Nokea
A child with meningitis is to receive 1,000 mL of dextrose 5% in normal saline over 12 hours. At what rate in milliliters per hour should the nurse set the pump? Round your answer to the nearest whole number.
- A. 83 mL/hour
Correct Answer: A
Rationale: Calculate: 1,000 mL ÷ 12 hours = 83.33 mL/hour, rounded to 83 mL/hour, ensuring accurate fluid administration.
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Which of the following actions indicates that the parents of a 12-month-old with iron deficiency anemia understand how to administer iron supplements?
- A. They administer iron supplements in combination with fruit juice.
- B. They administer iron supplements with meals.
- C. They report dark stools.
- D. They brush the child's teeth after administering the iron supplements.
- E. They decrease dietary intake of foods fortified with iron.
Correct Answer: A,C,D
Rationale: Iron with fruit juice enhances absorption, dark stools are expected, and brushing teeth prevents staining. Iron with meals reduces absorption, and fortified foods should not be decreased.
While the nurse is delivering abdominal thrusts to a 6-year old who is choking on a foreign body, the child begins to cry. Which of the following should the nurse do next?
- A. Tap or gently shake the shoulders.
- B. Deliver back slaps.
- C. Perform a blind finger sweep of the mouth.
- D. Observe the child closely.
Correct Answer: D
Rationale: If the child begins to cry, it indicates the airway is no longer obstructed, as crying requires airflow. The nurse should observe the child closely to ensure stability.
A 3-year-old child receiving chemotherapy after surgery for a Wilms' tumor has developed neutropenia. The parent is trying to encourage the child to eat by bringing extra foods to the room. Which food would not be appropriate for this child?
- A. Fudge.
- B. French fries.
- C. Fresh strawberries.
- D. A milk shake.
Correct Answer: C
Rationale: Raw fruits carry infection risk.
A toddler is scheduled to have tympanostomy tubes inserted. When approaching the toddler for the first time, which of the following should the nurse do?
- A. Talk to the mother first so that the toddler can get used to the new person.
- B. Hold the toddler so that the toddler becomes more comfortable.
- C. Walk over and pick the toddler up right away so that the mother can relax.
- D. Pick up the toddler and take the child to the play area so that the mother can rest.
Correct Answer: A
Rationale: Talking to the mother first allows the toddler to observe the nurse from a safe distance, helping the child become accustomed to the new person without causing immediate distress. This approach respects the toddler's developmental need for gradual introduction to strangers.
The nurse is preparing an infant for inguinal hernia repair. Which preoperative intervention is most important?
- A. Administering a sedative.
- B. Ensuring NPO status.
- C. Applying a warm compress.
- D. Checking for allergies.
Correct Answer: B
Rationale: NPO status is critical to prevent aspiration during anesthesia.