Nokea
What statement made by the adolescent led the nurse to determine she understood the instructions?
- A. I should wash my perineum with soap and water, then begin to urinate.'
- B. I clean the perineum from front to back with an antiseptic wipe before I urinate.'
- C. I'll collect the first stream of urine in a sterile container.'
- D. I will discard the first void and collect a freshly voided specimen 30 minutes later.'
Correct Answer: B
Rationale: Cleaning the perineum from front to back with an antiseptic wipe ensures a clean-catch urine specimen.
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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.
Which restraint is most appropriate for the insertion of an intravenous line in a scalp vein of an infant?
- A. Mummy
- B. Clove hitch
- C. Jacket
- D. Elbow
Correct Answer: A
Rationale: A mummy restraint immobilizes the infant safely for scalp vein IV insertion.
After instilling nose drops, the nurse will keep the infant in the head down position for at least __ seconds.
Correct Answer: 30
Rationale: Retaining the head-down position for 30 seconds allows nose drops to penetrate deeply into the nostril.
Which strategy might the nurse use when administering oral medications to a young child who is reluctant?
- A. Mix the medication with chocolate milk.
- B. Tell the child that the medication is candy.
- C. Give the medication quickly if the child is crying.
- D. Offer the child fruit juice after the medication is swallowed.
Correct Answer: D
Rationale: Offering fruit juice after swallowing medication encourages cooperation without compromising nutrient intake.
How would the nurse position the auricle when administering the ear drops?
- A. Up and back
- B. Down and back
- C. Up and out
- D. Down and out
Correct Answer: A
Rationale: For children 3 years and older, pulling the auricle up and back straightens the ear canal for effective ear drop administration.