A,./nurse,./in,./the,./emergency,./department,./is,./caring,./for,./a,./2-
yr,./old,./child,./who,./was,./found,./by,./his,./parents,./crying,./and,./hold
ing,./a,./container,./of,./toilet,./bowl,./cleaner.,./The,./child's,./lips,./are,./
edematous,./and,./inflamed,,./and,./he,./is,./drooling.,./Which,./of,./the,./f
ollowing,./is,./the,./following,./priority,./action,./by,./the,./nurse?
a.,./Remove,./the,./child's,./contaminated,./clothing.
b.,./Check,./the,./child's,./respiratory,./status.
c.,./Administer,./an,./antidote,./to,./the,./child.
d.,./Establish,./IV,./access,./for,./the,./child.,./-,./correct,./answer,./✔ ✔
b.,./Check,./the,./child's,./respiratory,./status.
Rationale:,./When,./applying,./the,./ABC,./priority,./setting,./framework,
,./airway,./is,./always,./the,./highest,./priority,./because,./the,./airway,./m
ust,./be,./clear,./and,./open,./for,./oxygen,./exchange,./to,./occur.,./Breath
,ing,./is,./the,./second,./highest,./priority,./in,./the,./ABC,./priority,./settin
g,./framework,./because,./adequate,./ventilatory,./effort,./is,./essential,./i
n,./order,./for,./oxygen,./change,./to,./occur.
A,./nurse,./is,./teaching,./a,./parent,./of,./a,./12-
month,./old,./child,./about,./development,./during,./the,./toddler,./years.,./
Which,./of,./the,./following,./statements,./should,./the,./nurse,./include?
a.,./Your,./child,./should,./be,./referring,./to,./himself,./using,./the,./appro
priate,./pronoun,./by,./the,./18,./months,./of,./age
b.,./a,./toddler's,./interest,./in,./looking,./at,./pictures,./occurs,./at,./20,./m
onths,./of,./age
c.,./a,./toddler,./should,./have,./daytime,./control,./of,./his,./bowel,./and,./
bladder,./by,./24,./months,./of,./age.
d.,./your,./child,./should,./be,./able,./to,./scribble,./spontaneously,./using,.
/a,./crayon,./at,./the,./age,./of,./15,./months,./-,./correct,./answer,./✔ ✔
d.,./your,./child,./should,./be,./able,./to,./scribble,./spontaneously,./usin
g,./a,./crayon,./at,./the,./age,./of,./15,./months
Rationale:,./The,./nurse,./should,./teach,./the,./parent,./that,./at,./the,./age,
./of,./15,./months,,./the,./toddler,./should,./be
able,./to,./scribble,./spontaneously,,./and,./at,./the,./age,./of,./18,./months,
,./the,./toddler,./should,./be,./able,./to,./make
strokes,./imitatively
A,./nurse,./is,./caring,./for,./a,./toddler,./and,./is,./preparing,./to,./administ
er,./0.9%,./sodium,./chloride,./100ml,./IV,./to,./infuse,./over,./4,./hr.,./Th
,e,./drop,./factor,./of,./the,./manual,./IV,./tubing,./is,./60,./gtt/ml.,./The,./n
urse,./should,./set,./the,./manual,./IV,./infusion,./to,./deliver,./how,./many
,./gtt/min?,./(Round,./the,./answer,./to,./the,./nearest,./whole,./number),./-
,./correct,./answer,./✔ ✔ 25,./gtt
Rationale:,./100ml/4,./hr,./x,./60gtt/1mlx,./1,./hr/60min=,./6000/240=,./2
5,./gtt
A,./nurse,./in,./a,./pediatric,./clinic,./is,./assessing,./a,./toddler,./at,./a,./we
ll-
child,./visit.,./Which,./of,./the,./following,./actions,./should,./the,./nurse,./
take?
a.,./Perform,./the,./assessment,./in,./a,./head,./to,./toe,./sequence.
b.,./Minimize,./physical,./contact,./with,./the,./child,./initially.
c.,./Explain,./procedures,./using,./medical,./terminology
d.,./Stop,./the,./assessment,./if,./the,./child,./becomes,./uncooperative.,./-
,./correct,./answer,./✔ ✔
b.,./Minimize,./physical,./contact,./with,./the,./child,./initially.
Rationale:,./The,./nurse,./should,./initially,./minimize,./physical,./contact
,./with,./the,./toddler,,./and,./then
progress,./from,./the,./least,./traumatic,./to,./the,./most,./traumatic,./proce
dures.
A,./nurse,./is,./caring,./for,./an,./18-
yr,./old,./adolescent,./who,./is,./up,./to,./date,./on,./immunizations,./and,./
is,./planning,./to,./attend,./college.,./The,./nurse,./should,./inform,./the,./c
, lient,./that,./he,./should,./receive,./which,./of,./the,./following,./immuniza
tions,./prior,./to,./moving,./into,./a,./campus,./dormitory.,./
a.,./Pneumococcal,./polysaccharide
b.,./Meningococcal,./polysaccharide
c.,./rotavirus
d.,./Herpes,./zoster,./-,./correct,./answer,./✔ ✔
b.,./Meningococcal,./polysaccharide
Rationale:,./The,./meningococcal,./polysaccharide,./immunization,./is,./u
sed,./to,./prevent,./infection,./by
certain,./groups,./of,./meningococcal,./bacteria.,./Meningococcal,./infecti
on,./can,./cause,./life-threatening
illnesses,,./such,./as,./meningococcal,./meningitis,,./which,./affects,./the,.
/brain,,./and,./meningococcemia,
which,./affects,./the,./blood.,./Both,./of,./these,./conditions,./can,./be,./fat
al.,./College,./freshmen,,./particularly
those,./who,./live,./in,./dormitories,,./are,./at,./an,./increased,./risk,./for,./
meningococcal,./disease,./relative,./to,./other,./persons,./their,./age.,./The
refore,,./the,./Centers,./for,./Disease,./Control,./and,./Prevention,./has,./is
sued,./a
recommendation,./that,./all,./incoming,./college,./students,./receive,./the,.
/meningococcal,./immunization.