TESTED QUESTIONS AND SOLUTIONS FULL
REVIEW GRADED A+
◉ A 4-year-old child with Leukemia receives chemotherapy. Which
vaccine is the nurse most concerned with child receiving?
A. DTAP (pertussis)
B. IPV (polio)
C. Hib vaccine (Flu)
D. MMR (mumps, measles, rubella). Answer: D. MMR (mumps,
measles, rubella)
Rationale: The rubella might be contraindicated
◉ A patient enters the ED with severe angioedema. What are some
important questions the nurse should immediately ask the patient?
Select all that apply:
A. "What medications have you taken recently?"
B. "Are you sexually active?"
,C. "Do you have any known allergies?"
D. "Do you have any family members with cancer?"
E. "Are you having trouble breathing?"
F. "Can you swallow?". Answer: A. "What medications have you taken
recently?"
C. "Do you have any known allergies?"
E. "Are you having trouble breathing?"
F. "Can you swallow?"
◉ A 25-year-old female patient requested an HIV blood test because
she has had multiple, consensual sexual partners and does not use
protection. Her test comes back negative and the patient is both
relieved and excited. What should the nurse include in the patient's
care?
A. Ask the patient why she has so many different partners
B. Inform the patient that the test will have to repeated before her
negative status can be confirmed
C. Educate the patient to start using protection during future sexual
encounters
,D. Assess the patient for depression. Answer: C. Educate the patient
to start using protection during future sexual encounters
Rationale: The nurse should discuss primary preventions for this
patient. The patient is not the victim of a sex crime and therefore
does not need to be assessed for depression. It is not appropriate to
inquire about the number of sexual partners she has had and the
ELISA does not have to be repeated
◉ A nurse cares for a 7-year-old female patient who has sickle cell
anemia disease. Upon her admission to the clinic, the patient rated
her pain as a 4 on the Faces Scale. Two hours later, she rates her pain
as a 7 on the "Faces Scale." Her input/output includes 40 mL and her
O2 status is 94%. The nurse suspects the patient is experiencing a
sickle cell crisis. What action should the nurse take first?
A. Notify the physician
B. Administer IV fluids (standing order)
C. Reassess the patient's pain level
D. Order a STAT MRI. Answer: B. Administer IV fluids (standing
order)
Rationale: The priority actions the nurse should take while caring
for a a patient who is in a sickle cell crisis, involve "hydration, pain,
and oxygenation." In this case, the patient's pain level has already
, been reassessed and her O2 status is normal. However, her
input/output is well below 60 mL (30 mL per hour) and there is
already a standing order for IV fluids. In this case, it is necessary to
administer the fluids before notifying the HCP.
◉ A nursing student wants to write a research paper on childhood
leukemia. How should the pathology of leukemia be described?
A. An uncontrolled production of immature white blood cells
(WBCs)
B. An autoimmune disease that occurs when the body's immune
system attacks its own tissues and organs
C. The destruction of red blood cells (RBCs)
D. A serious form of skin cancer that arises from melanocytes.
Answer: A. An uncontrolled production of immature white blood
cells (WBCs)
◉ What does sickle cell anemia cause? Select all that apply:
A. A decrease in the viscosity of the blood
B. An increase in destruction of red blood cells
C. A decrease in the amount of oxygenated blood
D. An increase in the viscosity of the blood. Answer: B. An increase in
destruction of red blood cells