Question: You are preparing to administer a dose of Acetaminophen (Tylenol) for a 6-year-old with a fever of 38.7 Celsius (101.6 F). The Nurse Practitioner writes for 15 mg/kg of Acetaminophen oral solution every 4-6 hours. Your patient weighs 55 lbs. The correct dose to administer is (Rounded to the nearest whole number):
Answer Options: 375mg 1500mg 187.5mg 3750mg
Answer: 375mg
Question: An infant is brought to the emergency department with poor skin turgor, sunken fontanel, lethargy, and tachycardia. This is suggestive of which condition?
Answer Options: Overhydration Dehydration Sodium excess Calcium excess
Answer: Dehydration
Question: A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. Therapeutic management of this child will begin with which intervention?
Answer Options: Intravenous fluids Oral rehydration solution (ORS) Placement of a nasogastric tube to administer fluids Administration of antidiarrheal medication
Answer: Intravenous fluids
Question: When teaching the mother of a 9-month-old infant about administering liquid iron preparations, the nurse should include all of the following information EXCEPT:
Answer Options: They should mix the medication with milk or dairy products to make sure the child takes it. Taking the medication with orange juice or foods high in Vitamin C can help absorption. Adequate dosage will turn the stools a tarry green color. Iron deficiency is common in toddlers
Answer: They should mix the medication with milk or dairy products to make sure the child takes it.
Question: When infants are seen for fractures, which nursing intervention is a priority?
Answer Options: No intervention is necessary. It is not uncommon for infants to fracture bones. Assess the family’s safety practices. Fractures in infants usually result from falls. Assess for child abuse. Fractures in infants are often nonaccidental. Assess for genetic factors.
Answer: Assess for child abuse. Fractures in infants are often nonaccidental.
Question: You are caring for a 10-year-old patient with circumferential partial thickness burns to their bilateral lower extremities. Your team has determined the Total Body Surface Area (TBSA) burned is 30%. You are preparing to start fluid resuscitation according to the Parkland formula prior to transfer to a burn center. You weigh the patient and record the weight as 50kg. When calculating the fluids needed over the first 8 hours, you determine the volume and fluid needed is:
Answer Options: 2,000mL Normal Saline 250mL D5 Normal Saline 4500mL Lactated Ringers 2250mL Lactated Ringers
Answer: 4500mL Lactated Ringers
Question: A woman is 14 weeks pregnant with her first baby. She asks how long it will be before she feels the baby move.
Answer Options: “You should have felt the baby move by now.” “Within the next month or so, you should start to feel fluttering sensations.” “The baby is moving; however, you can’t feel it yet.” “It will be several months before the baby begins to move.”
Answer: “Within the next month or so, you should start to feel fluttering sensations.”
Question: A nurse is preparing to administer 1 mg AquaMEPHYTON (vitamin K) to a newborn. The medication is available in 1mg/0.5ml. How much should the nurse administer?
Answer Options: 0.5 ml 2 ml 0.2 ml 5 ml
Answer: 0.5 ml
Question: The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse’s teaching if she states that a probable sign of pregnancy is:
Answer Options: Nausea and vomiting are occurring. Urinary frequency is occurring. Chadwick’s sign is present. Amenorrhea is reported by the patient.
Answer: Chadwick’s sign is present
Question: The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:
Answer Options: Heavy bright red vaginal bleeding that is painless Painful “board-like” fundus Mild contractions 5 minutes apart lasting 60 seconds Abdominal cramping and diarrhea stools
Answer: Painful “board-like” fundus
Question: A 2-day-old preterm baby boy is under phototherapy. The order reads give 1/2 ounce of Isomil every 2 hours. What is the total expected intake of Isomil in milliliters for a 24-hour period?
Answer Options: 180 ml 15 ml 30 ml 240 ml
Answer: 180 ml
Question: Magnesium sulfate is being administered intravenously to a woman in labor at 30 weeks. Which assessment finding should the nurse anticipate as a side effect of the medication?
Answer Options: Nausea and vomiting Hypertension Deep tendon reflexes of +2 Urine output of 70 ml/hour
Answer: Deep tendon reflexes of +2
Question: A prescription for Methylergonovine 0.2 mg IM has been ordered for a client in stage three of labor who is experiencing a postpartum hemorrhage. Why is this medication contraindicated for this patient?
Answer Options: The medication is contraindicated due to the client’s blood pressure. The medication is contraindicated due to the multigravida of the client. The medication is contraindicated due to the client’s drug allergy. The medication is contraindicated due to the client’s heart rate.
Answer: The medication is contraindicated due to the client’s blood pressure.
Question: A term baby is showing signs of early onset of neonatal sepsis. The baby weighs 8 pounds and 6 ounces. The order reads for a standard dose of 50 mg/kg q12 hours. How much will you draw from the vial to provide one dose of Ampicillin?
Answer Options: 4.2 ml 8.6 ml 0.5 ml 2.4 ml
Answer: 0.5 ml
Question: The teacher brings a 9-year-old to the school nurse because the child has been complaining of stomach pains. What should the school nurse recognize as the possible trigger for these behaviors?
Answer Options: Signs of stress Developmental delay A physical problem causing emotional stress Lack of adjustment to the school environment
Answer: Signs of stress