Nokea
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.
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Where is the best site for giving an IM injection to a 15-month-old child?
- A. Ventrogluteal muscle
- B. Dorsogluteal muscle
- C. Deltoid muscle
- D. Vastus lateralis muscle
Correct Answer: D
Rationale: The vastus lateralis is safe for IM injections in children due to its lack of major blood vessels and nerves.
How would the nurse teach the parent to best administer an oral suspension?
- A. Pour the medication into a small cup and allowing the infant to drink it.
- B. Place the medication in a nipple and having the infant suck the nipple.
- C. Use an oral syringe and placing the medication in the side of the infant's mouth.
- D. Administer the medication with a dropper onto the back of the infant's tongue.
Correct Answer: C
Rationale: Using an oral syringe to place medication in the side of the mouth ensures accurate dosing and safe administration.
Which patient assessment requires immediate intervention?
- A. Toddler with an axillary temperature of 99?°F
- B. School-age child with widening pulse pressure
- C. Infant pulse rate of 100 beats/minute
- D. Adolescent with a respiratory rate of 28 breaths/minute
Correct Answer: B
Rationale: Widening pulse pressure may indicate increased intracranial pressure, requiring immediate intervention.
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.
The order reads, 'Give ampicillin oral suspension 400 mg PO every day.' The vial reads, 'Ampicillin 125 mg/5 mL.' The nurse will give a dose of __ mL.
Correct Answer: 16
Rationale: Calculating 400 mg from 125 mg/5 mL yields 16 mL as the correct daily dose.