DKA
What type of insulin is utilized in the hospital for a patient admitted for DKA?
Regular insulin (humilin)
What blood glucose value is considered hypoglycemia?
Less than 70mg/dL
You are to administer 1000ml of NS in 5 hours using a 10gtt/ml drop factor. How many gtts/ minute would you deliver?
33 gtts/min
When assessing a 2-year-old child brought by his mother to the clinic for a routine checkup, which of the following should the nurse expect the child to be able to do?
A. Ride a tricycle
B. Tie his shoelaces
C. Kick a ball forward
D. Use blunt scissors
C. Kick a ball forward
A mother calls the clinic to talk to the nurse. The mother states that a physician described her daughter as having 20/60 vision and she asks the nurse what this means. The nurse responds based on the interpretation that the child is experiencing which of the following?
A. A loss of approximately one-third of her visual acuity
B. Ability to see at 60 feet what she should see at 20 feet
C. Ability to see at 20 feet what she should see at 60 feet
D. Visual acuity three times better than average
C. Ability to see at 20 feet what she should see at 60 feet
What are the 3 signs of DKA?
Polydipsia, polyphagia, and polyuria
What is the first-line antidote for hypoglycemia if the patient is awake?
15g of fast-acting carbohydrate
You are to give Adrenalin (Epinephrine) to a client whom has presented with anaphylactic shock. The prescribed epinephrine concentration for both pediatric and adults is?
1:1000/ 0.01mg/Kg
The nurse is discharging from the hospital an 8-month-old who weights 15lbs. The parents have put the child in the back seat of the car with the car seat facing front seat. The nurse should:
A. Ask the parents to wait while the nurse obtains the correct car seat
B. Complete the discharge with the child sitting facing the front seat
C. Give the parents a manual on proper car seat placement
D. Show the parents proper placement of the car seat facing the back seat
D. Show the parents proper placement of the car seat facing the back seat
After teaching the parents about the cause of ring-worm of the scalp (tinea capitis), which of the following is stated by the father, indicates successful teaching?
A. “It results from overexposure to the sun”
B. “It’s caused by infestation with a mite”
C. “It’s a fungal infection of the scalp”
D. “It’s an allergic reaction”
C. “It’s a fungal infection of the scalp”
What are the locations to administer subcutaneous insulin?
Abdomen (2 in. away from the umbilicus), anterior thighs, posterior upper arms, buttocks
What is the IM and IV antidote for a patient with hypoglycemia who is unconscious?
Glucagon (IM) or Dextrose (IV)
A 33lb. infant is admitted with acute otitis media (AOM) and is to be started on Amoxicillin 25mg/Kg/24 hours bid po. Amoxicillin is available 250mg/5ml. How many ml. per dose would you give?
3.75 ml
The nurse asks a 9-year-old child and her mother about the child’s best friend to assess which of the following about the child?
A. Language development
B. Motor development
C. Neurologic development
D. Social development
D. Social development
The nurse should refer the parents of an 8-month-old child to a health care provider if the child is unable to:
A. Stand momentarily without holding onto furniture
B. Stand alone well for long periods of time
C. Stoop to recover an object
D. Sit without support for long periods of time
D. Sit without support for long periods of time
What is the name of the deep and labored breathing that is often associated with metabolic acidosis seen in DKA?
Kussmaul breathing
What are three things that can cause hypoglycemia?
Exercise, missing a meal after insulin administration, and miscalculating a dose of insulin (overdose)
A health care provider orders amoxicillin syrup to a 3-year-old child with UTI. Your assessment reveals the following data:
The dosage required as per order is 50 mg/kg/day divided into 3 doses per day (TID). Available stock is a suspension with a concentration of 400 mg/5mL. How much will you administer per dose? Fill in the blank and record your answer using one decimal place.
2.5mL
After having a blood sample drawn, a 5-year-old child insists that the site be covered with an adhesive bandage strip. When the mother tries to remove the bandage before leaving the office, the child screams that all the blood will come out. The nurse interprets this behavior as indicating a fear of which of the following?
A. Injury
B. Compromised body integrity
C. Pain
D. Loss of control
B. Compromised body integrity
A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease. Apart from the identified symptoms of the disease, she may also likely develop which of the following?
A. Sepsis
B. Meningitis
C. Mitral Valve Disease
D. Aneurysm formation
D. Aneurysm formation
Kawasaki disease is a rare childhood illness that affects the blood vessels. 20% to 25% of children can develop aneurysm formation if not intervened. Treatment depends on the degree of the disease but is often immediate treatment with IV gamma globulin or aspirin. Corticosteroids can sometimes lessen impending complications. Children who experience the disease usually need lifelong follow-up appointments to keep an eye on heart health.
What is one electrolyte that is often found to be depleted in patients with DKA after insulin is started?
Potassium
Which is NOT a symptom of hypoglycemia? Pallor, dizziness, bradycardia, diaphoresis
Bradycardia
Drugs are also ordered for patients based on dose per Kg. per minute. A physician orders dopamine 2mcg/Kg/minute. The solution is available in 400 mg in 250ml of D5W. The patient weighs 150 lbs. How many mcg do you administer per minute/
136,36 mcg/minute
A nurse compares a child’s height and weight with standard growth charts and finds the child to be in the 50th percentile for height and in the 45th percentile for weight. The nurse interprets these findings as indicating that the child is:
A. Average height and weight
B. Overweight for height
C. Underweight for height
D. Abnormal in height
A. Average height and weight
The nurse is teaching an adolescent with asthma how to use an inhaler. In which order should the nurse instruct the client to follow the steps?
1. Inhale through an open mouth
2. Breathe out through the mouth
3. Hold the breath for 5 to 10 seconds
4. Press the canister to release the medication
2. Breathe out through the mouth
1. Inhale through an open mouth
4. Press the canister to release the medication
3. Hold the breath for 5 to 10 seconds