2027 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+(BEST EXAM PREP)
The nurse is preparing to administer an immunization to a four-year-old child.
Which of thefollowing 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
Rationale: The nurse should administer an immunization for a 4-year-old child
using a 24- gauge needle tominimize the amount of pain experienced by the
toddler.
A- The nurse should place the child in an upright sitting position for the
immunization becausethis decreases the child's fear and anxiety.
B- The nurse should allow the caregiver to stay near the child during the
immunization toprovide a sense of security and reduce the child's anxiety level.
D- The nurse should inject the immunization rapidly and avoid aspiration.
These actions decrease the risk of needle displacement and lower the child's
fear and anxiety level by decreasing the amount of time it takes to
administer the immunization.
A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severedehydration. 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
Rationale: 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.
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,A- A potassium level of 2.9 mEq/L is below the expected reference range
and indicateshypokalemia.
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,C- A urine specific gravity of 1.035 is above the expected reference range and
indicatesconcentrated urine.
D- A BUN level of 25 mg/dL is above the expected reference range and indicates
the kidneys arenot excreting BUN as they should be.
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
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 activityfor this child.
A- Playing pat-a-cake is a recommended play activity for an infant.
B- Using a push pull toy is a recommended play activity for a toddler.
C- Creating a scrapbook is a recommended play activity for a school-age child.
A nurse is teaching the parents of a newborn about ways to prevent sudden
infant deathsyndrome 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
The nurse should inform the parent that protective factors against SIDS include
breastfeedingand the use of a pacifier when the infant is sleeping.
A- The nurse should instruct the parent to place the infant in a supine position to
sleep. Proneand side-lying positions are risk factors for SIDS.
B- Placing the infant on a large pillow to sleep can increase the risk of suffocation,
asphyxiation,and SIDS.
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, C- The nurse should instruct the parent to use a firm mattress and avoid the use of
waterbeds,beanbags, or soft mattresses when placing the infant to bed. The use of a
soft mattress in the infant's crib is a risk factor for SIDS and can lead to
asphyxiation.
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