ACTUAL EXAM 242 MULTIPLE CHOICE
QUESTIONS AND ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |
ALREADY GRADED A+
A 12-month-old child just received the first measles, mumps, and
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rubella (mmR) vaccine. For which of the following possible reactions
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to this vaccine should the nurse teach the parents to monitor? (Select
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all that apply.)
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A.Rash
B.Swollen glands I
C.Bruising
D. headache I
E.Inconsolable crying ...ANS: A. A rash and fever can develop in I IIIII III I I I I I I I
children 1 to 2 weeks following
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mmR immunization. I
B. Swollen glands can develop in children 1 to 2 weeks following
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mmR immunization. I
C. A temporary low platelet count, causing bruising or bleeding, can
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occur occasionally following
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mmR immunization I
,A charge nurse is planning a staff education session to discuss
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medications used during the care of a client experiencing alcohol
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withdrawal. Which of the
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following medications should the charge nurse include in the
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discussion? (Select all that apply.)
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A.Lorazepam
B.Diazepam
C.Disulfiram
D.Naltrexone I
E.Acamprosate ...ANS: A. Lorazepam is a benzodiazepine used IIIII III I I I I I
during alcohol
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withdrawal to decrease anxiety and reduce the risk for seizures.
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B. Diazepam is a benzodiazepine used during alcohol
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withdrawal to decrease anxiety and reduce the risk for seizure
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A charge nurse is teaching a group of nurses about the importance of
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prophylactic antimicrobial therapy. Which of the following
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information
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should the charge nurse include in the teaching? (Select all that apply.)
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A.Administer prophylactic I I
antimicrobial therapy to clients who report exposure to a sexually
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transmitted infection.
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B.Administer prophylactic antimicrobial therapy to I I I I I
clients who are having
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orthopedic surgery. I I
,C.Instruct clients who have a prosthetic heart valve about the need for
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prophylactic
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antimicrobial therapy I I
before dental work. I I
D.Consult the provider for I I I I
prophylactic antimicrobial I I
therapy for clients who I I I I
have recurrent urinary
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tract infections.
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E.Instruct clients to request I I I I
prophylactic antimicrobial I I
therapy immediately I I
when they have an upper
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respiratory infection ...ANS: A. Clients who suspect exposure to a I IIIII III I I I I I I
sexually transmitted infection require prophylactic
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antimicrobial therapy to prevent an infection. I I I I I
B. Clients who are having orthopedic surgery require
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prophylactic antimicrobial therapy to prevent an infection. I I I I I I
C. Clients who are having dental work and have a prosthetic heart
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valve should receive prophylactic
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antimicrobial therapy to prevent an infection. I I I I I
D. Clients who have recurrent urinary tract infections should
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receive prophylactic antimicrobial therapy to prevent an infection
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A nurse assessing a client's IV catheter insertion site notes a
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hematoma. Which of the following actions should the nurse take?
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(Select all that apply.)
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A.Stop the infusion. I I
, B.Apply alcohol to the I I I I
insertion site. I
C.Apply warm compresses I I I
to the insertion site
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D.Elevate the client's arm. I I I
E.Obtain a specimen for I I I I
culture at the insertion site ...ANS: C. Warm compresses can help
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promote healing of a hematoma.
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D. Elevation of the arm helps reduce edema, which can cause pressure
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and pain and additional bleeding in the area of the hematoma.
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A nurse at a provider's office is preparing to administer RV, DTaP,
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hib, PCV13, and IPV immunizations to a 4-month-old infant. Which of
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the following actions should the nurse plan to take? (Select all that
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apply.)
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A.Administer IPV orally I I
B.Administer subcutaneous I I
injections in the anterolateral thigh. I I I I
C.Administer Im I
injections in the deltoid muscle.
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D.Give the infant his pacifier during vaccine injections.
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E.Teach parents to give I I I I
aspirin on a schedule for I I I I I