Question 1

Which specific drug(s)should be checked with a second licensed nurse prior to administration?

Accepted Answer

A)  Insulin 
B)  Digoxin 
C)  Vasodilators 
D)  Calcium salts 
E)  Anticoagulants

Question 2

Which intervention is correct when a nurse is administering a gastrostomy feeding by gravity?

Accepted Answer

A)  Discard the residual and increase the volume of feeding by the amount of residual. 
B)  Flush the gastrostomy tube with 2 to 4 ounces of water before the feeding. 
C)  Refill the syringe with formula after it has completely emptied. 
D)  Position the child on the right side after a feeding.

Question 3

When obtaining a urine specimen on an infant,the adhesive of the urine collector is placed between the _____________ and the _________________.

Accepted Answer

The answer of When obtaining a urine specimen on an...

Question 4

What intervention should the nurse implement after topical administration of hydrocortisone cream to the buttocks and abdomen of an infant?

Accepted Answer

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.

Question 5

The nurse is caring for a 4-year-old child.What will the nurse expect the child's daily urinary output to be?

Accepted Answer

A)  400 to 500 mL 
B)  500 to 600 mL 
C)  600 to 700 mL 
D)  700 to 1000 mL

Question 6

The nurse is searching through several blood pressure cuffs to find a cuff that is the appropriate size for her small patient.The nurse selects a cuff that covers ______ _______ of the patient's upper arm.

Accepted Answer

The answer of The nurse is searching through several blood...

Question 7

A parent tells the nurse,"I'm not sure how to give this medicine to my infant." How would the nurse teach the parent to best administer an oral suspension?

Accepted Answer

A)  Pour the medication into a small cup and allowing the infant to drink it. 
B)  Place the medication in a nipple and having the infant suck the nipple. 
C)  Use an oral syringe and placing the medication in the side of the infant's mouth. 
D)  Administer the medication with a dropper onto the back of the infant's tongue.

Question 8

Where is the best site for giving an IM injection to a 15-month-old child?

Accepted Answer

A)  Ventrogluteal muscle 
B)  Dorsogluteal muscle 
C)  Deltoid muscle 
D)  Vastus lateralis muscle

Question 9

An ________________________ implies that the parent or legal guardian is capable of understanding information given to him or her,including the purpose and risks of the procedure,and voluntarily agrees to that procedure.

Accepted Answer

The answer of An ________________________ implies that the parent or...

Question 10

How often should a child who has a continuous intravenous infusion should be assessed?

Accepted Answer

A)  Hourly 
B)  Every 2 hours 
C)  Every 3 hours 
D)  Every 4 hours

Question 11

What emergency action should be implemented for airway obstruction in the infant?

Accepted Answer

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

Question 12

What is the best pulse location for the nurse to use when assessing the pulse rate on a 12-month-old infant?

Accepted Answer

A)  Brachial 
B)  Apical 
C)  Radial 
D)  Femoral

Question 13

After instilling nose drops,the nurse will keep the infant in the head down position for at least _________ seconds.

Accepted Answer

The answer of After instilling nose drops,the nurse will keep...

Question 14

Which intervention will the nurse implement when suctioning a tracheostomy?

Accepted Answer

A)  Suction for two to three breaths. 
B)  Clear the catheter with water after suctioning for reuse. 
C)  Apply suction for no more than 15 seconds. 
D)  Establish a regular schedule for suctioning.

Question 15

An infant's dry diaper weighs 2.5 grams.The wet diaper weighs 47 grams.How would the nurse record the infant's urine output?

Accepted Answer

A)  47 mL 
B)  44.5 mL 
C)  43.5 mL 
D)  40.5 mL

Question 16

A 15-year-old patient returns to the pediatric unit following a lumbar puncture.What initial position will the nurse maintain for this patient?

Accepted Answer

A)  Left side-lying 
B)  Supine 
C)  Prone 
D)  Semi-Fowler's

Exam 22: Health Care Adaptations for the Child and Family

Which specific drug(s) should be checked with a second licensed nurse prior to administration?