Proctored EXAM FINAL
UPDATE WITH CORRECT
ANSWERS GRADED A+
A 12‑month‑old child just received the first measles, mumps, and rubella (mmR)
vaccine. For which of the following possible reactions to this vaccine should the
nurse teach the parents to monitor? (Select all that apply.)
A. Rash
B. Swollen glands
,C. Bruising
D. Headache
E. Inconsolable crying - ✔✔✔ANSWER-a, b, c
(A. A rash and fever can develop in children 1 to 2 weeks following
mmR immunization.
B. Swollen glands can develop in children 1 to 2 weeks following
mmR immunization.
C. A temporary low platelet count, causing bruising or bleeding, can occur
occasionally following
mmR immunization)
A charge nurse is planning a staff education session to discuss medications used
during the care of a client experiencing alcohol withdrawal. Which of the following
medications should the charge nurse include in the discussion? (Select all that
apply.)
A. Lorazepam
B. Diazepam
C. Disulfiram
D. Naltrexone
E. Acamprosate - ✔✔✔ANSWER-A. Lorazepam
B. Diazepam
,(A. Lorazepam is a benzodiazepine used during alcohol
withdrawal to decrease anxiety and reduce the risk for seizures.
B. Diazepam is a benzodiazepine used during alcohol
withdrawal to decrease anxiety and reduce the risk for seizure)
A charge nurse is teaching a group of nurses about the importance of prophylactic
antimicrobial therapy. Which of the following information should the charge nurse
include in the teaching? (Select all that apply.)
A. Administer prophylactic antimicrobial therapy to clients who report exposure to
a sexually transmitted infection.
B. Administer prophylactic antimicrobial therapy to clients who are having
orthopedic surgery.
C. Instruct clients who have a prosthetic heart valve about the need for
prophylactic antimicrobial therapy before dental work.
D. Consult the provider for prophylactic antimicrobial therapy for clients who have
recurrent urinary tract infections.
E. Instruct clients to request prophylactic antimicrobial therapy immediately when
they have an upper respiratory infection - ✔✔✔ANSWER-a, b, c, d
, (A. Clients who suspect exposure to a sexually transmitted infection require
prophylactic antimicrobial therapy to prevent an infection.
B. Clients who are having orthopedic surgery require prophylactic antimicrobial
therapy to prevent an infection.
C. Clients who are having dental work and have a prosthetic heart valve should
receive prophylactic antimicrobial therapy to prevent an infection.
D. Clients who have recurrent urinary tract infections should receive prophylactic
antimicrobial therapy to prevent an infection)
A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of
the following actions should the nurse take? (Select all that apply.)
A. Stop the infusion.
B. Apply alcohol to the insertion site.
C. Apply warm compresses to the insertion site
D. Elevate the client's arm.
E. Obtain a specimen for culture at the insertion site - ✔✔✔ANSWER-C. Apply
warm compresses to the insertion site
D. Elevate the client's arm.
(C. Warm compresses can help promote healing of a hematoma.