AND ANSWERS 100% CORRECT!!
,The nurse is preparing to administer an immunization to a four-year-old child.
Which of the following actions should the nurse plan to 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 - ANSWER C-
administer the immunization using a 24-gauge needle; The nurse should administer an
immunization for a 4-year-old child using a 24-
gauge needle to minimize the amount of pain experienced by the toddler.
A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify which of the
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 - ANSWER B- sodium 140; The nurse should identify that a sodium level
of 140 mEq/L is within the
expected reference range and indicates the current treatment regimen the infant
is receiving for dehydration is effective.
The nurse is providing teaching about Social Development to the parents of a
preschooler. Which of the following play activities should the nurse
recommend for the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up - ANSWER D- playing dress-up; The nurse should instruct the
parents that at the preschool age, play should focus
on social, mental, and physical development. Therefore, playing dress-up is a
recommended play activity for this child.
A nurse is teaching the parents of a newborn about ways to prevent sudden
infant death syndrome SIDS. Which of the following instructions should the
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. - ANSWER D- Give the infant a pacifier at
bedtime; The nurse should inform the parent that protective factors against SIDS
include
breastfeeding and the use of a pacifier when the infant is sleeping.
A- The nurse should instruct the parent to place the infant in a supine
A nurse is receiving change-of-shift Report on for children. Which of the
following children should the nurse assesses first?
A- A toddler who has a concussion and an episode of 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 -
ANSWER A- A toddler who has a concussion and an episode of forceful vomiting;
When using the urgent vs. no urgent approach to client care, the nurse should assess
this child first. An episode of forceful vomiting is an indication of increased
intracranial pressure in a toddler who has a concussion.
A nurse in the emergency department is caring for an adolescent who has
severe abdominal pain due to appendicitis. Which of the following
locations should the nurse identify as mcburney's point? - ANSWER A is correct. The
nurse should identify the lower right quadrant of the abdomen
between the umbilicus and the anterior iliac crest as the location of Burney's
point.
A nurse is providing teaching to the family of a school-age child who has
juvenile idiopathic arthritis. Which of the following instructions should
the nurse include in the teaching?
A- Limit the movement of the child large joints.
B- Encourage the child to perform independent self-care.
C- Provide the child with a soft mattress for sleeping.
D- Schedule a 2-hour daily nap for the child in the afternoon. - ANSWER B- Encourage
the child to perform independent self-care; The nurse should teach the family the
importance of encouraging the child to
perform independent self-care. This will minimize the child's pain while maximizing
mobility.
A nurse is assessing a client who has a new diagnosis of celiac disease. Which