MCN 374 on Chapter 16, 21, 22, 23 and 29
Knowledge test Exam Toolkit Questions and
Verified Marking Scheme 2024/2025
The nurse prepares a DTaP (diphtheria, tetanus toxoid, and
acellular pertussis) immunization for a 6-month-old infant. To
administer this injection safely, the nurse chooses which needle,
size and length, injection type, and injection site?
1. 25-gauge, 5/8-inch needle; IM (intramuscular); anterolateral
thigh.
2. 22-gauge, 1/2-inch needle; IM (intramuscular); ventrogluteal.
3. 25-gauge, 5/8-inch needle; ID (intradermal); deltoid.
4. 25-gauge, 3/4-inch needle; SQ (subcutaneous); anterolateral
thigh. - correct answer 1. 25-gauge, 5/8-inch needle; IM
(intramuscular); anterolateral thigh.
The dose of DTaP is 0.5 cc or 0.5 mL, to be given with a 22 to 25-
gauge, 5/8- to 3/4-inch needle; IM (intramuscularly). The only
safe intramuscular injection site for a 6-month-old infant is the
anterolateral thigh
,Reducing the number of preventable childhood illnesses is a
major national goal in Healthy People 2020. What will the school
nurse teach families regarding immunizations in order to reach
this goal?
1. A minor illness with a low-grade fever is a contraindication to
receiving an immunization according to Healthy People 2020.
2. Vaccines should be given one at a time for optimum active
immunity in the prevention of illness and disease.
3. Premature infants and low-birth-weight infants should receive
half doses of vaccines for protection from communicable
diseases.
4. It is important to maintain vaccination coverage for
recommended vaccines in early childhood and to maintain them
through kindergarten. - correct answer 4. It is important to
maintain vaccination coverage for recommended vaccines in
early childhood and to maintain them through kindergarten.
The benefits of vaccines far outweigh the risks from
communicable diseases and resulting complications. A minor
illness is not a contraindication to immunization. Giving vaccines
one at a time will result in many missed opportunities. Half doses
of vaccines should not be given routinely to premature and low-
birth-weight infants.
,A toddler client with a fever is prescribed amoxicillin clavulanate
250 mg/5 cc three times daily by mouth 10 days for otitis media.
Which teaching point will guard against antibiotic resistance to
the disease process?
1. Administer a loading dose for the first dose.
2. Measure the prescribed dose in a household teaspoon.
3. Give the antibiotic for the full 10 days.
4. Stop the antibiotic if the child is afebrile. - correct answer
3. Give the antibiotic for the full 10 days.
Antibiotics must be administered for the full number of days
ordered to prevent mutation of resistant strains of bacteria. A
loading dose was not ordered. A household teaspoon may contain
less than 5 cc, and the full dose must be given. Stopping the
antibiotic before the prescribed time will permit remaining
bacteria to reproduce, and the otitis media will return, possibly
with antibiotic-resistant organisms. The absence of a fever is not
an indication that all bacteria are killed or not reproducing.
The hospital has just provided its nurses with information about
biologic threats and terrorism. After completing the course, a
group of nurses is discussing its responsibility in relation to
, bioterrorism. Which statement by the nurse indicates a correct
understanding of the concepts presented?
1. It is important to separate clients according to age and illness
to prevent the spread of disease.
2. It is important to dispose blood-contaminated needles in the
lead-lined container.
3. I will notify the Centers for Disease Control (CDC) if a large
number of persons with the same life-threatening infection
present to the emergency room.
4. I will initiate isolation precautions for a hospitalized client
with methicillin-resistant staphylococcus aureus (MRSA). -
correct answer 3. I will notify the Centers for Disease
Control (CDC) if a large number of persons with the same life-
threatening infection present to the emergency room.
The CDC must be contacted to investigate the source of serious
infections and to determine if a bioterrorist threat exists.
Separating clients according to age and illness to prevent the
spread of disease will do nothing to stop terrorism. Proper
disposal of blood-contaminated needles in the sharps container
and initiating isolation precautions for a hospitalized client with
methicillin-resistant staphylococcus aureus (MRSA) are
appropriate nursing actions but do not relate to bioterrorism
Knowledge test Exam Toolkit Questions and
Verified Marking Scheme 2024/2025
The nurse prepares a DTaP (diphtheria, tetanus toxoid, and
acellular pertussis) immunization for a 6-month-old infant. To
administer this injection safely, the nurse chooses which needle,
size and length, injection type, and injection site?
1. 25-gauge, 5/8-inch needle; IM (intramuscular); anterolateral
thigh.
2. 22-gauge, 1/2-inch needle; IM (intramuscular); ventrogluteal.
3. 25-gauge, 5/8-inch needle; ID (intradermal); deltoid.
4. 25-gauge, 3/4-inch needle; SQ (subcutaneous); anterolateral
thigh. - correct answer 1. 25-gauge, 5/8-inch needle; IM
(intramuscular); anterolateral thigh.
The dose of DTaP is 0.5 cc or 0.5 mL, to be given with a 22 to 25-
gauge, 5/8- to 3/4-inch needle; IM (intramuscularly). The only
safe intramuscular injection site for a 6-month-old infant is the
anterolateral thigh
,Reducing the number of preventable childhood illnesses is a
major national goal in Healthy People 2020. What will the school
nurse teach families regarding immunizations in order to reach
this goal?
1. A minor illness with a low-grade fever is a contraindication to
receiving an immunization according to Healthy People 2020.
2. Vaccines should be given one at a time for optimum active
immunity in the prevention of illness and disease.
3. Premature infants and low-birth-weight infants should receive
half doses of vaccines for protection from communicable
diseases.
4. It is important to maintain vaccination coverage for
recommended vaccines in early childhood and to maintain them
through kindergarten. - correct answer 4. It is important to
maintain vaccination coverage for recommended vaccines in
early childhood and to maintain them through kindergarten.
The benefits of vaccines far outweigh the risks from
communicable diseases and resulting complications. A minor
illness is not a contraindication to immunization. Giving vaccines
one at a time will result in many missed opportunities. Half doses
of vaccines should not be given routinely to premature and low-
birth-weight infants.
,A toddler client with a fever is prescribed amoxicillin clavulanate
250 mg/5 cc three times daily by mouth 10 days for otitis media.
Which teaching point will guard against antibiotic resistance to
the disease process?
1. Administer a loading dose for the first dose.
2. Measure the prescribed dose in a household teaspoon.
3. Give the antibiotic for the full 10 days.
4. Stop the antibiotic if the child is afebrile. - correct answer
3. Give the antibiotic for the full 10 days.
Antibiotics must be administered for the full number of days
ordered to prevent mutation of resistant strains of bacteria. A
loading dose was not ordered. A household teaspoon may contain
less than 5 cc, and the full dose must be given. Stopping the
antibiotic before the prescribed time will permit remaining
bacteria to reproduce, and the otitis media will return, possibly
with antibiotic-resistant organisms. The absence of a fever is not
an indication that all bacteria are killed or not reproducing.
The hospital has just provided its nurses with information about
biologic threats and terrorism. After completing the course, a
group of nurses is discussing its responsibility in relation to
, bioterrorism. Which statement by the nurse indicates a correct
understanding of the concepts presented?
1. It is important to separate clients according to age and illness
to prevent the spread of disease.
2. It is important to dispose blood-contaminated needles in the
lead-lined container.
3. I will notify the Centers for Disease Control (CDC) if a large
number of persons with the same life-threatening infection
present to the emergency room.
4. I will initiate isolation precautions for a hospitalized client
with methicillin-resistant staphylococcus aureus (MRSA). -
correct answer 3. I will notify the Centers for Disease
Control (CDC) if a large number of persons with the same life-
threatening infection present to the emergency room.
The CDC must be contacted to investigate the source of serious
infections and to determine if a bioterrorist threat exists.
Separating clients according to age and illness to prevent the
spread of disease will do nothing to stop terrorism. Proper
disposal of blood-contaminated needles in the sharps container
and initiating isolation precautions for a hospitalized client with
methicillin-resistant staphylococcus aureus (MRSA) are
appropriate nursing actions but do not relate to bioterrorism
