Question 1

An infant's dry diaper weighs 2.5 grams. The wet diaper weighs 47 grams. The nurse would record the infant's urine output as _____ mL.

Accepted Answer

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

Question 2

The nurse selects the best site for giving an IM injection to a 15-month-old child, which is the _____ muscle.

Accepted Answer

A)   ventrogluteal
B)   dorsogluteal
C)   deltoid
D)   vastus lateralis D

Question 3

The physician has ordered phenytoin syrup 20 mg PO bid for a child who weighs 15 pounds. The PDR states that 10 mg/kg/day is the maximum daily dose. The safe daily dose of this medication is _____ mg.

Accepted Answer

34
15 pounds = 6.8 kilograms; 6.8 * 10 mg = 68 mg maximum daily dose, making the bid doses 34 mg each.

Question 4

The nurse is aware that because of the function of the mist tent that a child is at risk for ________________.

Accepted Answer

The answer of The nurse is aware that because of...

Question 5

The nurse preparing to administer medication to a 2-month-old infant discovers there is no ID bracelet on the child. The nurse should:

Accepted Answer

A)   give the medication after confirming the child's name from the foot of the crib.
B)   ask the charge nurse to give the medicine.
C)   confirm the identity with the charge nurse, make a new bracelet, and give the medicine.
D)   delay the medication until the admissions office can supply a new ID bracelet.

Question 6

The nurse explains that the tympanic thermometer is considered more accurate because:

Accepted Answer

A)   the thermometer probe is blunt and wide.
B)   it takes a brief time to register.
C)   the tympanic membrane shares circulation with the hypothalamus.
D)   the tympanic membrane and the brain have the same temperature.

Question 7

The emergency action for airway obstruction in the infant is to give:

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 8

The nurse is caring for a 4-year-old child. When reviewing yesterday's intake and output record, the nurse would expect the child's daily urinary output to be approximately _____ mL.

Accepted Answer

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

Question 9

The intervention that would be correct when a nurse is administering a gastrostomy feeding by gravity is to:

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 10

Informed consent for a minor guarantees that the parent or legal guardian understands what aspect(s) of a procedure? Select all that apply.

Accepted Answer

A)   Purpose of the procedure
B)   Associated risks 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

Question 11

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

Accepted Answer

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

Question 12

The prescription for a 4-month-old is penicillin G 150,000 units intramuscularly bid. The drug is supplied as a unit dose of 600,000 units in a 5-mL vial. The nurse should give the dose as _____ mL.

Accepted Answer

A)   1.25
B)   1.4
C)   1.6
D)   1.8

Question 13

The nurse explains that the factor that affects the infant's physiological response to medications is:

Accepted Answer

A)   faster metabolism in the liver.
B)   slower intestinal transit.
C)   immature kidney function.
D)   increased secretion of hydrochloric acid.

Question 14

A child who has a continuous intravenous infusion should be assessed every:

Accepted Answer

A)   hour.
B)   two hours.
C)   three hours.
D)   four hours.

Question 15

The nurse is aware that for the 3-month-old who has a surgery time of 2:30 PM, the start order for NPO should be no earlier than ____________________.

Accepted Answer

The answer of The nurse is aware that for the...

Question 16

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...

Question 17

Gentamicin ear drops are prescribed for a 4-year-old child. To administer the ear drops, the nurse would pull the auricle:

Accepted Answer

A)   up and back.
B)   down and back.
C)   up and out.
D)   down and out.

Question 18

The restraint that is most appropriate for the insertion of an intravenous line in a scalp vein of an infant is the:

Accepted Answer

A)   mummy.
B)   clove hitch.
C)   jacket.
D)   elbow.

Question 19

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 20

The nurse instructs the mother of a 2-year-old who is taking iron supplements for anemia that some foods reduce the absorption of iron, such as:

Accepted Answer

A)   red meat.
B)   green, leafy vegetables.
C)   acidic fruit juices.
D)   egg yolks.

Exam 22: Health Care Adaptations for the Child and Family