Nur 3490 Test 2 Questions With Complete Solutions
A 16-year-old girl comes into the office for a sports physical.
The recommendation is made for the girl to receive the Human
Papillomavirus vaccine. Her mother is upset about the
recommendation because she is sure her daughter is not yet
sexually active. Which of the following responses would be
most appropriate for the nurse to give?
1. Your daughter should receive the vaccine even though she has
a yeast allergy.
2. We need to give her a pregnancy test as well prior to
administering the vaccine.
3. She is overdue for the vaccine because she should have
received it when she was 9.
4. It is best if the vaccine is given before she becomes sexually
active in order to prevent genital warts and cervical cancer in the
future. Correct Answers ANS: 4
Feedback
1. The vaccine should not be given if the child is allergic to
yeast.
2. The nurse should educate the mother and daughter that the
vaccine is best administered prior to becoming sexually active to
prevent genital warts and cervical cancer from an HPV
infection.
3. The HPV vaccine is generally given to girls ages 11 to 18, but
can be given as early as age 9.
4. The HPV vaccine protects girls against HPV infections that
may lead to genital warts and cervical cancer. It is generally
given to girls ages 11to 18 prior to being sexually active, but can
,be given as early as age 9. The vaccine should not be
administered if the girl is allergic to yeast. Health-care workers
should check for pregnancy before giving the vaccine. Boys
ages 9 to 18 may also receive the vaccine.
A 16-year-old girl with mononucleosis is being evaluated for the
development of a maculopapular rash. The nurse should ask the
patient if she has taken which of the following medications?
1. Acetaminophen
2. Acyclovir
3. Amoxicillin
4. Aspirin Correct Answers ANS: 3
Feedback
1. Acetaminophen will not cause the side effects and is an
acceptable medication.
2. Acyclovir is contraindicated.
3. A maculopapular rash will appear if amoxicillin or ampicillin
is given to an individual with mononucleosis.
4. Aspirin should not be given to a child or an adolescent at any
time.
A 17-year-old patient with influenza tells the nurse, "I can't
believe I got sick. I've been taking vitamin C, vitamin D,
echinacea, and some other herbal remedies to boost my immune
system." Which should the nurse say in response to this patient?
Select all that apply.
1. "You probably weren't taking enough of the supplements."
,2. "Those supplements help with focus and attention, not disease
prevention."
3. "The safe use of supplements and herbs has not been
determined."
4. "The vitamins you were taking may have reduced the
effectiveness of the herbs."
5. "The effectiveness of supplements and herbs against influenza
has not been determined." Correct Answers ANS 3, 5
1. This is incorrect. Additional research is needed regarding
alternative supplements to identify safety and efficacy of these
therapies.
2. This is incorrect. The vitamins and supplements listed are
ones that people commonly take for disease prevention.
However, that does not mean they have been proved effective or
safe.
3. This is correct. The safety of supplements and herbs have not
been determined and need additional study.
4. This is incorrect. There is no evidence that taking vitamins
and herbs concurrently reduces the effectiveness of herbs.
5. This is correct. The effectiveness of supplements and herbs
for a specific health problem has not been determined and needs
additional study.
A 2-month-old infant is presenting for a well-child visit and is
due to receive the Rotavirus vaccine. The nurse recognizes that
obtaining the patients history is essential in the administration of
immunizations and preventing communicable disease. Which of
the following should the nurse assess for prior to administering
this vaccine?
, 1. Lung disease
2. Cardiac defects
3. Seizure disorder
4. Gastrointestinal disorders Correct Answers ANS: 4
Feedback
1. The immunization does not interfere with lung disease.
2. The immunization does not interfere with cardiac defects.
3. The immunization does not interfere with seizure disorders.
4. Rotavirus causes severe diarrhea and dehydration. The first
immunization is given between 6 and 14 weeks. The
immunization should be avoided if the child has a history of
intussusception or other gastrointestinal disorders.
A 2-month-old presents to the pediatric clinic with a cough with
crowing at the end, coryza, and vomiting. The diagnosis is
whooping cough, and the child is taken immediately to the
pediatric unit at the nearby hospital. The nurse explains the plan
of care for the infant to the mother. The nurse should say:
(Select all that apply.)
1. Feedings will be small in an attempt to keep the infant from
vomiting.
2. We will be watching how the infant breathes and will provide
extra support if needed.
3. We plan to wake the infant every hour in order to assess and
feed the infant to make sure that he/she is getting enough
calories.
4. Cool mist humidification will be continuous to help keep the
fever down.
A 16-year-old girl comes into the office for a sports physical.
The recommendation is made for the girl to receive the Human
Papillomavirus vaccine. Her mother is upset about the
recommendation because she is sure her daughter is not yet
sexually active. Which of the following responses would be
most appropriate for the nurse to give?
1. Your daughter should receive the vaccine even though she has
a yeast allergy.
2. We need to give her a pregnancy test as well prior to
administering the vaccine.
3. She is overdue for the vaccine because she should have
received it when she was 9.
4. It is best if the vaccine is given before she becomes sexually
active in order to prevent genital warts and cervical cancer in the
future. Correct Answers ANS: 4
Feedback
1. The vaccine should not be given if the child is allergic to
yeast.
2. The nurse should educate the mother and daughter that the
vaccine is best administered prior to becoming sexually active to
prevent genital warts and cervical cancer from an HPV
infection.
3. The HPV vaccine is generally given to girls ages 11 to 18, but
can be given as early as age 9.
4. The HPV vaccine protects girls against HPV infections that
may lead to genital warts and cervical cancer. It is generally
given to girls ages 11to 18 prior to being sexually active, but can
,be given as early as age 9. The vaccine should not be
administered if the girl is allergic to yeast. Health-care workers
should check for pregnancy before giving the vaccine. Boys
ages 9 to 18 may also receive the vaccine.
A 16-year-old girl with mononucleosis is being evaluated for the
development of a maculopapular rash. The nurse should ask the
patient if she has taken which of the following medications?
1. Acetaminophen
2. Acyclovir
3. Amoxicillin
4. Aspirin Correct Answers ANS: 3
Feedback
1. Acetaminophen will not cause the side effects and is an
acceptable medication.
2. Acyclovir is contraindicated.
3. A maculopapular rash will appear if amoxicillin or ampicillin
is given to an individual with mononucleosis.
4. Aspirin should not be given to a child or an adolescent at any
time.
A 17-year-old patient with influenza tells the nurse, "I can't
believe I got sick. I've been taking vitamin C, vitamin D,
echinacea, and some other herbal remedies to boost my immune
system." Which should the nurse say in response to this patient?
Select all that apply.
1. "You probably weren't taking enough of the supplements."
,2. "Those supplements help with focus and attention, not disease
prevention."
3. "The safe use of supplements and herbs has not been
determined."
4. "The vitamins you were taking may have reduced the
effectiveness of the herbs."
5. "The effectiveness of supplements and herbs against influenza
has not been determined." Correct Answers ANS 3, 5
1. This is incorrect. Additional research is needed regarding
alternative supplements to identify safety and efficacy of these
therapies.
2. This is incorrect. The vitamins and supplements listed are
ones that people commonly take for disease prevention.
However, that does not mean they have been proved effective or
safe.
3. This is correct. The safety of supplements and herbs have not
been determined and need additional study.
4. This is incorrect. There is no evidence that taking vitamins
and herbs concurrently reduces the effectiveness of herbs.
5. This is correct. The effectiveness of supplements and herbs
for a specific health problem has not been determined and needs
additional study.
A 2-month-old infant is presenting for a well-child visit and is
due to receive the Rotavirus vaccine. The nurse recognizes that
obtaining the patients history is essential in the administration of
immunizations and preventing communicable disease. Which of
the following should the nurse assess for prior to administering
this vaccine?
, 1. Lung disease
2. Cardiac defects
3. Seizure disorder
4. Gastrointestinal disorders Correct Answers ANS: 4
Feedback
1. The immunization does not interfere with lung disease.
2. The immunization does not interfere with cardiac defects.
3. The immunization does not interfere with seizure disorders.
4. Rotavirus causes severe diarrhea and dehydration. The first
immunization is given between 6 and 14 weeks. The
immunization should be avoided if the child has a history of
intussusception or other gastrointestinal disorders.
A 2-month-old presents to the pediatric clinic with a cough with
crowing at the end, coryza, and vomiting. The diagnosis is
whooping cough, and the child is taken immediately to the
pediatric unit at the nearby hospital. The nurse explains the plan
of care for the infant to the mother. The nurse should say:
(Select all that apply.)
1. Feedings will be small in an attempt to keep the infant from
vomiting.
2. We will be watching how the infant breathes and will provide
extra support if needed.
3. We plan to wake the infant every hour in order to assess and
feed the infant to make sure that he/she is getting enough
calories.
4. Cool mist humidification will be continuous to help keep the
fever down.
