PROCTORED ACTUAL EXAM ALL 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A nurse in a provider's office is caring for a school-age child who has
varicella. The parent ask the nurse when her child will no longer be
contagious. Which of the following responses should the nurse make?
A- When your child no longer has an increased temperature
B- three days after you first noticed the rash appear on your child
C- when your child lesions are crusted, 6 days after they appear
D- 2 - 3 weeks, when your child's lesions completely disappear
- Correct Answer - C- when your child lesions are crusted, 6 days after they appear; The
nurse should inform the parent that the child is contagious 1 day prior to lesion eruption
and until the vesicles have crusted over, which usually takes about
6 days.
A nurse in a provider's office is caring for a school-age child who has
varicella. The parent ask the nurse when her child will no longer be
contagious. Which of the following responses should the nurse make?
A- When your child no longer has an increased temperature
B- three days after you first noticed the rash appear on your child
C- when your child lesions are crusted, 6 days after they appear
D- 2 - 3 weeks, when your child's lesions completely disappear -
,Correct Answer - C- when your child lesions are crusted, 6 days after they appear; The
nurse should inform the parent that the child is contagious 1 day prior to lesion eruption
and until the vesicles have crusted over, which usually takes about
6 days.
A nurse in a provider's office is preparing to administer immunizations to a
toddler during a well-child visit. Which of the following actions should the
nurse plan to take?
Prescriptions:
-tuberculin skin test (TST)
-measles mumps rubella
vaccine
-inactivated influenza vaccine
-diphtheria, tetanus, and pertussis (DTaP vaccine)
Vital signs
-respiratory rate 24/minute
-heart rate 115/minute
-temperature 37.4 degrees Celsius or 99.3 degrees Fahrenheit
History and physical
-Age 12 months 9 days
-height 71.1cm/28-in
allergies
neomycin - anaphylactic reaction
caregiver reports:
-rhinitis with clear nasal drainage for 2days
,-occasional non productive cough for 2 days
-history of asthma
A- Withhold the measles mumps and rubella MMR vaccine
B- withhold the DTaP vaccine
C- withhold the influenza vaccine
D- withhold the tuberculin skin test TST
- Correct Answer - A- Withhold the measles mumps and rubella MMR vaccine; The nurse
should recognize that an allergy to neomycin with an anaphylactic
reaction is a contraindication to receiving the MMR vaccine. Clients who have a
severe allergy to eggs orgelatin should not receive this vaccine.
A nurse in a provider's office is preparing to administer immunizations to a
toddler during awell-child visit. Which of the following actions should the
nurse plan to take?
Prescriptions:
-tuberculin skin test (TST)
-measles mumps rubella
vaccine
-inactivated influenza vaccine
-diphtheria, tetanus, and pertussis (DTaP vaccine)
Vital signs
-respiratory rate 24/minute
-heart rate 115/minute
-temperature 37.4 degrees Celsius or 99.3 degrees Fahrenheit
History and physical
, -Age 12 months 9 days
-height 71.1cm/28-in
allergies
neomycin - anaphylactic reaction
caregiver reports:
-rhinitis with clear nasal drainage for 2days
-occasional non productive cough for 2 days
-history of asthma
A- Withhold the measles mumps and rubella MMR vaccine
B- withhold the DTaP vaccine
C- withhold the influenza vaccine
D- withhold the tuberculin skin test TST
- Correct Answer - A- Withhold the measles mumps and rubella MMR vaccine; The nurse
should recognize that an allergy to neomycin with an anaphylactic
reaction is a contraindication to receiving the MMR vaccine. Clients who have a
severe allergy to eggs or gelatin should not receive this vaccine.
A nurse in a providers office is assessing a client who has heart failure. The client has
gained weight since her last, and her ankles are edematous. Which of the following
findings is another clinical manifestation of fluid volume excess
A) Sunken eyeball
B) Hypotension
C) Poor skin turgor
D) Bounding pulse -
Correct Answer - D) Bounding pulse