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WorksheetsUnit 4 Review AM/PM/NOCHE
Total questions: 10
Worksheet time: 23mins
The nurse in a clinic is obtaining a developmental history of an 18-month-old during a well-child visit. Which activities should the child be able to perform? Select all that apply.
1. Calls self by name
2. Goes up stairs while holding a hand
3. Stacks 6 blocks in a tower
4. Turns 2 pages in a book at a time
5. Twists doorknob to open doors
The nurse is preparing to administer an IM immunization to a 6-month-old infant. Which needle length and injection site would be the most appropriate to minimize a local reaction to the vaccine components?
1. 3⁄8-in (9-mm) needle in the anterolateral thigh
2. 5⁄8-in (16-mm) needle in the ventrogluteal muscle
3. 1-in (25-mm) needle in the anterolateral thigh
4. 1½-in (38-mm) needle in the ventrogluteal muscle
The nurse is reviewing discharge teaching with the parent of a child with acute myelogenous leukemia who was admitted with varicella-zoster virus. The client has multiple lesions that have not crusted. Which of the following instructions should the nurse include? Select all that apply.
1. "Apply diphenhydramine cream sparingly to lesions after bathing your child."
2. "Keep giving your child the acyclovir at home as prescribed to fight the virus."
3. "You can give your child acetaminophen for pain and fever."
4. "Your child should receive the varicella virus vaccine in 30 days."
5. "Your child will no longer be infectious after all the lesions have crusted over."
A community health nurse is preparing to administer influenza vaccines. Which clients can safely receive the live-attenuated, intranasal influenza vaccine? Select all that apply.
1. 4-month-old client who is receiving scheduled vaccinations
2. 3-year-old client who is afraid of needles
3. 24-year-old client who is 6 weeks postpartum
4. 32-year-old client who is pregnant at 12 weeks gestation
5. 45-year-old client with a history of HIV
The triage nurse is assessing an unvaccinated 4-month-old infant for fever, irritability, and open-mouthed drooling. After the infant is successfully treated for epiglottitis, the parents wonder how this could have been avoided. Which response by the nurse would be most appropriate?
1. "It's impossible to know for sure what could have caused this episode."
2. "Most cases of epiglottitis are preventable by standard immunizations."
3. "We are still waiting for the formal report from the microbiology laboratory."
4. "There is nothing you could have done; the important thing is that your child is safe now."
The parent of a 15-month-old calls the nurse and says that the child developed a rash and mild fever after receiving a routine measles, mumps, rubella, and varicella (MMRV) vaccine in the pediatric clinic 5 days ago. What is the bestresponse by the nurse?
1. "Apply over-the-counter hydrocortisone cream to the rash."
2. "Bring your child to the clinic this afternoon."
3. "This is a common reaction to the MMRV vaccine."
4. "What is your child's temperature right now?"
The initial prenatal laboratory screening results of a client at 12 weeks gestation indicate a rubella titer status of nonimmune. What will the nurse anticipate as the plan of care for this client?
1. Administer measles-mumps-rubella (MMR) vaccine now
2. Administer MMR vaccine immediately postpartum
3. Administer MMR vaccine in the third trimester
4. An MMR vaccine is not indicated for this client
The nurse is performing an assessment on a 2-year-old with otitis media. Which of the following actions would be appropriate? Select all that apply.
1. Do not insert the speculum into the bony interior part of the ear canal
2. Encourage the parents to have the child vaccinated against influenza and pneumonia
3. Inspect the tympanic membrane for redness, bulging, and perforation
4. Pull the pinna up and back during the otoscopic examination
5. Wait until the end of the assessment to perform the otoscopic examination
A nurse on a pediatric unit is admitting a school-aged child with suspected Reye syndrome. Which information obtained during the history taking is most consistent with this condition?
1. No history of varicella vaccine administration
2. Recent exposure to bats
3. Recent influenza infection
4. Recent use of acetaminophen for fever
When performing developmental screenings in the well-child clinic, the registered nurse understands that which child is at highest risk of developing autism spectrum disorder?
1. 2-year-old who has a vocabulary of 10 words
2. 3-year-old who received measles, mumps, and rubella immunization at age 1 year
3. 4-year-old whose 10-year-old sibling has the disorder
4. 5-year-old whose parents were age 42 at the time of birth
