ACTUAL EXAM 242 QUESTIONS AND
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A 12‑month‑old child just received the primary measles, mumps, and rubella (mmR) vaccine.
For which of the subsequent possible reactions to this vaccine should the nurse educate the
dad and mom to monitor? (Select all that apply.)
A.Rash
B.Swollen glands
C.Bruising
D. Headache
E.Inconsolable crying - ANS-A. A rash and fever can expand in children 1 to 2 weeks following
mmR immunization.
B. Swollen glands can develop in kids 1 to two weeks following
mmR immunization.
C. A brief low platelet matter, inflicting bruising or bleeding, can arise from time to time following
mmR immunization
A rate nurse is making plans a personnel schooling consultation to talk about medicinal drugs
used at some point of the care of a customer experiencing alcohol withdrawal. Which of the
following medicines have to the rate nurse consist of within the dialogue? (Select all that apply.)
A.Lorazepam
B.Diazepam
C.Disulfiram
D.Naltrexone
,E.Acamprosate - ANS-A. Lorazepam is a benzodiazepine used throughout alcohol
withdrawal to decrease anxiety and decrease the hazard for seizures.
B. Diazepam is a benzodiazepine used in the course of alcohol
withdrawal to lower tension and reduce the threat for seizure
A fee nurse is teaching a group of nurses approximately the importance of
prophylactic antimicrobial therapy. Which of the following records
ought to the price nurse consist of within the coaching? (Select all that apply.)
A.Administer prophylactic
antimicrobial therapy to customers who document exposure to a sexually transmitted
contamination.
B.Administer prophylactic antimicrobial remedy to
customers who're having
orthopedic surgical treatment.
C.Instruct customers who have a prosthetic coronary heart valve about the want for prophylactic
antimicrobial remedy
before dental paintings.
D.Consult the provider for
prophylactic antimicrobial
therapy for clients who
have recurrent urinary
tract infections.
E.Instruct customers to request
prophylactic antimicrobial
therapy right away
when they have an upper
breathing contamination - ANS-A. Clients who suspect publicity to a sexually transmitted
contamination require prophylactic
antimicrobial remedy to prevent an infection.
B. Clients who are having orthopedic surgical procedure require
prophylactic antimicrobial therapy to prevent an infection.
C. Clients who're having dental paintings and feature a prosthetic coronary heart valve ought to
get hold of prophylactic
antimicrobial therapy to prevent an contamination.
D. Clients who have recurrent urinary tract infections should
,obtain prophylactic antimicrobial therapy to save you an contamination
A nurse assessing a client's IV catheter insertion website online notes a hematoma. Which of
the following moves have to the nurse take? (Select all that practice.)
A.Stop the infusion.
B.Apply alcohol to the
insertion site.
C.Apply warm compresses
to the insertion web page
D.Elevate the consumer's arm.
E.Obtain a specimen for
way of life on the insertion site - ANS-C. Warm compresses can assist sell recuperation of a
hematoma.
D. Elevation of the arm enables lessen edema, which could motive stress and pain and further
bleeding in the vicinity of the hematoma.
A nurse at a company's workplace is preparing to administer RV, DTaP,
hib, PCV13, and IPV immunizations to a four‑month‑antique toddler. Which of the following
actions ought to the nurse plan to take? (Select all that follow.)
A.Administer IPV orally
B.Administer subcutaneous
injections inside the anterolateral thigh.
C.Administer Im
injections inside the deltoid muscle.
D.Give the little one his pacifier throughout vaccine injections.
E.Teach dad and mom to present
aspirin on a schedule for
24 hr after immunization - ANS-B. Subcutaneous immunizations may be administered in both
the anterolateral thigh or the outer
element of the upper arm to infants and youngsters.
D.Giving the toddler a pacifier at some point of injections is a
comfort measure that ought to be recommended by using the nurse.
, A nurse in a health facility is being concerned for a set of customers. The nurse must touch the
company approximately a
potential contraindication to a medication for which of the following clients? (Select all that
follow.)
A.A customer at eight weeks of
gestation who asks for an
influenza immunization
B.A consumer who takes
prednisone and has a
viable fungal infection
C.A purchaser who has continual
liver ailment and is
taking hydrocodone
D.A consumer who has peptic ulcer sickness, takes sucralfate, and tells the nurse she has
started out taking OTC aluminum hydroxide
E.A client who has a pr
osthetic coronary heart valve, takes warfarin, and reports a suspected being pregnant - ANS-B.
Glucocorticoids have to now not be taken by means of a patron
who has a likely systemic fungal contamination. The nurse need to
understand a contraindication and notify the provider.
C. Acetaminophen is contraindicated because of toxicity for a customer who has a liver disorder.
The nurse have to notify the provider,
who can prescribe a medication that doesn't contain acetaminophen.
E. Warfarin is a Pregnancy Category X medicine,
that can purpose excessive birth defects to the fetus. The nurse
should notify the provider about the suspected pregnancy
A nurse in a issuer's office is teaching a determine of a toddler how
to manage ear drops. Which of the subsequent instructions ought to the
nurse consist of? (Select all that practice.)
A."Place the child on his
unaffected facet while you
are prepared to administer
the drugs."