2024/2025
Questions and answers
(LATEST 2024 /2025 UPDATE)
,A 12‑month‑old child just received the first measles, mumps, and rubella (mmR) vaccine.For which
of the following possible reactions to this vaccine should the nurse teach the parents to monitor?
(Select all that apply.)
A. Rash
B. Swollen glands
C. Bruising
D. Headache
E. Inconsolable crying - a, b, c
(A. A rash and fever can develop in children 1 to 2 weeks followingmmR
immunization.
B. Swollen glands can develop in children 1 to 2 weeks followingmmR
immunization.
C. A temporary low platelet count, causing bruising or bleeding, can occur occasionallyfollowing
mmR immunization)
A charge nurse is planning a staff education session to discuss medications used duringthe care of a
client experiencing alcohol withdrawal. Which of the following medications should the charge
nurse include in the discussion? (Select all that apply.)
,A. Lorazepam
B. Diazepam
C. Disulfiram
D. Naltrexone
E. Acamprosate - A. Lorazepam
B. Diazepam
(A. Lorazepam is a benzodiazepine used during alcohol withdrawal to
decrease anxiety and reduce the risk for seizures.
B. Diazepam is a benzodiazepine used during alcohol withdrawal to
decrease anxiety and reduce the risk for seizure)
A charge nurse is teaching a group of nurses about the importance of prophylactic antimicrobial
therapy. Which of the following information should the charge nurse includein the teaching?
(Select all that apply.)
A. Administer prophylactic antimicrobial therapy to clients who report exposure to a
sexually transmitted infection.
B. Administer prophylactic antimicrobial therapy to clients who are having orthopedic
surgery.
C. Instruct clients who have a prosthetic heart valve about the need for prophylactic
antimicrobial therapy before dental work.
, D. Consult the provider for prophylactic antimicrobial therapy for clients who have
recurrent urinary tract infections.
E. Instruct clients to request prophylactic antimicrobial therapy immediately when theyhave an
upper respiratory infection - a, b, c, d
(A. Clients who suspect exposure to a sexually transmitted infection require prophylactic
antimicrobial therapy to prevent an infection.
B. Clients who are having orthopedic surgery require prophylactic antimicrobial therapy toprevent
an infection.
C. Clients who are having dental work and have a prosthetic heart valve should receive
prophylactic antimicrobial therapy to prevent an infection.
D. Clients who have recurrent urinary tract infections should receive prophylactic
antimicrobial therapy to prevent an infection)
A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of thefollowing
actions should the nurse take? (Select all that apply.)
A. Stop the infusion.
B. Apply alcohol to the insertion site.
C. Apply warm compresses to the insertion site