Questions And Correct Detailed Answers| Brand New Version!
A nurse in a pediatric clinic is assessing a toddler at a well-child
visit. Which of the
following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d. Stop the assessment if the child becomes uncooperative. -
{✔✔ANSWER✔✔}-B
Rationale: The nurse should initially minimize physical contact
with the toddler, and then
progress from the least traumatic to the most traumatic
procedures.
,A nurse is caring for an 18-year-old adolescent who is up-to-
date on immunizations and is
planning to attend college. The nurse should inform the client
that he should receive which of the
following immunizations prior to moving into a campus
dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster - {✔✔ANSWER✔✔}-B
Rationale: The meningococcal polysaccharide immunization is
used to prevent infection by
certain groups of meningococcal bacteria. Meningococcal
infection can cause life-threatening
illnesses, such as meningococcal meningitis, which affects the
brain, and meningococcemia,
which affects the blood. Both of these conditions can be fatal.
College freshmen, particularly
those who live in dormitories, are at an increased risk for
meningococcal disease relative to other
,persons their age. Therefore, the Centers for Disease Control
and Prevention has issued a
recommendation that all incoming college students receive the
meningococcal immunization.
A nurse is teaching the parent of an infant about food allergens.
Which of the following
foods should the nurse include as being the most common food
allergy in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Egg - {✔✔ANSWER✔✔}-A
Rationale: According to evidence-based practice, the nurse
should instruct the parent that cow's
milk is the most common food allergy in children. Some
children are sensitive to the protein,
called casein, found in cow's milk. They have difficulty
metabolizing the casein and are,
therefore, allergic to cow's milk.
, A nurse is performing a physical assessment on a 6-month-old
infant. Which of the
following reflexes should the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro - {✔✔ANSWER✔✔}-B
Rationale: The Babinski reflex, which is elicited by stroking the
bottom of the foot and causing
the toes to fan and the big toe to dorsiflex, should be present
until the age of 1 year. Persistence
of neonatal reflexes might indicate neurological deficits.
A nurse is preparing to administer recommended
immunizations to a 2-month-old infant.
Which of the following immunizations should the nurse plan to
administer?
a. Human papillomavirus (HPV) and hepatitis A
b. Measles, mumps, rubella (MMR) and tetanus, diphtheria,
and acellular pertussis
(TDaP)