MS TEST 1

The nurse provides home care instructions to the parents of a child hospitalized with pertussis who is in the convalescent stage and is being prepared for discharge. Which statement by a parent indicates a need for further instruction?

"Coughing spells may be triggered by dust or smoke."

"We need to encourage our child to drink fluids."

"We need to maintain droplet precautions and a quiet environment for at least 2 weeks."

"Vomiting may occur when our child has coughing episodes."

An infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at a well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which intervention should the nurse suggest to the parent?

Monitor the infant for a fever.

Bring the infant back to the clinic.

Apply a hot pack to the injection site.

Apply a cold pack to the injection site.

A child is scheduled to receive inactivated poliovirus vaccine (IPV), and the nurse who is preparing to administer the vaccine reviews the child's record. The nurse questions the administration of IPV if which is documented in the child's record?

A history of frequent respiratory infections

A history of anaphylactic reaction to neomycin

Recent recovery from a cold

A local reaction at the site of injection of a previous IPV

A child is receiving a series of the hepatitis B vaccine and arrives at the clinic with his parent for the second dose. Before administering the vaccine, the nurse should ask the child and parent about a history of a severe allergy to which substance?

Eggs

Penicillin

Sulfonamides

A previous dose of hepatitis B vaccine or component

A 4 month old comes to the clinic for shots. The child is up to date. What vaccines should the kid get at this time?

Varicella, hepatitis B vaccine (HepB)

Diphtheria, tetanus, acellular pertussis (DTaP); measles, mumps, rubella (MMR); inactivated poliovirus vaccine (IPV)

MMR, Haemophilus influenzae type b (Hib), DTaP

DTaP, Hib, IPV, pneumococcal vaccine (PCV), rotavirus vaccine (RV)

A nurse prepares to give a MMR to a 5 year old. What route should this be given?

SubQ in the gluteal muscle

IM in the deltoid muscle

Subcutaneously in the outer aspect of the upper arm

IM in the anterolateral aspect of the thigh

A nurse assessing a kid who is scheduled to receive a live vaccine. What are the general contraindications associated with receiving a live virus vaccine? Select All

The kid has symptom of a cold

The child has a previous anaphylactic reaction to the vaccine

The mother reports that the child has not had an appetite and has been fussy.

The child has a disorder that caused a severely deficient immune system.

B&D

The nurse works in a sexually transmitted disease (STD) clinic. Among other responsibilities, the nurse interviews each client regarding his/her most recent sexual partners. A young woman tested positive for two STDs and named a particular man as her only recent contact. Which action would represent an error by the nurse?

A. Upon telephoning the man, the nurse shared that he had been named as a contact and he needed to come in and be tested.

B. When the man came to the STD clinic, he was interviewed, including being asked if he had ever used drugs for recreational purposes.

C. When the man was found to test positive for an STD, he was interviewed regarding contacts and asked whether he wished to discuss the problem with his wife or if he wanted the nurse to talk to his wife.

D. When the man was not home, the nurse told another person who answered the phone that the STD clinic had called and to please have the man call this number.

What is the difference between HIV and AIDS?

A. HIV is a virus and AIDS is a bacterial disease.

B.There is no difference between HIV and AIDS

C. HIV is the virus that causes AIDS.

There is difference between HIV and AIDS

How is HIV transmitted?

A. You catch form the toilet seat.

B. When infected bodily fluids enter the bloodstream of another person.

C. Through sharing needles, unprotected sexual intercourse, an open sore.

D.Through touching and kissing

E. B&C

Gabriel has full-blown AIDS. He has recently contracted Pneumocystis jiroveci pneumonia due to his weakened immune system. Gabriel's pneumonia is an example of?

A. Opportunistic infection

B. Pathogen

C. Disease

D. Prion

13. What is the most effective way to prevent contracting the HIV virus?

A. Spray everything with a 10% bleach solution before you touch.

B. Always wear a condom.

C. Never share needles with people you don't know.

D. Always practice Universal Precautions and good hand

Persons with latent TB pose no threat to others, while persons with active TB can spread the infection, the nurse must educate the patient to.

A. Wear a mask when around others.

B. Share utensils with members of the family.

C. It is okay to cough infront of the people.

D. Handwash after coughing

E. A&D

MS TEST 1

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