Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
A. Hepatitis B
The first dose of the Hepatitis B vaccine is typically administered shortly after birth, not at 12 months of age.
B. Varicella
The first dose of the Varicella (chickenpox) vaccine is recommended at 12 months of age.
C. Human papillomavirus
The Human Papillomavirus (HPV) vaccine is not typically started until the preadolescent or adolescent years, typically around ages 11-12.
D. Inactivated polio virus
The first dose of the Inactivated Polio Virus (IPV) vaccine is usually given at 2 months of age, with additional doses at 4 months and 6-18 months.
This question is an excerpt from Nurse Dive's nursing test bank - RN Nursing Care of Children 2019 with NGN Proctored Exam. Take the full exam now
Full Explanation
A. The first dose of the Hepatitis B vaccine is typically administered shortly after birth, not at 12 months of age.
B. Correct. The first dose of the Varicella (chickenpox) vaccine is recommended at 12 months of age.
C. The Human Papillomavirus (HPV) vaccine is not typically started until the preadolescent or adolescent years, typically around ages 11-12.
D. The first dose of the Inactivated Polio Virus (IPV) vaccine is usually given at 2 months of age, with additional doses at 4 months and 6-18 months.
Similar Questions
A nurse is caring for a school-age child who is 1 hr postoperative following a tonsillectomy.
Which of the following actions should the nurse take? (Select all that apply.)
A. Maintain the child in a supine position.
Maintaining the child in a supine position is not recommended after a tonsillectomy.The child should be positioned on their side to prevent aspiration.
B. Provide cranberry juice to the child.
Cranberry juice is acidic and may be irritating to the surgical site. Clear, non-acidic fluids are usually recommended after a tonsillectomy.
C. Discourage the child from coughing.
While coughing should be minimized to prevent irritation to the surgical site, the child should not be discouraged from coughing if needed to clear secretions.
D. Administer an analgesic to the child on a scheduled basis.
Administering an analgesic on a scheduled basis is important for managing pain after a tonsillectomy. This helps to maintain a consistent level of pain control.
E. Observe the child for frequent swallowing.
Observing the child for frequent swallowing is important, as it may indicate bleeding or discomfort. This is a key assessment after a tonsillectomy.
Full Explanation
A. Maintaining the child in a supine position is not recommended after a tonsillectomy.
The child should be positioned on their side to prevent aspiration.
B. Cranberry juice is acidic and may be irritating to the surgical site. Clear, non-acidic fluids are usually recommended after a tonsillectomy.
C. While coughing should be minimized to prevent irritation to the surgical site, the child should not be discouraged from coughing if needed to clear secretions.
D. Administering an analgesic on a scheduled basis is important for managing pain after a tonsillectomy. This helps to maintain a consistent level of pain control.
E. Observing the child for frequent swallowing is important, as it may indicate bleeding or discomfort. This is a key assessment after a tonsillectomy.
A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take
A. Apply warm compresses to the affected areas.
Applying warm compresses can help to improve blood flow and relieve pain in areas affected by a sickle cell crisis. This is a beneficial intervention.
B. Decrease the child's fluid intake.
Decreasing fluid intake is not recommended. Maintaining hydration is important in the management of sickle cell disease, as it helps to prevent dehydration and reduces the risk of sickling.
C. Administer furosemide IV twice per day.
Furosemide is a diuretic and is not typically used in the treatment of a sickle cell crisis.It is not an appropriate intervention in this situation.
D. Initiate contact precautions.
Contact precautions are not necessary for a sickle cell crisis. This crisis is not a contagious condition. Standard precautions for infection control should be followed.
Full Explanation
A. Applying warm compresses can help to improve blood flow and relieve pain in areas affected by a sickle cell crisis. This is a beneficial intervention.
B. Decreasing fluid intake is not recommended. Maintaining hydration is important in the management of sickle cell disease, as it helps to prevent dehydration and reduces the risk of sickling.
C. Furosemide is a diuretic and is not typically used in the treatment of a sickle cell crisis.
It is not an appropriate intervention in this situation.
D. Contact precautions are not necessary for a sickle cell crisis. This crisis is not a contagious condition. Standard precautions for infection control should be followed.
A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take?
A. Perform developmental testing for delays.
Toddlers with a history of lead poisoning are at risk for developmental delays.Developmental testing can help identify any delays that may require intervention or support.
B. Initiate a low-iron diet for lead absorption.
Lead absorption is not related to iron intake. However, a diet rich in iron can help reduce the absorption of lead.
C. Obtain a stool specimen for lead levels.
Blood testing, not stool testing, is the primary method for assessing lead levels. Blood lead levels provide the most accurate information about lead exposure.
D. Inspect the skin for discoloration.
While lead poisoning can cause changes in skin color in severe cases, it is not the primary assessment for lead exposure. Blood lead levels and developmental testing are more indicative of lead poisoning.
Full Explanation
A. Toddlers with a history of lead poisoning are at risk for developmental delays.
Developmental testing can help identify any delays that may require intervention or support.
B. Lead absorption is not related to iron intake. However, a diet rich in iron can help reduce the absorption of lead.
C. Blood testing, not stool testing, is the primary method for assessing lead levels. Blood lead levels provide the most accurate information about lead exposure.
D. While lead poisoning can cause changes in skin color in severe cases, it is not the primary assessment for lead exposure. Blood lead levels and developmental testing are more indicative of lead poisoning.