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Ati nur 275 paediatrics final proctored exam

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Total Questions : 65

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Question 1:

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rho (D) immunoglobulin. Which of the following should be included in the teaching?

Answer and Explanation

A
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Question 2:

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

_______ mL

Answer and Explanation
Correct Answer: "5.3" mL

Explanation

  1. Convert weight to kilograms: 28 lb ÷ 2.2 = 12.73 kg (approx. 12.7 kg)
  2. Calculate dose: 12.7 kg × 10 mg/kg = 127 mg
  3. Determine volume: 120 mg / 5 mL = 24 mg/mL
  4. 127 mg ÷ 24 mg/mL = 5.29 mL
  5. Rounded to nearest tenth: 5.3 mL

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Question 3:

A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point. (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)

Answer and Explanation

Explanation


McBurney's point isa spot on the right side of the abdomen, located about two-thirds of the way from the umbilicus (belly button) to the right anterior superior iliac spine (a bony protrusion of the hip).Tenderness at this point is a classic sign of acute appendicitis


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Question 4:

A nurse is talking with a client whose thyroid-stimulating hormone (TSH) level will be measured. Which of the following statements by the nurse explains the purpose of this test?

Answer and Explanation

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Question 5:

A nurse is caring for a child who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?

Answer and Explanation

A
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Question 6:

A nurse in an emergency department is caring for an adolescent following a suicide attempt. After reviewing the client's history, the nurse should determine that which of the following is the priority risk factor for suicide completion?

Answer and Explanation

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Question 7:

A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?

Answer and Explanation

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Question 8:

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?

Answer and Explanation

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Question 9:

A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition?

Answer and Explanation

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Question 10:

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

Answer and Explanation

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