Nokea
The clue to need a help for a child who does not respond to his or her name is by age of
- A. 6 months
- B. 8 months
- C. 10 months
- D. 12 months
Correct Answer: D
Rationale: By 12 months, a child should respond to their name; if not, it may indicate a developmental concern.
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The nurse is teaching nursing students about childhood skin lesions. Which is an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid?
- A. Cyst
- B. Papule
- C. Pustule
- D. Vesicle
Correct Answer: D
Rationale: A vesicle is an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid. Serous fluid is a clear, watery fluid that can accumulate within the vesicle. Vesicles are commonly seen in conditions such as herpes simplex virus infections (cold sores) and contact dermatitis. It is important for nursing students to understand the characteristics of different skin lesions to accurately assess and provide appropriate care for patients.
A nurse is preparing to administer an oral iron supplement to a hospitalized infant. Which should not be given simultaneously with the iron supplement?
- A. Milk
- B. Multivitamin
- C. Fruit juice
- D. Meat, fish, poultry
Correct Answer: A
Rationale: Milk should not be given simultaneously with an oral iron supplement because calcium in milk can interfere with the absorption of iron. Calcium competes with iron for absorption in the digestive tract, thereby reducing the absorption of iron when both are taken together. It is advisable to wait at least 1-2 hours after giving the iron supplement before offering milk to ensure optimal absorption of iron. This is a common practice to improve iron absorption and prevent any potential decrease in the effectiveness of the iron supplement.
A patient has orders to receive 1 L (1000 mL) of 5% dextrose and lactated Ringer's solution to be infused over 8 hours. How many millilitres will be infused per hour?
- A. 80
- B. 100
- C. 125
- D. 150
Correct Answer: C
Rationale: The total volume to be infused over 8 hours is 1000 mL. To determine how many millilitres will be infused per hour, you can divide the total volume by the total time:
You are meeting parents of a 1.5-year-old boy who has suboptimal growth. He has been delivered prematurely at the gestational age of 32 weeks. Examination reveals a healthy child with growth parameters below normal for age. You reassure the parents that their child will catch his normal growth with time. Of the following, the growth parameter that should be corrected at this age is
- A. weight
- B. height
- C. body mass index
- D. head circumference
Correct Answer: A
Rationale: Premature infants often experience suboptimal weight gain initially due to their early birth. However, they tend to 'catch up' in weight over time as they mature, making weight the most relevant parameter to correct.
Before, during and after seizure. The nurse knows that the patient is ALWAYS placed in what position?
- A. Low fowler's
- B. Modified trendelenburg
- C. Side lying
- D. Supine
Correct Answer: C
Rationale: The correct position to place a patient before, during, and after a seizure is on their side, also known as the recovery position. Placing the patient in the side-lying position helps prevent aspiration if the patient vomits and ensures that the airway remains open. This position also helps to prevent choking and allows for drainage of fluids from the mouth. Additionally, it reduces the risk of airway obstruction and helps to maintain proper alignment of the head, neck, and spine. By placing the patient in the side-lying position, the nurse can ensure the patient's safety and well-being during and after a seizure episode.