Nokea
The nurse correctly advises the adolescent that the brace has to be worn during which time period?
- A. At all times except when bathing
- B. At least 8 hours each day
- C. At night while sleeping
- D. At all times, without exception
Correct Answer: A
Rationale: The Milwaukee brace is typically worn 23 hours a day, except during bathing, to effectively correct scoliosis by maintaining spinal alignment.
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A child is prescribed 10 mg/kg of a medication, and the child weighs 15 kg. The medication is available as 50 mg/mL. How many milliliters should the nurse administer?
Correct Answer: 3 mL
Rationale: Calculation: 15 kg × 10 mg/kg = 150 mg. Volume = 150 mg ÷ 50 mg/mL = 3 mL. Since no options are provided, the calculated volume is noted for accuracy.
Breech extraction is only indicated in:
- A. Retained second twin.
- B. Footling breech.
- C. Extended breech.
- D. Flexed breech.
- E. Breech in first twin.
Correct Answer: A
Rationale: Breech extraction is indicated for a retained second twin to expedite delivery and prevent complications. Other breech presentations typically require cesarean section or external cephalic version.
The nurse evaluates that the newborn’s Moro reflex is WNL. Which response by the newborn prompted the nurse’s conclusion?
- A. Straightens extremities and then flexes them in response to a loud noise
- B. Right-side extremity extension when the head is quickly turned right
- C. Turns the head toward the right side when the right cheek is touched
- D. Attempts to walk when the sole of the foot touches a hard surface
Correct Answer: A
Rationale: An intact Moro reflex involves extremity extension then flexion in response to a loud noise. Other options describe tonic neck rooting and stepping reflexes.
Which statement by the child indicates a need for further teaching about bicycle safety?
- A. I'll wear my helmet whenever I ride my bicycle.
- B. I'll ride my bicycle in the opposite direction of traffic flow.
- C. I'll stop at all intersections and look both ways before proceeding.
- D. I won't ride my bicycle after dark on the street.
Correct Answer: B
Rationale: Riding in the opposite direction of traffic flow is unsafe, increasing collision risk. Bicycles should be ridden with traffic flow, indicating a need for further teaching.
Which nursing action should be avoided when giving care to a child diagnosed with Wilms' tumor?
- A. Palpating the child's abdomen
- B. Collecting a catheterized urine sample
- C. Assessing pupillary reflex with a penlight
- D. Eliciting a patellar reflex with a reflex hammer
Correct Answer: A
Rationale: Palpating the abdomen in a child with Wilms' tumor risks dislodging tumor cells, potentially causing metastasis, and should be avoided to ensure safety.