VERSION A & B COMPLETE 2 LATEST VERSIONS
QUESTIONS AND CORRECT DETAILED
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Terms in this set (153)
A nurse in a pediatric B
clinic is assessing a Rationale: The nurse should initially minimize physical
toddler at a well-child visit. contact with the toddler, and then
Which of the progress from the least traumatic to the most
following actions should traumatic procedures.
the nurse take?
a. Perform the assessment
in a head to toe sequence.
b. Minimize physical
contact with the child
initially.
c. Explain procedures
using medical
terminology.
d. Stop the assessment if
the child becomes
uncooperative.
,A nurse is caring for an 18- B
year-old adolescent who Rationale: The meningococcal polysaccharide
is up-to-date on immunization is used to prevent infection by
immunizations and is certain groups of meningococcal bacteria.
planning to attend Meningococcal infection can cause life-threatening
college. The nurse should illnesses, such as meningococcal meningitis, which
inform the client that he affects the brain, and meningococcemia,
should receive which of which affects the blood. Both of these conditions can
the be fatal. College freshmen, particularly
following immunizations those who live in dormitories, are at an increased risk
prior to moving into a for meningococcal disease relative to other
campus dormitory? persons their age. Therefore, the Centers for Disease
a. Pneumococcal Control and Prevention has issued a
polysaccharide recommendation that all incoming college students
b. Meningococcal receive the meningococcal immunization.
polysaccharide
c. Rotavirus
d. Herpes zoster
A nurse is teaching the A
parent of an infant about Rationale: According to evidence-based practice, the
food allergens. Which of nurse should instruct the parent that cow's
the following milk is the most common food allergy in children.
foods should the nurse Some children are sensitive to the protein,
include as being the most called casein, found in cow's milk. They have difficulty
common food allergy in metabolizing the casein and are,
children? therefore, allergic to cow's milk.
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg
,A nurse is teaching the A
parent of a toddler about Rationale: Locking up medications and other potential
home safety. Which of the poisons prevents access. Toddlers have
following improved gross and fine motor skills that allow for
statements by the parent further exploration of the environment and
indicates an possible access to hazardous substances.
understanding of the
teaching?
a. "I lock my medications
in the medicine cabinet."
b. "I keep my child's crib
mattress at the highest
level."
c. "I turn pot handles to
the side of my stove while
cooking."
d. "I will give my child
syrup of ipecac if she
swallows something
poisonous."
A nurse is performing a B
physical assessment on a Rationale: The Babinski reflex, which is elicited by
6-month-old infant. Which stroking the bottom of the foot and causing
of the the toes to fan and the big toe to dorsiflex, should be
following reflexes should present until the age of 1 year. Persistence
the nurse expect to find? of neonatal reflexes might indicate neurological
a. Stepping deficits.
b. Babinski
c. Extrusion
d. Moro
, A nurse is preparing to C
administer recommended Rationale: The recommended immunizations for a 2-
immunizations to a 2- month-old infant include Hib and IPV. The
month-old infant. Hib immunization series consists of 3 to 4 doses,
Which of the following depending on the immunization used, and at a
immunizations should the minimum is administered at the ages of 2 months, 4
nurse plan to administer? months, and 12 to 15 months. The IPV
a. Human papillomavirus immunization series consists of 4 doses and is
(HPV) and hepatitis A administered at the ages of 2 months, 4 months, 6
b. Measles, mumps, to 18 months, and 4 to 6 years.
rubella (MMR) and
tetanus, diphtheria, and
acellular pertussis
(TDaP)
c. Haemophilus influenzae
type B (Hib) and
inactivated polio virus
(IPV)
d. Varicella (VAR) and live
attenuated influenza
vaccine (LAIV)