Pediatric Nursing: NCLEX-RN Nursing Guide

Answer: D. A concentration expressed as 250 mg per 5 mL means that every 5 mL of the suspension contains 250 mg of the drug, so option D is correct. Options A and B misread the label by dropping the milligram value, and option C (1,250 mg) would be the amount contained in 25 mL, not 5 mL. Correctly interpreting a medication's concentration is essential before calculating and measuring a dose, particularly for pediatric clients, whose doses are weight-based and leave little margin for error. The nurse should also shake the suspension well and measure it with an oral syringe rather than a household spoon.

Answer: B. The nurse informs the charge nurse which specific skills fall outside their competence so the assignment can be adjusted, which protects clients while meeting the staffing need (option B). Refusing the entire assignment and leaving (A) can constitute abandonment and solves nothing. Accepting every task and learning unfamiliar skills on the client (C) is unsafe. Silently completing only comfortable tasks and ignoring the rest (D) leaves needed care undone. Floating is a normal part of practice, and the nurse accepts care within their competence while flagging gaps. The nurse requests orientation or a modified assignment matched to their skills.

Answer: D. A floated nurse should receive assignments within their competence, so stable clients with common needs are most appropriate (option D). Assigning the most critically ill child (A) exceeds the safe scope for a nurse unfamiliar with the specialty. A specialized chemotherapy protocol (B) requires specific training the medical nurse may lack. The charge-nurse role (C) requires familiarity with the unit and staff. Matching the assignment to the nurse's demonstrated competence protects clients and the nurse. The charge nurse provides orientation and support and pairs the floated nurse with unit staff as needed.