Nokea
What will the nurse expect the child's daily urinary output to be?
- A. 400 to 500 mL
- B. 500 to 600 mL
- C. 600 to 720 mL
- D. 700 to 1000 mL
Correct Answer: C
Rationale: The average daily urine output for a 4-year-old is 600 to 720 mL, reflecting normal renal function.
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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 emergency action should be implemented for airway obstruction in the infant?
- A. Six to 10 midsternal thrusts
- B. Five back blows followed by five chest thrusts
- C. Five chest thrusts followed by five back blows
- D. Abdominal thrusts until the object is expelled
Correct Answer: B
Rationale: Five back blows followed by five chest thrusts is the standard intervention for infant airway obstruction.
Which actions will the nurse implement?
- A. Assess rectal temperature every 4 hours.
- B. Administer acetaminophen as ordered.
- C. Assess skin turgor.
- D. Restrict fluids.
- E. Assess level of consciousness.
Correct Answer: B,C,E
Rationale: Administering acetaminophen, assessing skin turgor, and monitoring consciousness address fever and dehydration risks; rectal temperatures are avoided in pediatrics.
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.
What intervention should the nurse implement after topical administration of hydrocortisone cream to the buttocks and abdomen of an infant?
- A. Diaper the infant snugly with a disposable diaper.
- B. Cover the area with a transparent dressing.
- C. Apply a cloth diaper.
- D. Place the infant on a plastic pad, undiapered.
Correct Answer: C
Rationale: Using a cloth diaper or leaving the infant undiapered on a cloth pad prevents increased drug absorption from plastic coverings.