Nokea
A nurse is preparing to administer vaccines to a 4-month-old Infant. Which of the following vaccines should the nurse plan to administer?
- A. Rotavirus
- B. Measles
- C. mumps
- D. rubella (MMR)
- E. Varicella (VAR)
- F. Influenza
Correct Answer: A
Rationale: The rotavirus vaccine is recommended for infants at 2 4 and possibly 6 months of age.
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A nurse in a pediatric clinic is talking with a parent of a toddler. The parent tells the nurse that her toddler drinks a quart of milk a day. The nurse should recognize that the toddler is at risk for which of the following disorders?
- A. Beriberi
- B. Dehydration
- C. Diabetes mellitus
- D. Iron-deficiency anemia
Correct Answer: D
Rationale: Excessive milk can lead to iron-deficiency anemia because milk is low in iron and can interfere with iron absorption from other foods.
A nurse is assisting with the care of a school-age child who has respiratory failure due to pneumonia. Which of the following positions should the nurse encourage to allow maximal lung expansion?
- A. Supine
- B. Prone
- C. Upright
- D. Side-lying
Correct Answer: C
Rationale: Sitting upright or in a high Fowler's position is optimal for lung expansion.
A nurse is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse administer first?
- A. Methylprednisolone
- B. Montelukast
- C. Albuterol
- D. Fluticasone
Correct Answer: C
Rationale: Albuterol is a short-acting beta-agonist that provides rapid bronchodilation. It is the first-line medication for immediate relief of bronchospasm during an acute asthma attack.
A nurse is reviewing the medical record of an adolescent and notes a calcium level of 11.4 mEq/L. Which of the following findings should the nurse expect?
- A. Tachycardia
- B. Diarrhea
- C. Positive Chvostek's sign
- D. Muscle hypotonicity
Correct Answer: D
Rationale: Hypercalcemia can lead to muscle weakness and hypotonicity due to its effects on nerve and muscle function.
A nurse is collecting data from a 4-year-old child. Which of the following findings should the nurse expect?"
- A. Heart rate 110/min
- B. Capillary refill greater than 3 seconds
- C. Weight gain of 0.9 kg (2 lb) in a year
- D. Respiratory rate 32/min
Correct Answer: A
Rationale: A heart rate of 110 beats per minute is within the normal range for a 4-year-old child. The typical heart rate for this age is between 80 to 120 beats per minute.