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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.
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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.
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.
Informed consent for a minor guarantees that the parent or legal guardian understands what aspect(s) of a procedure?
- A. Purpose of the procedure
- B. Risks associated with the procedure
- C. That no suit can be brought for damages
- D. That the document must be signed and witnessed
- E. That information was given
Correct Answer: A,B,D,E
Rationale: Informed consent ensures understanding of the procedure's purpose, risks, information provided, and the need for a signed, witnessed document.
What initial position will the nurse maintain for this patient?
- A. Left side-lying
- B. Supine
- C. Prone
- D. Semi-Fowler's
Correct Answer: B
Rationale: Lying supine post-lumbar puncture helps prevent headaches by maintaining spinal fluid pressure.
Which specific drug(s) should be checked with a second licensed nurse prior to administration?
- A. Insulin
- B. Digoxin
- C. Vasodilators
- D. Calcium salts
- E. Anticoagulants
Correct Answer: A,B,D,E
Rationale: Insulin, digoxin, calcium salts, and anticoagulants require a second nurse's verification to ensure safety due to their high-risk nature.