/PEDS ATI PROCTORED FINAL EXAM 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|AGRADE

The nurse is preparing to administer an immunization to a four-year-old child. Which of the following actions should the nurse plan to take? A- Place the child in a prone position for the immunization B- request that the child's caregiver leave the roomduring the immunization C- administer the immunization using a 24-gauge needle D- inject the immunization slowly after aspirating for 3 seconds Answer - c The nurse should administer an immunization for a 4-year-old child using a 24- gauge needle to minimize the amount of pain experienced by the toddler. A- The nurse should place the child in an upright sitting position for the immunization because this decreases the child's fear and anxiety. B- The nurse should allow the caregiver to stay near the child during the immunization to provide a sense of security and reduce the child's anxiety level.D- The nurse should inject the immunization rapidly and avoid aspiration. These actions decrease the risk of needle displacement and lower the child's fear and anxiety level by decreasing the amount of time it takes to administer the immunization. A nurse is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The nurse should identify which of the following laboratory values indicates effectiveness of the current treatment? A- Potassium 2.9 mEq/L B- sodium 140 C- urine specific gravity 1.035 D- BUN 25 mg Answer- b The nurse should identify that a sodium level of 140 mEq/L is within the expected reference range and indicates the current treatment regimen the infant is receiving for dehydration is effective. A- A potassium level of 2.9 mEq/L is below the expected reference range and indicates hypokalemia. B- C- A urine specific gravity of 1.035 is above the expected reference range and indicates concentrated urine. D- A BUN level of 25 mg/dL is above the expected reference range and indicates the kidneys arenot excreting BUN as they should be