Peds Exam 2 NCLEX Questions and Answers Already passed Latest

Peds Exam 2 NCLEX Questions and Answers Already passed Latest A 2-month-old formerly healthy infant born at term is seen in the urgent care clinic with intercostal retractions, respiratory rate of 62, heart rate of 128, refusal to breastfeed, abundant nasal secretions, and a pulse oximeter reading of 88% in room air. The diagnosis of respiratory syncytial virus (RSV) is made, and a bronchodilator is administered. The infant's oxygen saturation (SaO2) remains 95% in room air, and the respiratory rate is 54, with intercostal retractions; heart rate is 120 bpm. After 2 hours of observation and an intravenous (IV) bolus of fluids, the infant is being discharged home. The nurse provides which of the following home care instructions for this infant? Select all that apply. a. Continue breastfeeding infant. b. Discontinue breastfeeding and administer Pedialyte for 24 hours. c. Observe infant for labored breathing or apnea (cessation of breathing). d. Instill normal saline drops in both nares and suction thoroughly before feeding and before placing to sleep. e. Place infant to sleep on his side with the head of bed slightly elevated to facilitate breathing. f. Keep the infant out of daycare or nursery. - A. Continue breastfeeding infant C. Observe infant for labored breathing or apnea (cessation of breahting) D. Instill normal saline drops in both nares and suction thoroughly before feeding and before placing to sleep F. Keep the infant out of daycare or nursery Which of the following should be used in the care of all pediatric patients to reduce the risk of transmission of microorganisms from both recognized and unrecognized sources of infection? a. Transmission-based precautions b. Airborne precautions c. Standard precautions d. Droplet precautions - C. Standard Precautions Which childhood vaccine provides some protection against bacterial meningitis, epiglottitis, and bacterial pneumonia? a. Hib vaccine b. Hepatitis B vaccine c. Varicella vaccine d. Influenza vaccine - A. Hib vaccine Which vaccine do the Advisory Committee on Immunization Practices (Centers for Disease Control and Prevention) and American College of Obstetricians and Gynecologists recommend that pregnant adolescents and women who are not protected against pertussis receive optimally between 27 and 36 weeks gestation or postpartum prior to discharge from the hospital? a. DTaP b. Td c. IPV d. Tdap - D. Tdap Which childhood vaccine provides protection against streptococcal infections, such as otitis media, sinusitis, and pneumonia? a. Rotavirus vaccine b. Hib vaccine c. Pneumococcal vaccine d. MMR vaccine - C. Pneumococcal vaccine One of the most common intestinal parasitic pathogens in the United States acquired from a contaminated water source such as a lake or swimming pool is: a. Tinea capitis b. Giardia intestinalis c. Pediculosis capitis d. Enterobiasis - B. Giardia intestinalis Vitamin A may be administered in significant amounts to children with this childhood communicable illness to decrease morbidity and mortality: a. Pertussis b. Varicella c. Rubella d. Measles - D. Measles A 10-year-old child with a peanut allergy would be expected to have which of these as an early manifestation of his allergy? Select all that apply. a. Wheezing b. Nausea c. Headache d. Trouble breathing e. Urticaria (hives) - A. Wheezing D. Trouble breathing E. Urticaria