Nokea
When assessing for pain in a toddler, which of the following methods should be the most appropriate?
- A. Ask the child about the pain.
- B. Observe the child for restlessness.
- C. Use a numeric pain scale.
- D. Assess for changes in vital signs.
Correct Answer: B
Rationale: Toddlers cannot reliably verbalize pain, so observing behavior like restlessness is most appropriate.
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The parents of a 3-year-old suspect that the child has recently ingested a large amount of acetaminophen. The child does not appear in immediate distress. The nurse should anticipate doing which of these interventions in order of priority, from first to last?
- A. Draw acetaminophen serum levels.
- B. Attempt to determine the exact time and amount of drug ingested.
- C. Administer acetylcysteine (Acetadote IV).
- D. Administer activated charcoal.
Correct Answer: B,D,A,C
Rationale: First, determine ingestion details (B) to assess risk. Administer charcoal (D) within 1-2 hours to reduce absorption. Draw serum levels (A) at 4 hours to confirm toxicity. Administer acetylcysteine (C) if levels are toxic.
After teaching a group of parents about temper tantrums, the nurse knows the teaching has been effective when one of the parents states which of the following?
- A. I will ignore the temper tantrum.
- B. I should pick up the child during the tantrum.
- C. I'll talk to my daughter during the tantrum.
- D. I should put my child in time out.
Correct Answer: A
Rationale: Ignoring temper tantrums reduces attention-seeking behavior and is an effective strategy.
The nurse discusses with the parents how best to raise the IQ of their child with Down syndrome. Which of the following would be most appropriate?
- A. Serving hearty, nutritious meals.
- B. Giving vasodilator medications as prescribed.
- C. Letting the child play with more able children.
- D. Providing stimulating, nonthreatening life experiences.
Correct Answer: D
Rationale: Stimulating, nonthreatening experiences promote cognitive development by encouraging exploration and learning within the child's capabilities.
When preparing to deliver back slaps to an infant who is choking on a foreign body, in which of the following positions should the nurse position the infant?
- A. Head down and lower than the trunk.
- B. Head up and raised above the trunk.
- C. Head to one side and even with the trunk.
- D. Head parallel to the nurse and supported at the buttocks.
Correct Answer: A
Rationale: Positioning the infant head down and lower than the trunk facilitates dislodgement of the foreign body by gravity during back slaps.
The mother tells the nurse that her 8-year-old child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse should explain this behavior is a sign of?
- A. Inadequate parental attention.
- B. Mastery of language ambiguities.
- C. Inappropriate peer influence.
- D. Excessive television watching.
Correct Answer: B
Rationale: Telling jokes and riddles reflects cognitive development and understanding of language nuances.