Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse should identify that infant should receive the first dose of which of the following immunizations.at 12 months of age.
A. human papillomavirus.
The human papillomavirus (HPV) vaccine is not typically given at 12 months of age. It is usually administered to adolescents.
B. inactivated polio virus
The inactivated polio virus vaccine is not typically given at 12 months of age. It is usually administered earlier in infancy.
C. hepatitis B
The hepatitis B vaccine is not typically given at 12 months of age. It is usually administered shortly after birth and in the first few months of life.
D. Varicella
The varicella vaccine, which protects against chickenpox, is typically given at 12 months of age.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Pediatrics Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale
The human papillomavirus (HPV) vaccine is not typically given at 12 months of age. It is usually administered to adolescents.
Choice B rationale
The inactivated polio virus vaccine is not typically given at 12 months of age. It is usually administered earlier in infancy.
Choice C rationale
The hepatitis B vaccine is not typically given at 12 months of age. It is usually administered shortly after birth and in the first few months of life.
Choice D rationale
The varicella vaccine, which protects against chickenpox, is typically given at 12 months of age.
Similar Questions
A nurse is assessing an client who has Hodgkin's lymphoma.
Which of the following finding s should the nurse expect?
A. unexplained weight gain
Unexplained weight gain is not typically associated with Hodgkin’s lymphoma. More common symptoms include unexplained weight loss.
B. Flushed skin
Flushed skin is not typically associated with Hodgkin’s lymphoma. More common symptoms include swollen lymph nodes in the neck, armpits, or groin.
C. decrease body temperature
Decreased body temperature is not typically associated with Hodgkin’s lymphoma. More common symptoms include fever.
D. night sweat.
Night sweats are a common symptom of Hodgkin’s lymphoma.
Full Explanation
Choice A rationale
Unexplained weight gain is not typically associated with Hodgkin’s lymphoma. More common symptoms include unexplained weight loss.
Choice B rationale
Flushed skin is not typically associated with Hodgkin’s lymphoma. More common symptoms include swollen lymph nodes in the neck, armpits, or groin.
Choice C rationale
Decreased body temperature is not typically associated with Hodgkin’s lymphoma. More common symptoms include fever.
Choice D rationale
Night sweats are a common symptom of Hodgkin’s lymphoma.
A nurse is teaching an adolescent who has type 1 diabetes mellitus.
Which of the following findings is the nurse's priority?
A. Cholesterol 189mg/dl
While it’s important for individuals with diabetes to monitor their cholesterol levels, a cholesterol level of 189mg/dl is within the acceptable range for most people.
B. Glycosuria.
Glycosuria, or sugar in the urine, can be a sign of poorly controlled diabetes. However, it’s not typically used as a primary indicator of diabetes control.
C. HbA1c of 11.5%
An HbA1c level of 11.5% is significantly higher than the target range of less than 7% for most adults with diabetes. This suggests that the individual’s blood sugar levels have been much higher than the target range for the past 2 to 3 months17.
D. pre-prandial blood glucose.124mg/dL. .
A pre-prandial (before meal) blood glucose level of 124mg/dL is slightly higher than the target range of 70- 130mg/dL. However, it’s not as concerning as an HbA1c level of 11.5%.
Full Explanation
Choice A rationale
While it’s important for individuals with diabetes to monitor their cholesterol levels, a cholesterol level of 189mg/dl is within the acceptable range for most people.
Choice B rationale
Glycosuria, or sugar in the urine, can be a sign of poorly controlled diabetes. However, it’s not typically used as a primary indicator of diabetes control.
Choice C rationale
An HbA1c level of 11.5% is significantly higher than the target range of less than 7% for most adults with
diabetes. This suggests that the individual’s blood sugar levels have been much higher than the target range for the past 2 to 3 months17.
Choice D rationale
A pre-prandial (before meal) blood glucose level of 124mg/dL is slightly higher than the target range of 70- 130mg/dL. However, it’s not as concerning as an HbA1c level of 11.5%.
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. initiate contact precaution
Initiating contact precautions is not necessary for a child experiencing a sickle cell crisis. Sickle cell disease is not contagious and does not require isolation precautions.
B. Apply warm compresses to the affected area.
Applying warm compresses to the affected area can help increase blood flow and reduce pain during a sickle cell crisis. Warmth can help dilate blood vessels, allowing more blood to reach the affected area and reducing the blockage caused by the sickle cells.
C. Decrease the child's fluid intake.
Decreasing the child’s fluid intake is not recommended during a sickle cell crisis. In fact, it’s important to encourage fluid intake to prevent dehydration, which can worsen the crisis.
D. Administer furosemide IV twice per day.
Administering furosemide IV twice per day is not typically part of the treatment plan for a sickle cell crisis. Furosemide is a diuretic, which could potentially lead to dehydration, worsening the crisis.
Full Explanation
Choice A rationale
Initiating contact precautions is not necessary for a child experiencing a sickle cell crisis. Sickle cell disease is not contagious and does not require isolation precautions.
Choice B rationale
Applying warm compresses to the affected area can help increase blood flow and reduce pain during a sickle cell crisis. Warmth can help dilate blood vessels, allowing more blood to reach the affected area and reducing the blockage caused by the sickle cells.
Choice C rationale
Decreasing the child’s fluid intake is not recommended during a sickle cell crisis. In fact, it’s important to encourage fluid intake to prevent dehydration, which can worsen the crisis.
Choice D rationale
Administering furosemide IV twice per day is not typically part of the treatment plan for a sickle cell crisis. Furosemide is a diuretic, which could potentially lead to dehydration, worsening the crisis.