1. A mother brings her 2-month-old baby into the clinic for a well-baby visit. Into which muscle should the two-month immunizations be injected?
a) Gluteus medius
b) Gluteus maximus
d) Vastus lateralis
2. The Measles, Mumps, and Rubella (MMR) vaccine is administered by which route:
3. A hospitalized patient has a serum potassium level of 3.0 mmol/L and is prescribed potassium acetate. The patient is not able to take the medication orally but is well-hydrated. How could it be administered safely?
c) Undiluted via IV push over 1 minute
d) Diluted in normal saline at a rate below 20 mmol/hr
4. A patient presents for a pack red blood cell infusion with a hematocrit of 21% and a hemoglobin of 6.5%. The patient is a vegetarian and eats only raw foods. What is the likely cause of the patient's anemia?
a) Iron deficiency
b) Folate deficiency
c) B12 deficiency
d) Microscopic blood loss
5. A two-year-old child who attends daycare presents to urgent care with nasal congestion and cough. The child does not know how to blow his nose yet. What does the nurse anticipate teaching the parent to do to help with the congestion? Select all that apply.
a) Administer nasal decongestant medication by mouth
b) Suction the child's nose with a bulb syringe
c) Administer nasal saline spray
d) Taking the patient into a steamy shower or using a cool-mist humidifier
6. A four-year-old patient who is currently undergoing chemotherapy has vital signs taken upon admission to the day hospital. Which value would cause the nurse to contact the provider before starting the infusion?
a) Pulse of 110 beats per minute
b) Blood pressure of 90/60 mmHg
c) Respiratory rate of 26 breaths per minute
d) Temperature of 38C
7. A sixty-year-old patient presents to the emergency department with chest pain and labs are drawn. Which test result would require that the nurse notify the provider immediately?
a) Troponin of 0.01 mg/ml
b) CK-MB of 8.3 mg/ml
c) Blood pressure of 130/90 mm hg
d) CK of 102 u/ml
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