Which strategy is most appropriate for administeri

Question 1 of 5

Which strategy is most appropriate for administering a medication to a toddler-aged child who has a history of being difficult?

A. Put the medication in a favorite drink in the child's sippy cup. B. Notify the healthcare provider to change the route to IV. C. Hold the child down and squirt the medication into the corner of his mouth. D. Allow the mother to administer the medication to the child.

Correct Answer: D

Rationale: Allowing the mother to administer leverages trust, reducing resistance. Mixing with drink risks rejection, IV is invasive, and force increases trauma.

Question 2 of 5

An appropriate intervention for a 3-month-old with gastroesophageal reflux is which of the following?

A. Give thin rice cereal with formula before feeding solid foods B. Position the infant in the crib on in an upright position or propped on the left side C. Administer medication as ordered to stimulate the pyloric sphincter D. Place the infant in an infant seat after feedings

Correct Answer: B

Rationale: Upright or left-side positioning (B) reduces reflux by gravity assistance. Rice cereal (A) is for older infants, pyloric meds (C) are unrelated, and infant seats (D) increase pressure. Document: 'The infant is placed in a prone position to avoid increased intraabdominal pressure,' but upright/left-side aligns with standard care.

Question 3 of 5

A newborn's failure to pass meconium within the first 24 hours after birth may indicate which of the following?

A. Hirschsprung's disease B. Celiac disease C. Abdominal wall defect D. Intussusception

Correct Answer: A

Rationale: Hirschsprung’s disease (A) causes delayed meconium passage due to absent intestinal motility. Celiac (B) affects absorption later, abdominal defects (C) are structural, and intussusception (D) occurs postnatally. Document: 'Failure to pass meconium… may be an indication of Hirschsprung disease.'

Question 4 of 5

Parents are speaking with the urologist about their son's undescended testicle. The nurse determines the child's father understands the information when he states:

A. An undescended testicle can cause infertility when my son grows up' B. The testicles usually descends during the third month of life' C. Surgical correction can reduce the risk for testicular tumors' D. The best time to surgically correct it is within the first five years of life'

Correct Answer: A

Rationale: Undescended testicles (A) can impair fertility due to heat exposure; orchiopexy helps but doesn’t guarantee fertility. Descent (B) occurs prenatally, tumor risk (C) reduction is partial, and correction (D) is optimal by 1-2 years, not 5. Document: 'Although orchiopexy improves the condition, the fertility rate… may be reduced.'

Question 5 of 5

A parent comments that her adolescent daughter seems to be daydreaming a lot. The nurse understands that this behavior indicates she is:

A. Bored B. Not getting enough rest C. Trying to block out stress and anxiety D. Mentally preparing for real situations

Correct Answer: D

Rationale: Daydreaming (D) helps adolescents mentally rehearse situations, aiding coping. Boredom (A), fatigue (B), or stress (C) are less specific. Document: 'Daydreaming allows adolescents to act out… [to] prepare for… interactions.'

Which strategy is most appropriate for administering a medication to a toddler-aged child who has a history of being difficult?

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