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A nurse in a clinic is preparing to administer pre-kindergarten vaccines to a 5-year-old child whose medical record indicates that his Immunizations are up to date. Which of the following vaccines should the nurse plan to administer?
- A. Hepatitis B (HBV)
- B. Measles
- C. mumps
- D. and rubella (MMR)
- E. Haemophilus influenzae type B (Hib)
- F. Pneumococcal conjugate vaccine (PCV)
Correct Answer: B
Rationale: The MMR vaccine is part of the pre-kindergarten immunization schedule.
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A nurse is assisting with the admission of a child who has pertussis. Which of the following actions should the nurse take?
- A. Initiate droplet precautions.
- B. Initiate a protective environment.
- C. Initiate contact precautions.
- D. Initiate airborne precautions.
Correct Answer: A
Rationale: Pertussis (whooping cough) is transmitted via respiratory droplets.
A nurse is collecting data from a 1-year-old child who has Wilms' tumor. Which of the following findings should the nurse expect?
- A. Diarrhea
- B. Jaundice
- C. Swollen joints
- D. Abdominal mass
Correct Answer: D
Rationale: Wilms' tumor often presents as an asymptomatic abdominal mass.
A nurse is talking with a 13-year-old female client who is having her annual health-screening visit. Which of the following comments by the client should concern the nurse?
- A. My parents treat me like a baby sometimes.
- B. There's a pimple on my face, and I worry that everyone will notice it.
- C. I start taking ibuprofen a few days before my period starts.
- D. None of the kids at my school like me, and I don't like them either.
Correct Answer: D
Rationale: This statement indicates social isolation and potential issues with peer relationships which can be a red flag for emotional distress or depression.
A nurse is preparing to administer amoxicillin 350 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many ml. should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 7 mL
- B. 6 mL
- C. 8 mL
- D. 5 mL
Correct Answer: 7
Rationale: Formula: Volume to administer=Desired dose/Available dose ×Volume available. Calculation: 350 mg/250 mg × 5 mL=7 mL.
A nurse is caring for a school-age child who has a new plaster cast on her right arm. Which of the following actions should the nurse take?
- A. Place a warm
- B. moist heat pack on the cast.
- C. Position the casted arm in a dependent position.
- D. Move the casted arm with a firm grasp.
- E. Administer diphenhydramine to relieve itching.
Correct Answer: D
Rationale: Itching is common under a new cast and diphenhydramine can help manage this symptom without risking damage to the cast