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What is the best pulse location for the nurse to use when assessing the pulse rate on a 12-month-old infant?
- A. Brachial
- B. Apical
- C. Radial
- D. Femoral
Correct Answer: B
Rationale: Apical pulses are advised for children under age 5 years because they provide the most accurate heart rate assessment.
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What initial position will the nurse maintain for this patient?
- A. Left side-lying
- B. Supine
- C. Prone
- D. Semi-Fowler's
Correct Answer: B
Rationale: Lying supine post-lumbar puncture helps prevent headaches by maintaining spinal fluid pressure.
Which observation on entering the hospital room lets the nurse know that there is a need for the parents to receive safety education to prevent unintentional injury?
- A. The blanket is not tucked into the mattress.
- B. Diapers and wipes are stacked at the foot of the crib.
- C. The crib side is locked in the up position.
- D. Pillows are stacked on the bedside table.
Correct Answer: B
Rationale: Diapers and wipes at the crib's foot pose a suffocation risk, indicating a need for parental safety education.
Why is a tympanic thermometer considered more accurate than other types of thermometers?
- A. The thermometer probe is blunt and wide.
- B. It takes a brief time to register.
- C. The tympanic membrane shares circulation with the hypothalamus.
- D. The tympanic membrane and the brain have the same temperature.
Correct Answer: C
Rationale: The tympanic membrane's shared circulation with the hypothalamus ensures accurate core temperature measurement.
What should the nurse assess to determine the method of transportation for a pediatric patient?
- A. Age
- B. Race
- C. Vital signs
- D. Distance to travel
- E. Level of consciousness
Correct Answer: A,D,E
Rationale: Age, distance to travel, and level of consciousness determine safe transportation methods; race is irrelevant.
What factor does the nurse explain affects the infant's physiological response to medications?
- A. Faster metabolism in the liver
- B. Slower intestinal transit
- C. Immature kidney function
- D. Increased secretion of hydrochloric acid
Correct Answer: C
Rationale: Immature kidney function in infants under 1 year hinders effective drug excretion, affecting response.