NURS3550 Final Review Questions With Complete
Solutions
A 3-year-old child is scheduled to receive pneumococcal
vaccine (PCV). Which condition should the nurse recognize as a
contraindication to the vaccine in this child?
A. Autism
B. Premature birth
C. Temperature of 103°F
D. The child's mother is pregnant Correct Answer Answer: C.
Temperature of 103°F
A child receives a vaccine for measles, mumps, and rubella
(MMR). Six hours after the injection, the child's parent reports
local soreness, erythema, lethargy, and a fever of 101°F to a
nurse. Which action should the nurse take?
A. Obtain and fill out a Vaccine Adverse Event Report form.
B. Tell the parent that a live vaccine will cause a mild case of
measles.
C. Seek emergency help, because these symptoms are signs of
an anaphylactic reaction.
D. Give instructions on relieving symptoms with
acetaminophen. Correct Answer Answer: D Give instructions
on relieving symptoms with acetaminophen.
A male patient is prescribed a transdermal testosterone gel
[AndroGel]. It is most appropriate for the nurse to teach the
patient to do what?
,A.Apply the gel to the genital area every morning.
B.Leave the patch in contact with the skin for 24 hours.
C.Avoid showering or swimming after gel application.
D.Keep the treated area covered with clothing. Correct Answer
Answer: D
Rationale: AndroGel should be applied once daily to the
shoulders, upper arms, or abdomen, but not the genitalia.
AndroGel is not a patch, but rather a gel that is rubbed into the
skin. Showering or swimming is allowed 5 to 6 hours after
application. The treated area should be covered with clothing.
A microbe acquires antibiotic resistance by which means?
Development of medication resistance in the host
Overriding of the minimum bactericidal concentration
Incorrect dosing, which contributes to ribosome mutations
Transfer of DNA coding to other bacteria Correct Answer
Answer: Transfer of DNA coding to other bacteria
A nurse administers Gardasil, the human papillomavirus (HPV)
vaccine, to an 11-year-old girl. The nurse informs the parent that
routine screening with which diagnostic test is needed?
A. Beta hCG
B. Chlamydia test
C. Pap test
D. Mammogram Correct Answer Answer: C. Pap test
A nurse administers varicella vaccine [Varivax] to a child. The
nurse then instructs the parent to avoid giving the child which
product for 6 weeks?
,A. Foods fortified with vitamin D
B. Foods with citric acid
C. Acetaminophen
D. Acetylsalicylic acid Correct Answer Answer: D
Acetylsalicylic acid
A nurse administers which medication to inhibit an enzyme that
makes gastric acid in a patient who has a duodenal ulcer?
A. Omeprazole [Prilosec]
B. Famotidine [Pepcid]
C. Misoprostol [Cytotec]
D. Ranitidine [Zantac] Correct Answer Answer: A
Omeprazole [Prilosec]
A nurse assesses a male patient who has developed
gynecomastia while receiving treatment for peptic ulcers. Which
medication from the patient's history should the nurse recognize
as a contributing factor?
Amoxicillin [Amoxil]
Cimetidine [Tagamet]
Metronidazole [Flagyl]
Omeprazole [Prilosec] Correct Answer Answer: Cimetidine
[Tagamet]
A nurse assesses a patient who is taking pramlintide [Symlin]
with mealtime insulin. Which finding requires immediate
follow-up by the nurse?
, Skin rash
Sweating
Itching
Pedal edema Correct Answer Answer: Sweating
A nurse assesses the urine output of a patient receiving oxytocin
[Pitocin]. Which finding would require immediate follow-up by
the nurse?
80 mL in the past 4 hours
250 mL in the past 8 hours
150 mL in the past hour
400 mL in the past 12 hours Correct Answer Answer: 80 mL
in the past 4 hours
A nurse assessing a patient who is 12 years old should associate
which complication with the patient's receiving tetracycline as a
younger child?
A. Delay in long bone growth
B. Discoloration of the teeth
C. Severe face and body acne
D. Early onset of puberty Correct Answer Answer: B
Discoloration of the teeth
A nurse assessing a patient who is 12 years old should associate
which complication with the patient's receiving tetracycline as a
younger child?
Delay in long bone growth
Early onset of puberty
Solutions
A 3-year-old child is scheduled to receive pneumococcal
vaccine (PCV). Which condition should the nurse recognize as a
contraindication to the vaccine in this child?
A. Autism
B. Premature birth
C. Temperature of 103°F
D. The child's mother is pregnant Correct Answer Answer: C.
Temperature of 103°F
A child receives a vaccine for measles, mumps, and rubella
(MMR). Six hours after the injection, the child's parent reports
local soreness, erythema, lethargy, and a fever of 101°F to a
nurse. Which action should the nurse take?
A. Obtain and fill out a Vaccine Adverse Event Report form.
B. Tell the parent that a live vaccine will cause a mild case of
measles.
C. Seek emergency help, because these symptoms are signs of
an anaphylactic reaction.
D. Give instructions on relieving symptoms with
acetaminophen. Correct Answer Answer: D Give instructions
on relieving symptoms with acetaminophen.
A male patient is prescribed a transdermal testosterone gel
[AndroGel]. It is most appropriate for the nurse to teach the
patient to do what?
,A.Apply the gel to the genital area every morning.
B.Leave the patch in contact with the skin for 24 hours.
C.Avoid showering or swimming after gel application.
D.Keep the treated area covered with clothing. Correct Answer
Answer: D
Rationale: AndroGel should be applied once daily to the
shoulders, upper arms, or abdomen, but not the genitalia.
AndroGel is not a patch, but rather a gel that is rubbed into the
skin. Showering or swimming is allowed 5 to 6 hours after
application. The treated area should be covered with clothing.
A microbe acquires antibiotic resistance by which means?
Development of medication resistance in the host
Overriding of the minimum bactericidal concentration
Incorrect dosing, which contributes to ribosome mutations
Transfer of DNA coding to other bacteria Correct Answer
Answer: Transfer of DNA coding to other bacteria
A nurse administers Gardasil, the human papillomavirus (HPV)
vaccine, to an 11-year-old girl. The nurse informs the parent that
routine screening with which diagnostic test is needed?
A. Beta hCG
B. Chlamydia test
C. Pap test
D. Mammogram Correct Answer Answer: C. Pap test
A nurse administers varicella vaccine [Varivax] to a child. The
nurse then instructs the parent to avoid giving the child which
product for 6 weeks?
,A. Foods fortified with vitamin D
B. Foods with citric acid
C. Acetaminophen
D. Acetylsalicylic acid Correct Answer Answer: D
Acetylsalicylic acid
A nurse administers which medication to inhibit an enzyme that
makes gastric acid in a patient who has a duodenal ulcer?
A. Omeprazole [Prilosec]
B. Famotidine [Pepcid]
C. Misoprostol [Cytotec]
D. Ranitidine [Zantac] Correct Answer Answer: A
Omeprazole [Prilosec]
A nurse assesses a male patient who has developed
gynecomastia while receiving treatment for peptic ulcers. Which
medication from the patient's history should the nurse recognize
as a contributing factor?
Amoxicillin [Amoxil]
Cimetidine [Tagamet]
Metronidazole [Flagyl]
Omeprazole [Prilosec] Correct Answer Answer: Cimetidine
[Tagamet]
A nurse assesses a patient who is taking pramlintide [Symlin]
with mealtime insulin. Which finding requires immediate
follow-up by the nurse?
, Skin rash
Sweating
Itching
Pedal edema Correct Answer Answer: Sweating
A nurse assesses the urine output of a patient receiving oxytocin
[Pitocin]. Which finding would require immediate follow-up by
the nurse?
80 mL in the past 4 hours
250 mL in the past 8 hours
150 mL in the past hour
400 mL in the past 12 hours Correct Answer Answer: 80 mL
in the past 4 hours
A nurse assessing a patient who is 12 years old should associate
which complication with the patient's receiving tetracycline as a
younger child?
A. Delay in long bone growth
B. Discoloration of the teeth
C. Severe face and body acne
D. Early onset of puberty Correct Answer Answer: B
Discoloration of the teeth
A nurse assessing a patient who is 12 years old should associate
which complication with the patient's receiving tetracycline as a
younger child?
Delay in long bone growth
Early onset of puberty
