Question

The student nurse is preparing to administer a vaccine to the toddler. The nurse mentor praises the student nurse for recognizing which volume as being the maximum amount that can be administered to a toddler via IM administration?

Answer 1

Correct Answers:

2Ml

Rationale :

💎 Maximum IM volume for toddlers: The maximum intramuscular (IM) injection volume for a toddler (1–3 years old) is 2 mL per injection site. This ensures adequate medication absorption and minimizes tissue damage.

💎 Preferred site: The vastus lateralis (anterolateral thigh) is the recommended IM site for toddlers because it has a larger muscle mass and is safer than the deltoid or gluteal muscles.

💎 Needle size: Typically, use a 22–25 gauge, 1-inch needle depending on muscle mass and viscosity of the solution.

💎 Safety tip: If more than 2 mL is required, the dose should be split into two injections in separate sites.

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Answer 2

Correct Answers:

2Ml

Rationale :

💎 Maximum IM volume for toddlers: The maximum intramuscular (IM) injection volume for a toddler (1–3 years old) is 2 mL per injection site. This ensures adequate medication absorption and minimizes tissue damage.

💎 Preferred site: The vastus lateralis (anterolateral thigh) is the recommended IM site for toddlers because it has a larger muscle mass and is safer than the deltoid or gluteal muscles.

💎 Needle size: Typically, use a 22–25 gauge, 1-inch needle depending on muscle mass and viscosity of the solution.

💎 Safety tip: If more than 2 mL is required, the dose should be split into two injections in separate sites.

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Answer 3

Correct Answers:

"Use a time-out lasting 4 minutes and avoid interaction during that time, paired with a brief explanation."

Rationale :

🪑 Preschool discipline: A 4-year-old benefits from consistent, age-appropriate consequences such as time-outs, which should last one minute per year of age (in this case, 4 minutes).

🪑 Developmental reasoning: Preschoolers are capable of understanding cause and effect when discipline is applied immediately and calmly.

🪑 Technique: The nurse should instruct parents to give a brief explanation before the time-out, remain calm and consistent, and avoid arguing or giving attention during the period.

🪑 Goal: This method encourages self-control, learning, and positive behavior without physical punishment, which can increase aggression and fear.

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Answer 4

Correct Answers:

6 months

Rationale :

🍼 Separation anxiety onset: This begins around 6 months of age when infants start to develop object permanence—understanding that people and objects still exist even when out of sight.

🍼 Peak period: It typically peaks at 10–18 months and gradually decreases by 3 years as the child becomes more secure.

🍼 Normal behavior: Crying or clinging when a parent leaves is a healthy sign of attachment and emotional development.

🍼 Parental guidance: Encourage short separations, consistent routines, and reassurance upon return to foster trust and security.

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Answer 5

Correct Answers:

Loss of primary teeth

Rationale :

💎 Developmental milestone: Around 6 years of age, children begin to lose their primary (deciduous) teeth, marking the transition into the school-age period.

💎 Dental development: The first permanent molars (“6-year molars”) typically erupt at this time, and tooth loss continues gradually until about age 12.

💎 Other changes: Physical growth becomes more steady—gaining about 2–3 kg (4–7 lb) and 2 inches (5 cm) per year, not 4–5 inches.

💎 Psychosocial note: This stage also brings greater coordination, independence, and confidence, aligning with Erikson’s stage of industry vs. inferiority.

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Answer 6

Correct Answers:

2

Rationale :

Identify order & stock

Ordered dose = 200 mg

Stock concentration = 400 mg ÷ 20 mL

Find mg per mL

400 mg ÷ 20 mL = 20 mg/mL

Calculate mL needed

200 mg ÷ 20 mg/mL = 10 mL

Convert mL to teaspoons

1 tsp = 5 mL

10 mL ÷ 5 mL per tsp = 2 tsp

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Answer 7

Correct Answers:

7.3

Rationale :

Identify values

Ordered dose = 390 mg

Available = 160 mg ÷ 3 mL

Compute concentration (mg per mL)

160 ÷ 3 = 53.3 mg/mL (repeating)

Calculate mL to give

390 ÷ 53.3 = 7.3125 mL

(equivalently: (390 ÷ 160) × 3 = 7.3125 mL)

Round to nearest tenth

7.3 mL

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Answer 8

Correct Answers:

Therapeutic

Rationale :

1️⃣ Therapeutic play focuses on helping children express feelings, cope with stress, or regain physical or motor function after illness or injury.

2️⃣ Activities that involve retraining muscles or improving eye-hand coordination, such as playing with building blocks, drawing, or ball games, are rehabilitative in nature, promoting both physical recovery and psychological well-being.

3️⃣ This type of play allows children to practice and strengthen specific skills in a supportive, engaging environment.

4️⃣ In nursing care, therapeutic play is often used by pediatric nurses and occupational therapists to aid recovery and adaptation to physical limitations.

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Answer 9

Correct Answers:

High fats, low carbohydrates

Rationale :

1️⃣ The ketogenic diet is a medically supervised, high-fat and low-carbohydrate diet designed to induce ketosis, a state in which the body uses fat instead of glucose for energy.

2️⃣ Ketone bodies produced during ketosis have an anticonvulsant effect, which helps reduce seizure frequency in children with refractory epilepsy (those not responding to anticonvulsant drugs).

3️⃣ The diet typically consists of about 70–80% fats, with limited carbohydrates and moderate protein intake, carefully calculated by a dietitian.

4️⃣ Continuous monitoring of glucose, ketone levels, and growth is essential to prevent complications like hypoglycemia or dehydration.

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Answer 10

Correct Answers:

Fentanyl has a rapid onset.

Rationale :

1️⃣ Fentanyl (Duragesic) is a potent opioid analgesic that provides rapid onset of pain relief, making it ideal for acute or postoperative pain management in children and adults.

2️⃣ Its quick absorption and powerful analgesic effects help control severe pain efficiently, especially when administered intravenously or transdermally.

3️⃣ The medication is often preferred because it produces less histamine release and fewer hemodynamic effects compared to other opioids like morphine.

4️⃣ Nurses must still monitor for respiratory depression, sedation, and dependence, as fentanyl is highly potent and addictive if misused.

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PN NJ Eve OB-Peds Exam 3 ...2025-Teterboro Eve

No.

1 :
The student nurse is preparing to administer a vaccine to the toddler. The nurse mentor praises the student nurse for recognizing which volume as being the maximum amount that can be administered to a toddler via IM administration?

2 :
The student nurse is preparing to administer a vaccine to the toddler. The nurse mentor praises the student nurse for recognizing which volume as being the maximum amount that can be administered to a toddler via IM administration?

4 :
What age does separation anxiety begin?

5 :
What is the most obvious physical change expected in the 6-year-old?

6 :
The healthcare provider prescribes 200mg of oral suspension medication to the outpatient client. The pharmacy dispenses 400mg/20 mL. How many teaspoons should nurse advise the client to take? Please write the numerical value only.

8 :
Retraining muscles or improving eye-hand coordination is considered what type of play?

9 :
The ketogenic diet is prescribed for children who do not respond well to anticonvulsant therapy. What should be the focus of this diet?

10 :
The parent of a hospitalized child asks, "Why is fentanyl (Duragesic) being used?" Which advantage of fentanyl should the nurse explain to the parent?

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PN NJ Eve OB-Peds Exam 3 ...2025-Teterboro Eve

No.

1 : The student nurse is preparing to administer a vaccine to the toddler. The nurse mentor praises the student nurse for recognizing which volume as being the maximum amount that can be administered to a toddler via IM administration?

2 : The student nurse is preparing to administer a vaccine to the toddler. The nurse mentor praises the student nurse for recognizing which volume as being the maximum amount that can be administered to a toddler via IM administration?

4 : What age does separation anxiety begin?

5 : What is the most obvious physical change expected in the 6-year-old?

6 : The healthcare provider prescribes 200mg of oral suspension medication to the outpatient client. The pharmacy dispenses 400mg/20 mL. How many teaspoons should nurse advise the client to take? Please write the numerical value only.

8 : Retraining muscles or improving eye-hand coordination is considered what type of play?

9 : The ketogenic diet is prescribed for children who do not respond well to anticonvulsant therapy. What should be the focus of this diet?

10 : The parent of a hospitalized child asks, "Why is fentanyl (Duragesic) being used?" Which advantage of fentanyl should the nurse explain to the parent?

1 :
The student nurse is preparing to administer a vaccine to the toddler. The nurse mentor praises the student nurse for recognizing which volume as being the maximum amount that can be administered to a toddler via IM administration?

2 :
The student nurse is preparing to administer a vaccine to the toddler. The nurse mentor praises the student nurse for recognizing which volume as being the maximum amount that can be administered to a toddler via IM administration?

4 :
What age does separation anxiety begin?

5 :
What is the most obvious physical change expected in the 6-year-old?

6 :
The healthcare provider prescribes 200mg of oral suspension medication to the outpatient client. The pharmacy dispenses 400mg/20 mL. How many teaspoons should nurse advise the client to take? Please write the numerical value only.

8 :
Retraining muscles or improving eye-hand coordination is considered what type of play?

9 :
The ketogenic diet is prescribed for children who do not respond well to anticonvulsant therapy. What should be the focus of this diet?

10 :
The parent of a hospitalized child asks, "Why is fentanyl (Duragesic) being used?" Which advantage of fentanyl should the nurse explain to the parent?