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When a safety reminder device (SRD) is used to protect a child, what is a responsibility of the nurse?
- A. Apply it loosely.
- B. Remove it every 2 hours.
- C. Place it over clothing.
- D. Apply only one type.
Correct Answer: B
Rationale: Any SRD should be removed every 2 hours.
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When using anticipatory guidance to prepare a 5-year-old for an IM injection, what statement by the nurse would be most appropriate?
- A. Ethan, I'm going to give you a shot.
- B. Ethan, the health care provider wants you to have some medicine, and it will hurt.
- C. Ethan, some medicine can only be given with a needle.
- D. Ethan, I am going to give you some medicine that will sting, but only for a little while.
Correct Answer: D
Rationale: Anticipatory guidance is the psychological preparation of a patient for a stressful event by explaining what will happen and the probable outcome.
What is the maximum amount of time that a nurse should suction an artificial airway?
- A. 1 second
- B. 5 seconds
- C. 30 seconds
- D. 1 minute
Correct Answer: B
Rationale: The nurse should limit suctioning to no more than 5 seconds.
What is the special category that encompasses children who have congenital abnormalities, malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) anomalies?
- A. Very dependent children
- B. Children requiring special education
- C. Children with special needs
- D. Children requiring long-term care
Correct Answer: C
Rationale: The definition of children with special needs includes congenital abnormalities, malignancies, GI diseases, and CNS anomalies.
Why does obtaining the respirations of an infant require a modified approach from that of an adult?
- A. Infants breathe through their noses.
- B. Infants have very rapid respirations.
- C. Infants' respirations are thoracic in nature.
- D. Infants' respiratory movements are abdominal.
Correct Answer: D
Rationale: In children under 6 or 7 years of age, respiratory movements are abdominal or diaphragmatic. Abdominal movements must be observed when counting respirations.
What is the correct order for assessing vital signs in an infant to ensure the accuracy of measurements?
- A. Respiration, temperature, pulse
- B. Pulse, respiration, temperature
- C. Temperature, pulse, respiration
- D. Respiration, pulse, temperature
Correct Answer: D
Rationale: The respiration is taken first on an infant before the child is disturbed, pulses are assessed next, and last the temperature is obtained.