The nurse is teaching a child with type I diabetes mellitus to administer insulin. The child is receiving a combination of short acting and long acting insulin. The nurse knows that the child has appropriately learned the technique when the child:

Draws up the short acting insulin into the syringe first

Administer the insulin IM into rotating sites

Administers the insulin into a doll at a 30-degree angle

Wipes off the needle with an alcohol swab

Answer and Explanation

The Correct Answer is A

A. When mixing insulins, the short-acting insulin should be drawn into the syringe first to avoid contamination of the short-acting insulin with the long-acting insulin.

B. Insulin should be administered subcutaneously, not intramuscularly, and the sites should be rotated to avoid lipodystrophy.

C. Insulin should be administered at a 90-degree angle, not 30 degrees, to ensure proper subcutaneous delivery.

D. Wiping the needle with an alcohol swab is unnecessary and could introduce contaminants.

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Correct Answer is A

Explanation

A. Projectile vomiting is a classic sign of pyloric stenosis due to the obstruction of the pylorus, which prevents normal stomach emptying.

B. A ridged abdomen is not specific to pyloric stenosis; it may indicate other abdominal issues.

C. Red currant jelly stools are associated with intussusception, not pyloric stenosis.

D. Distended neck veins are typically associated with right-sided heart failure or fluid overload, not pyloric stenosis.

A. Sitting on a nurse's lap leaning forward B. Trendelensburg C. Supine D. Sitting on a nurse's lap leaning backward

Correct Answer is B

Explanation

A. Sitting on a nurse's lap leaning forward is a safe position for postural drainage as it promotes drainage from the upper lobes of the lungs.

B. The Trendelenburg position, where the body is laid flat on the back with the feet higher than the head, is contraindicated for infants with cystic fibrosis because it can increase the risk of gastroesophageal reflux and aspiration.

C. The supine position is generally safe but does not facilitate effective postural drainage compared to other positions.

D. Sitting on a nurse's lap leaning backward is safe and can be used for drainage from the anterior lung segments.

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The nurse is teaching a child with type I diabetes mellitus to administer insulin. The child is receiving a combination of short acting and long acting insulin. The nurse knows that the child has appropriately learned the technique when the child:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

Correct Answer is A

Explanation

A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?

Correct Answer is B

Explanation

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?

A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?

A nurse is admitting an infant who has severe dehydration from acute gastroenteritis. Which of the following findings should the nurse expect?

A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect?

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?