Nokea
Which developmental behavior should the practical nurse identify as normal for a 6-month-old infant?
- A. Rolls over completely.
- B. Creeps on all four extremities.
- C. Pulls self to a standing position.
- D. Assumes a sitting position independently.
Correct Answer: A
Rationale: By 6 months of age, infants typically achieve the milestone of rolling over completely. This ability demonstrates increasing strength and coordination. Creeping on all fours, pulling self to a standing position, and assuming a sitting position independently are skills that are usually developed at later stages of infancy.
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The nurse is providing care for a 12-year-old child who was recently diagnosed with scoliosis. The child's parent asks about treatment options. What is the nurse's best response?
- A. Scoliosis can be corrected with exercises and physical therapy
- B. Bracing is often recommended to prevent further curvature of the spine
- C. Surgery is usually necessary for all cases of scoliosis
- D. There is no effective treatment for scoliosis
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child who weighs 25 kg is receiving IV ampicillin 300 mg/kg/24 hours in equally divided doses every 4 hours. How many milligrams should the nurse administer to the child for each dose?
- A. 1875 mg
- B. 625 mg
- C. 2000 mg
- D. 1500 mg
Correct Answer: A
Rationale: To calculate the dose for each administration, multiply the child's weight (25 kg) by the dose (300 mg/kg/24 hours) and divide by the number of doses per day (6, as doses are every 4 hours). This gives us (25 kg * 300 mg/kg / 24 hours) / 6 doses = 1875 mg. Therefore, the nurse should administer 1875 mg for each dose.
The heart rate for a 3-year-old with a congenital heart defect has steadily decreased over the last few hours, now it's 76 bpm, the previous reading 4 hours ago was 110 bpm. Which additional finding should be reported immediately to a healthcare provider?
- A. Oxygen saturation 94%.
- B. RR of 25 breaths/minute.
- C. Urine output 20 mL/hr.
- D. BP 70/40.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A male toddler is brought to the emergency center approximately three hours after swallowing tablets from his grandmother's bottle of digoxin (Lanoxin). What intervention should the nurse implement first?
- A. Administer activated charcoal
- B. Prepare gastric lavage
- C. Obtain a 12-lead electrocardiogram
- D. Give IV digoxin immune fab (Digibind)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A 7-year-old child with leukemia is receiving chemotherapy. The mother asks the practical nurse (PN) how to manage the child's nausea at home. What advice should the PN provide?
- A. Provide small, frequent meals.
- B. Encourage the child to eat spicy foods.
- C. Offer large meals less frequently.
- D. Allow the child to eat whatever they want.
Correct Answer: A
Rationale: During chemotherapy, children may experience nausea. Providing small, frequent meals can help manage nausea as they are easier to tolerate, reducing the likelihood of vomiting. It is important to offer bland, non-spicy foods to avoid exacerbating nausea. Encouraging large meals less frequently or allowing the child to eat whatever they want may overwhelm the digestive system and worsen nausea.