B.
Priming the pen with 2 units, attaching a new needle for each injection, and dialing the correct dose.
✓
C.
Shaking the pen before use.
✓
D.
Storing the pen in a warm place.
✓
A.
Restricting movement.
✓
B.
Applying ice to the surgical site, monitoring for swelling or infection, and avoiding strenuous activity for a few days.
✓
C.
Allowing vigorous play.
✓
B.
Establishing a consistent meal schedule, providing a calm environment, and allowing the adolescent some control within parameters.
✓
C.
Ignoring refusal to eat.
✓
D.
Punishing for not eating.
✓
A.
Administer on an empty stomach.
✓
B.
Administer with all meals and snacks, mixed with acidic food, and do not crush enteric-coated beads.
✓
C.
Administer after meals.
✓
D.
Take only when experiencing abdominal pain.
✓
A.
Stop medication when blood pressure is normal.
✓
B.
Administer as prescribed, monitor blood pressure regularly, and do not abruptly discontinue the medication.
✓
C.
Double the dose if blood pressure is high.
✓
D.
Give only when the child has symptoms.
✓
A.
Forcing the child to check.
✓
B.
Involving the child in the process, using positive reinforcement, making it a routine, and explaining the importance in an age-appropriate way.
✓
C.
Telling the child it's a punishment.
✓
D.
Allowing the child to skip checks.
✓
A.
Placing the infant in a flat position.
✓
B.
Administering humidified oxygen as prescribed, and maintaining semi-Fowler's position.
✓
D.
Encouraging prolonged crying.
✓
A.
Normal adolescent vital signs.
✓
B.
Cardiac compromise due to electrolyte imbalances and starvation, requiring urgent medical stabilization.
✓
C.
Increased physical activity.
✓
B.
Administer via nebulizer daily to thin respiratory secretions.
✓
C.
Administer only when sick.
✓
D.
Mix with other medications.
✓
A.
Telling the child it's a game.
✓
B.
Explaining the procedure in simple terms, using distraction, and ensuring NPO status if required.
✓
C.
Restraining the child without explanation.
✓
D.
Allowing the child to eat right before the scan.
✓
A.
Telling them not to ask such questions.
✓
B.
Validating their feelings, encouraging expression of emotions, and connecting them with child life specialists or therapists.
✓
C.
Dismissing their concerns.
✓
D.
Changing the subject.
✓
A.
Assessing for hunger.
✓
B.
Assessing for respiratory distress and hydration status, as infants can rapidly deteriorate.
✓
C.
Checking diaper wetness only.
✓
D.
Assessing for playfulness.
✓
A.
Telling them they need to be strong.
✓
B.
Providing non-judgmental support, connecting them with substance abuse counseling and treatment programs, and involving the family.
✓
C.
Criticizing their past choices.
✓
D.
Ignoring their desire to change.
✓
A.
Daily oral corticosteroids.
✓
B.
Use of a short-acting beta-agonist (SABA) 15-30 minutes before exercise.
✓
C.
Long-acting beta-agonist (LABA) after exercise.
✓
D.
No medication is needed.
✓
B.
Recognizing signs of increased intracranial pressure (ICP) and immediate brain herniation, requiring urgent neurosurgical intervention.
✓
D.
Assessing for skin rash.
✓
B.
Benzodiazepines (e.g., lorazepam) for short-term relief, and teaching coping mechanisms.
✓
C.
Antidepressants (for acute relief).
✓
A.
Explaining the procedure in complex medical terms.
✓
B.
Providing age-appropriate explanation, therapeutic play, and adequate pain/sedation management.
✓
C.
Restraining the child without explanation.
✓
D.
Performing the procedure in a noisy environment.
✓
A.
Giving large boluses of water.
✓
B.
Offering small, frequent feedings or administering IV fluids as prescribed.
✓
C.
Restricting all fluids.
✓
D.
Only giving formula.
✓
A.
Delaying pain medication.
✓
B.
Administering ordered analgesics around the clock, not just PRN, and providing non-pharmacological comfort measures.
✓
C.
Encouraging the child to "tough it out."
✓
