100% WITH CORRECT QUESTION AND
ANSWERS
ARnurseRisRaRprovidersRofficeRisRpreparingRtoRadministerRvaccinationsRtoRaRtoddlerRduri
ngRaRwell-
childRvisit.RWhichRofRtheRactionsRshouldRtheRnurseRplanRtoRtake?R(kidRhasRincreasedRR
RR&RHR;RallergyRtoRNeomycin)
A. WithholdRtheRmeasles,Rmumps,RandRrubellaR(MMR)Rvaccine.
B. WithholdRtheRdiphtheria,Rtetanus,RandRpertussisR(DTaP)Rvaccine.
C. WithholdRtheRinfluenzaRvaccine.
D. WithholdRtheRtuberculinRskinRtestR(TST).R-
RA.RWithholdRtheRmeasles,Rmumps,RandRrubellaR(MMR)Rvaccine.
Rationale:RTheRnurseRshouldRrecognizeRthatRanRallergyRtoRneomycinRwithRanRanaphyla
cticRreactionRisRaRcontraindicationRforRreceivingRtheRMMRRvaccine.RClientsRwhoRhaveRa
RsevereRallergyRtoReggsRorRgelatinRshouldRnotRreceiveRthisRvaccine.
ARnurseRisRprovidingRteachingRtoRtheRparentRofRaRschool-
agedRchildRwhoRhasRaRnewRprescriptionRforRoralRnystatinRforRtheRtreatmentRofRoralRcan
didacies.RWhichRofRtheRfollowingRinstructionsRshouldRtheRnurseRinclude?
A. "ShakeRtheRmedicationRpriorRtoRadministration."
B. "ProvideRtheRmedicationRthroughRaRstraw."
C. "RinseRtheRchild'sRmouthRwithRwaterRimmediatelyRafterRgivingRtheRmedication."
D. "MixRtheRmedicationRwithRapplesauceRifRtheRchildRdislikesRtheRtaste."R-
RA.R"ShakeRtheRmedicationRpriorRtoRadministration."
Rationale:RTheRnurseRshouldRinstructRtheRparentRtoRshakeRtheRmedicationRpriorRtoRadm
inistrationRtoRdisperseRtheRmedicationRevenlyRwithinRtheRsuspension.
ARnurseRisRreviewingRtheRlumbarRpunctureRresultsRofRaRschool-
agedRchildRwhoRhasRsuspectedRbacterialRmeningitis.RWhichRofRtheRfollowingRfindingsRs
houldRtheRnurseRidentifyRasRanRindicationRofRbacterialRmeningitis?
A. DecreasedRcerebrospinalRfluidRpressure
B. DecreasedRWBCRcount
C. IncreasedRproteinRconcentration
D. IncreasedRglucoseRlevelR-RC.RIncreasedRproteinRconcentration
Rationale:RTheRnurseRshouldRidentifyRthatRanRincreasedRproteinRconcentrationRinRtheRs
pinalRfluidRisRaRfindingRthatRcanRindicateRbacterialRmeningitis.
ARnurseRisRcaringRforRaRpreschoolerRwhoseRfatherRisRgoingRhomeRhomeRforRaRfewRhour
sRwhileRanotherRrelativeRstaysRwithRtheRchild.RWhichRofRtheRfollowingRstatementsRshoul
dRtheRnurseRmakeRtoRexplainRtoRtheRchildRwhenRtheirRfatherRwillRreturn?
A. "YourRdaddyRwillRbeRbackRatR7Rp.m."
B. "YourRdaddyRwillRbeRbackRafterRyouReat."
C. "YourRdaddyRwillRbeRbackRinRtheRmorning."
D. "YourRdaddyRwillRbeRbackRafterRheRtakesRcareRofRyourRbrother."R-
RB.R"YourRdaddyRwillRbeRbackRafterRyouReat."
Rationale:RPreschoolersRmakeRsenseRofRtimeRbestRwhenRtheyRcanRassociateRitRwithRan
RexpectedRdailyRroutine,RsuchRasRmealsRandRbedtime.RTherefore,RtheRchildRcomprehe
ndsRtimeRbestRwhenRitRisRexplainedRtoRthemRinRrelationRtoRanReventRtheyRareRfamiliarRwi
th,RsuchRasReating.
, ARnurseRisRreviewingRtheRlaboratoryRreportRofRaRschool-
agedRchildRwhoRisRexperiencingRfatigue.RWhichRofRtheRfollowingRfindingsRshouldRtheRn
urseRrecognizeRasRanRindicationRofRanemia?
A. HematocritR28%
B. HemoglobinR13.5Rg/dL
C. WBCRcountR8,000/mm3
D. PlateletsR250,000/mm3R-RA.RHematocritR28%
Rationale:RTheRnurseRshouldRrecognizeRthatRthisRhematocritRlevelRisRbelowRtheRexp
ectedRreferenceRrangeRofR32%RtoR44%RforRaRschool-
ageRchild.RTheRchildRcanRexhibitRfatigue,Rlightheadedness,Rtachycardia,Rdyspnea,Ra
ndRpallorRdueRtoRtheRdecreasedRoxygen-carryingRcapacity.
ARnurseRisRreviewingRtheRlaboratoryRresultsRofRanRinfantRwhoRisRreceivingRtreatmentRfor
RsevereRdehydration.RTheRnurseRshouldRidentifyRwhichRofRtheRfollowingRlabRvaluesRindi
catesRthatRtheRtreatmentRisRworking?
A. PotassiumR2.9RmEq/L
B. SodiumR140RmEq/L
C. UrineRspecificRgravityR1.035
D. BUNR25Rmg/dLR-RB.RSodiumR140RmEq/L
Rationale:RTheRnurseRshouldRidentifyRthatRaRsodiumRlevelRofR140RmEq/LRisRwithinRth
eRexpectedRreferenceRrangeRofR134RtoR150RmEq/LRandRindicatesRtheRcurrentRtreatm
entRregimenRtheRinfantRisRreceivingRforRdehydrationRisReffective.
ARnurseRisRreviewingRtheRlaboratoryRreportRofRaR7-year-
oldRchildRwhoRisRgoingRthroughRchemotherapy.RwhichRofRtheRfollowingRlabRvaluesRshou
ldRtheRnurseRreportRtoRtheRprovider?
A. HgbR8.5Rg/dL
B. WBCRcountR9,500/mm3
C. PrealbuminR18Rmg/dL
D. PlateletsR300,000/mm3R-RA.RHgbR8.5Rg/dL
Rationale:RARchildRreceivingRchemotherapyRisRatRriskRforRanemiaRdueRtoRtheRchemothe
rapyReffectsRonRtheRblood-
formingRcellsRofRtheRboneRmarrow.RTheRdevelopmentRofRanemiaRisRdiagnosedRthrough
RlaboratoryRtestingRofRhemoglobinRandRhematocritRlevels.RTheRnurseRshouldRrecognize
RthatRaRhemoglobinRlevelRofR8.5Rg/dLRisRbelowRtheRexpectedRreferenceRrangeRofR10RtoR
15.5Rg/dLRforRaR7-year-oldRchildRandRshouldRbeRreportedRtoRtheRprovider.
ARnurseRisRteachingRtheRparentsRofRanRinfantRwaysRtoRpreventRsuddenRinfantRdeathRsyn
dromeR(SIDS).RWhichRofRtheRfollowingRinstructionsRshouldRtheRnurseRinclude?
A. "PlaceRtheRinfantRinRaRproneRpositionRtoRsleep."
B. "AllowRtheRinfantRtoRsleepRonRaRlargeRpillow."
C. "UseRaRsoftRmattressRinRtheRinfant'sRcrib."
D. "GiveRtheRinfantRaRpacifierRatRbedtime."R-
RD.R"GiveRtheRinfantRaRpacifierRatRbedtime."RRationale:RTheRnurseRshouldRinformRtheRp
arentRthatRprotectiveRfactorsRagainstRSIDSRincludeRbreastfeedingRandRtheRuseRofRaRp
acifierRwhenRtheRinfantRisRsleeping.
ARnurseRisRcaringRforRaRpreschoolerRwhoRhasRbeenRreceivingRIVRfluidsRviaRaRperipheralR
IVRcatheter.RWhenRpreparingRtoRdiscontinueRtheRIVRfluidsRandRcatheter,RwhichRofRtheRf
ollowingRactionsRshouldRtheRnurseRplanRtoRtake?R(placeRinRorder)
RemoveRtheRtapeRsecuringRtheRcatheter