WITH QUESTIONS AND ANSWERS
ADnurseDisDconvertingDanDinfant'sDweightDinDlbDandDozDtoDkg.DTheDinfantDweighsD9DlbD4Doz.D
WhatDisDtheDinfant'sDweightDinDkg?D(RoundDtoDtheDnearestDtenth.)D-D4.2Dkg
Rationale:
1. 9DlbD4DozD=D9D+D(4/16)DlbD=D9.25Dlb
2. 9.25/2.2D=Dx
3. xD=D4.204545Dkg
4. xD=D4.2DkgD(rounded)
ADnurseDisDpreparingDtoDadministerDimmunizationsDtoDaDpreschooler.DWhichDofDtheDfollowi
ngDactionsDshouldDtheDnurseDtake?
A. RequestDtheDpreschooler'sDparentDleaveDtheDroomDduringDtheDinjections.
B. TellDtheDpreschoolerDthatDtheDinjectionsDareDnotDgoingDtoDhurt.
C. TellDtheDpreschoolerDtoDremainDquietDduringDtheDinjections.
D. HaveDtheDpreschoolerDblowDbubblesDduringDtheDinjections.D-
DD.DHaveDtheDpreschoolerDblowDbubblesDduringDtheDinjections.
Rationale:
A. TheDnurseDshouldDallowDtheDpreschooler'sDparentsDtoDstayDwithDtheDpreschoolerDd
uringDinjectionsDtoDdecreaseDtheDchild'sDanxietyDandDpain.DTheDparentDshouldDreass
ureDtheDpreschoolerDbyDspeakingDsoftlyDandDremainingDclose.
B. TheDnurseDshouldDnotDtellDtheDpreschoolerDthatDtheDinjectionsDwillDnotDhurt.DTheDnur
seDshouldDtellDtheDpreschoolerDwhatDtheDinjectionsDmightDfeelDlikeDusingDnon-
painDdescriptors,DsuchDasDhotDorDsharp.
C. TheDnurseDshouldDencourageDtheDpreschoolerDtoDverbalizeDpainDduringDtheDinjectio
ns.DTheDnurseDshouldDtellDtheDchildDtoDconcentrateDonDyellingDatDaDvolumeDthatDcorrespo
ndsDwithDtheDlevelDofDpainDtheyDareDfeeling.
D. TheDnurseDshouldDuseDdistractionDasDaDnonpharmacologicalDpainDmanagementDte
chniqueDforDaDpreschooler.DTheDnurseDshouldDhaveDtheDpreschoolerDblowDbubblesDdur
ingDtheDinjections.
ADnurseDisDpreparingDtoDadministerD0.9%DsodiumDchlorideD(0.9%DNaCl)D15DmL/kgDIVDtoDin
fuseDoverD8DhoursDtoDaDschool-
ageDkidDwhoDweighsD22Dkg.DTheDnurseDshouldDsetDtheDIVDpumpDtoDdeliverDhowDmanyDmL/
hour?D(RoundDtoDtheDnearestDwholeDnumber.)D-D41DmL/hour
Rationale:
1. (15DmL/kg)DxD(22Dkg)D=D330DmL
2. 330DmL/8DhoursD=Dx
3. xD=D41.25DmL/hour
4. xD=D41DmL/hourD(rounded)
ADchargeDnurseDisDreviewingDtechniquesDforDtheDsafeDadministrationDofDmedicationsDtoDc
hildrenDwithDaDnewlyDlicensedDnurse.DWhichDofDtheDfollowingDstatementsDshouldDtheDnurs
eDmake?
, A. "ConfirmDchemotherapyDmedicationDdosagesDusingDaDbodyDsurfaceDareaD
nomogram."
B. "AskDpreschoolersDtheirDnameDtoDconfirmDtheirDidentityDpriorDtoDadministeringD
medication."
C. "CalculateDmedicationDdosagesDbasedDonDaDchild'sDage,DnotDtheirDweight."
D. "UseDpaperDcupsDtoDadministerDliquidDdosagesDofDmedications."D-
DA.D"ConfirmDchemotherapyDmedicationDdosagesDusingDaDbodyDsurfaceDareaDnom
ogram."
Rationale:
A. TheDnurseDshouldDuseDaDnomogramDtoDcalculateDaDchild'sDbodyDsurfaceDareaDpriorDtoDa
dministeringDhighDriskDmedications,DsuchDasDchemotherapy,DtoDensureDsafeDadministrati
onDofDmedication.
B. TheDnurseDshouldDaskDtheDparentDorDguardianDofDaDpreschoolerDtoDconfirmDtheDchild'
sDidentityDpriorDtoDadministeringDmedications.DADpreschoolerDmightDinadvertentlyDprovid
eDtheDwrongDnameDwhenDasked.
C. TheDnurseDshouldDcalculateDmedicationDdosagesDbasedDonDaDchild'sDweight,DnotDt
heirDage,DdueDtoDdifferencesDinDsizeDofDchildrenDofDtheDsameDage.
D. TheDnurseDshouldDuseDplasticDcupsDtoDadministerDmedicationsDtoDchildren.DPaperDc
upsDshouldDnotDbeDusedDforDadministeringDliquidDmedications,DbecauseDtheyDareDnotDst
urdyDandDcanDcollapse.
ADnurseDisDconvertingDaDpreschool-ageDchild'sDweightDinDlbDtoDkg.DTheDpreschool-
ageDchildDweighsD44Dlb.DHowDmanyDkgDdoesDtheDchildDweigh?D-D20Dkg
Rationale:
1. 44/2.2D=Dx
2. xD=D20Dkg
ADnurseDisDpreparingDtoDadministerDD5W D7DmL/kgDtoDinfuseDoverD6DhoursDtoDaDtoddlerDwh
oDweighsD11Dkg.DTheDnurseDshouldDsetDtheDIVDpumpDtoDdeliverDhowDmanyDmL/hour?D(Rou
ndDtoDtheDnearestDwholeDnumber.)D-D13DmL/hour
Rationale:
1. (7DmL/kg)DxD(11Dkg)D=D77DmL
2. 77DmL/6DhoursD=Dx
3. xD=D12.833333DmL/hour
4. xD=D13DmL/hourD(rounded)
ADnurseDisDconvertingDanDinfant'sDweightDfromDlbDandDozDtoDkg.DTheDinfantDweighsD13DlbD8D
oz.DHowDmanyDkgDdoesDtheDinfantDweigh?D(RoundDtoDtheDnearestDtenth.)D-D6.1Dkg
Rationale:
1. 13D+D(8/16)DlbD=D13.5Dlb
2. 13.5/2.2D=Dx
3. xD=D6.1363636Dkg
4. xD=D6.1DkgD(rounded)
ADnurseDisDcaringDforDaDpreschool-
ageDchildDwhoDweighsD18Dkg.DWhatDisDtheDchild'sDdailyDmaintenanceDfluidDrequirement?D-
D1,400DmL/day