Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is planning care for an adolescent who has sickle cell anemia.
Which of the following immunizations should the nurse include in the plan?
A. Pneumococcal conjugate (PCV13).
The pneumococcal conjugate vaccine (PCV13) is one of the immunizations recommended for people with sickle cell anemia. People with sickle cell disease are immunocompromised and have an increased risk of infection, so immunizations are an important part of their care.
B. Rotavirus.
Choice B is not the best answer because the rotavirus vaccine is not specifically recommended for people with sickle cell anemia.
C. Measles, mumps, and rubella (MMR).
Choice C is wrong because the MMR vaccine is not specifically recommended for people with sickle cell anemia.
D. Respiratory syncytial virus (RSV).
Choice D is wrong because there is no vaccine for respiratory syncytial virus (RSV).
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Nursing Care of Children 2019 Proctored Exam. Take the full exam now
Full Explanation
The pneumococcal conjugate vaccine (PCV13) is one of the immunizations recommended for people with sickle cell anemia.
People with sickle cell disease are immunocompromised and have an increased risk of infection, so immunizations are an important part of their care.
Choice B is not the best answer because the rotavirus vaccine is not specifically recommended for people with sickle cell anemia.
Choice C is wrong because the MMR vaccine is not specifically recommended for people with sickle cell anemia.
Choice D is wrong because there is no vaccine for respiratory syncytial virus (RSV).
Similar Questions
A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should the nurse expect?
A. Rhinorrhea.
Choice A is wrong because rhinorrhea is not a common symptom of cystic fibrosis.
B. Weight gain.
Choice B is wrong because weight gain is not a common symptom of cystic fibrosis; in fact, difficulty gaining weight is a common symptom.
C. Visible peristalsis.
Choice C is wrong because visible peristalsis is not a common symptom of cystic fibrosis.
D. Steatorrhea.
Steatorrhea, or fatty stools, is a common symptom of cystic fibrosis. Cystic fibrosis can cause the pancreas to become blocked with mucus, preventing digestive enzymes from reaching the small intestine. This can result in difficulty absorbing nutrients from food and can lead to steatorrhea.
Full Explanation
Steatorrhea, or fatty stools, is a common symptom of cystic fibrosis.
Cystic fibrosis can cause the pancreas to become blocked with mucus, preventing digestive enzymes from reaching the small intestine.
This can result in difficulty absorbing nutrients from food and can lead to steatorrhea.
Choice A is wrong because rhinorrhea is not a common symptom of cystic fibrosis.
Choice B is wrong because weight gain is not a common symptom of cystic fibrosis; in fact, difficulty gaining weight is a common symptom.
Choice C is wrong because visible peristalsis is not a common symptom of cystic fibrosis.
A nurse is providing teaching to the guardians of a school-age child who has a seizure disorder.
Which of the following factors should the nurse include as a common trigger that increases the risk of seizures?
A. Prolonged headache.
Choice Ais wrong because prolonged headache is not mentioned as a common trigger for seizures.
B. Exposure to secondhand smoke.
Choice B is wrong because exposure to secondhand smoke is not mentioned as a common trigger for seizures.
C. Decreased temperature.
Choice Cis wrong because decreased temperature is not mentioned as a common trigger for seizures.
D. Lack of sleep.
Overtiredness is a commonly reported seizure trigger for school-age children with a seizure disorder.
Full Explanation
Overtiredness is a commonly reported seizure trigger for school-age children with a seizure disorder.
Choice A is wrong because prolonged headache is not mentioned as a common trigger for seizures.
Choice B is wrong because exposure to secondhand smoke is not mentioned as a common trigger for seizures.
Choice C is wrong because decreased temperature is not mentioned as a common trigger for seizures.
A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS).
Which of the following statements by the parents indicates an understanding of the teaching?
A. "I will dress my baby in lightweight clothing to sleep.”
Overheating is a risk factor for SIDS, so it’s important to dress the baby in lightweight clothing to sleep.
B. "I will lay my baby on her side to sleep for naps.”
Choice B is wrong because infants should always be placed on their back to sleep, not on their side.
C. "I will have my baby sleep next to me in bed during the night.”
Choice C is wrong because bed-sharing increases the risk of SIDS.
D. "I will move my baby's stuffed animal to the corner of her crib while she sleeps.”
Choice D is wrong because stuffed animals should not be placed in the crib with the baby as they can increase the risk of suffocation.
Full Explanation
Overheating is a risk factor for SIDS, so it’s important to dress the baby in lightweight clothing to sleep.
Choice B is wrong because infants should always be placed on their back to sleep, not on their side.
Choice C is wrong because bed-sharing increases the risk of SIDS.
Choice D is wrong because stuffed animals should not be placed in the crib with the baby as they can increase the risk of suffocation 2.