Practice Question
A nurse is preparing to administer a vaccine into the deltoid muscle of a preschooler. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Insert the needle just below the acromion process.
Rationale:
💠 The deltoid muscle is located 2.5–5 cm (1–2 in) below the acromion process.
💠 This site provides adequate muscle mass for vaccine absorption in preschoolers.
💠 The correct needle length is typically ⅝ to 1 inch for IM injections in small children.
💠 Inserting too high can damage nerves, while too low risks subcutaneous administration.
💠 Correct landmarking ensures safety and efficacy.
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This question is from Week 13 Capstone Exam which contains 45 questions.
More Questions from This Exam
A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. Which of the following instructions should the nurse give to the parent?
Answer Choices:
A. Place your child in a supine position with a pillow under her back.
B. Apply ice at the base of the nose for 5 minutes and then check for bleeding.
C. Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes.
D. Place your child in a sitting position with her head tilted back.
A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition?
Answer Choices:
A. Tracks an object with eyes.
B. Smiles when a parent appears.
C. Slight pillow props.
D. Uses a pincer grasp to pick up a toy.
A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
Answer Choices:
A. I’m glad that my child’s ostomy is only temporary.
B. I want to learn how to empty my child’s urinary catheter bag.
C. I’m glad my child will have normal bowel movements now.
D. I want to learn how to use my child’s feeding tube as soon as possible.
A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor for complications in response to this diagnosis?
Answer Choices:
A. Respiratory
B. Cardiovascular
C. Integumentary
D. Gastrointestinal
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 4