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1) A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to
the insertion of an IV catheter. Which of the following actions should the nurse
plan to take?
a. Wash the site with alcohol prior to applying the cream
b. Gently rub the cream into the skin
c. Apply the cream 1 hour before the procedure
d. Avoid removing the cream prior to the procedure. - CORRECT ANSWER c.
Apply the cream 1 hour before the procedure
2)A nurse is caring for an infant who has Patent ductus arteriosus. The nurse
should identify that the defect is a switch of the following locations of the heart.
(you will find hot spots to select in the artwork below. Select only the hot spot
that corresponds to your answer) - CORRECT ANSWER B
3) A nurse is planning care for an adolescent following repair of Meckel
Diverticulum. Which of the following actions should the nurse include in the plan
of care?
a. Administer total parenteral nutrition
b. Initiate long term antibiotic therapy
c. Maintain an Ng tube for decompression
,d. Teach the client about ostomy care - CORRECT ANSWER c. Maintain an Ng
tube for decompression
4) A nurse in an emergency department is caring for a preschool-age child who
has acute acetylsalicylic acid poisoning. Which of the following should the nurse
expect?
a. polyuria
b. neck vein distension
c. jaundice
d. hyperpyrexia - CORRECT ANSWER d. hyperpyrexia
5) A nurse is reviewing the medical record of a 24-month-old child who has acute
lymphocytic leukemia. Which of the following actions should the nurse take?
a. initiate bleeding precautions
b. place the child in knee-chest position
c. Apply viscous lidocaine to the oral mucosa
d. Obtain a rectal temperature every 4 hours - CORRECT ANSWER a. initiate
bleeding precautions
6. A nurse is creating a plan of care for an adolescent who has muscular dystrophy.
Which of the following interventions should the nurse include in the plan?
a. Avoid influenza and pneumococcal vaccines for 24 months
b. Initiate a referral for chest physiotherapy every 4 hr.
c. Recommend the adolescent use a wheelchair to prevent stress the lower
extremities
, d. Encourage the adolescent to perform incentive spirometry to maintain lung
capacity - CORRECT ANSWER d. Encourage the adolescent to perform incentive
spirometry to maintain lung capacity
7. A nurse is teaching the parent of a school-age child about bicycle safety. Which
of the following instructions should the nurse include in the teaching?
a. Your child should walk the bicycle through intersections
b. your child's feet should be three to six inches above the ground when Seated on
the bicycle
c. you should try to keep the bicycle at least three feet from the curb while riding
in the street
d. your child should ride the bicycle against the flow of traffic - CORRECT ANSWER
a. Your child should walk the bicycle through intersections
8. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to child who is
receiving chemotherapy and weighs 29.4 kg. Available is ondansetron 4 mg/2 mL
solution. How many mL should the nurse administer? - CORRECT ANSWER 2.2
9. A nurse is preparing to administer immunizations to a 3-month-old infant.
Which of the following is an appropriate action for the nurse to take to deliver
atraumatic care?
a. Provide a pacifier coated with an oral sucrose prior to injections
b. Inject the immunizations into the deltoid muscle
c. Use as 20-gauge needle for injections
d. Apply eutectic mixture of local anesthetics cream immediately before the
injections - CORRECT ANSWER a. Provide a pacifier coated with an oral sucrose
prior to injections