxis. Which of the following
actions should the nurse take?
Apply continuous pressure to the child's nose for at least 10 min.
MY A N S W ER
RATIONALE: The nurse needs to apply continuous pressure for at least 10 minutes to help
stopbleeding.
3-A nurse is teaching the parents of a 3-year-old child who has
persistent otitis media about prevention. Which of the following statements
by the parents indicates an understanding of the teaching?
"We should not smoke around our child."
MY A N S W ER
RATIONALE: Preventing exposure to tobacco smoke at home can prevent further episodes
of earinfections because tobacco smoke can cause inflammation of the respiratory tract.
4-A nurse is assessing the pain level of a 3-year-old child who is postoperative
following abdominal surgery. Which of the following pain scales should the
nurse use?
FACES pain rating scale
MY A N S W ER
RATIONALE: The FACES scale is a scale that looks at various faces, which represent
various levels ofpain. A 3-year-old child is able to identify faces that represent different
pain levels.
5-A nurse is caring for a child who has acute glomerulonephritis. Which of the
following actions should the nurse take?
, lOMoAR cPSD| 19500986
Check the child's blood pressure every 4 hr.
MY A N S W ER
