Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. Measles, mumps, and rubella (MMR)
The MMR vaccine is typically administered at 12 months of age as part of routine immunization schedules.
B. Varicella (VAR)
The varicella vaccine is typically administered at 12 months of age as part of routine immunization schedules.
C. Rotavirus (RV)
Rotavirus (RV): The rotavirus vaccine is typically administered at 2, 4, and 6 months of age.
D. Herpes zoster
The herpes zoster vaccine is not routinely administered to infants at 12 months of age.
E. Human papillomavirus (HPV4)
The HPV vaccine is typically administered starting at age 11 or 12 years, not at 12 months of age.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Paediatric Nursing 2023 Proctored Exam. Take the full exam now
Full Explanation
Rationale:
A. The MMR vaccine is typically administered at 12 months of age as part of routine immunization schedules.
B. The varicella vaccine is typically administered at 12 months of age as part of routine immunization schedules.
C. Rotavirus (RV): The rotavirus vaccine is typically administered at 2, 4, and 6 months of age.
D. The herpes zoster vaccine is not routinely administered to infants at 12 months of age.
E. The HPV vaccine is typically administered starting at age 11 or 12 years, not at 12 months of age.
Similar Questions
A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first?
A. Observe the child's throat with a flashlight.
Observing the child's throat with a flashlight is necessary to detect any bleeding.
B. Give the child small sips of water.
Giving the child small sips of water helps soothe the throat and promote hydration but it does not address the risk of bleeding as a complication of tonsillectomy.
C. Administer an analgesic.
Administering an analgesic may be indicated if the child is experiencing pain, but the throat should be assessed for any bleeding first.
D. Offer the child an ice collar.
Offering the child an ice collar may provide comfort, but assessing the throat for any bleeding is more essential.
Full Explanation
Rationale:
A. Observing the child's throat with a flashlight is necessary to detect any bleeding.
B. Giving the child small sips of water helps soothe the throat and promote hydration but it does not address the risk of bleeding as a complication of tonsillectomy.
C. Administering an analgesic may be indicated if the child is experiencing pain, but the throat should be assessed for any bleeding first.
D. Offering the child an ice collar may provide comfort, but assessing the throat for any bleeding is more essential.
A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?
A. Tachypnea
Tachypnea (rapid breathing) is a common clinical manifestation of heart failure due to decreased cardiac output and inadequate tissue perfusion.
B. Tremors
Tremors are not typically associated with heart failure.
C. Increased appetite
Increased appetite is not typically associated with heart failure and may even be decreased due to symptoms such as fatigue and dyspnea.
D. Bradycardia
Bradycardia (slow heart rate) is not typically associated with heart failure; instead, tachycardia (rapid heart rate) may occur as a compensatory mechanism.
Full Explanation
Rationale:
A. Tachypnea (rapid breathing) is a common clinical manifestation of heart failure due to decreased cardiac output and inadequate tissue perfusion.
B. Tremors are not typically associated with heart failure.
C. Increased appetite is not typically associated with heart failure and may even be decreased due to symptoms such as fatigue and dyspnea.
D. Bradycardia (slow heart rate) is not typically associated with heart failure; instead, tachycardia (rapid heart rate) may occur as a compensatory mechanism.
A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
A. Sweating
Sweating is more commonly associated with hypoglycemia (low blood sugar) rather than hyperglycemia (high blood sugar).
B. Tremors
Tremors are more commonly associated with hypoglycemia.
C. Pallor
Pallor is not typically associated with hyperglycemia.
D. Thirst
Thirst (polydipsia) is a classic symptom of hyperglycemia in diabetes mellitus, as the body tries to dilute the excess sugar in the bloodstream by increasing fluid intake.
Full Explanation
Rationale:
A. Sweating is more commonly associated with hypoglycemia (low blood sugar) rather than hyperglycemia (high blood sugar).
B. Tremors are more commonly associated with hypoglycemia.
C. Pallor is not typically associated with hyperglycemia.
D. Thirst (polydipsia) is a classic symptom of hyperglycemia in diabetes mellitus, as the body tries to dilute the excess sugar in the bloodstream by increasing fluid intake.
