You are preparing to administer immunizations to a 4-month-old infant. Which of the following is an appropriate action for you to take in providing
... [Show More] atraumatic care?
A. Administer 81 mg of aspirin
B. Use the Z track method
C. Ask the parents to leave the room during the injection
D. Provide sucrose solution on the pacifier
D. Allowing an infant to suck on dextrose will reduce pain with immunizations
You are planning to administer recommended immunizations to a 2-month-old infant. Which of the following should you give?
A. Rotavirus (RV)
B. Diptheria, teatnus, and acellular pertussis (DTaP)
C. Haemophilus influenzae type B (Hib)
D. Hepatitis A (HepA)
E. Pneumococcal conjugate (PCV13)
F. Inactivated Poliovirus (PV)
A. B. C. E. F. Hep A is not given until 12-13 months of age
You are preparing to administer the varicella vaccine to an adolescent. Which of the following questions should you ask to determine whether there is a contraindication to administering the vaccine?
A. Do you have an allergy to eggs?
B. Have you ever had encephalopathy following immunizations?
C. Are you currently taking corticosteriod medications?
D. Have you ever had an anaphylactic reaction to yeast?
C. Varicella is contraindicated with drugs that interact with the immune system
You are caring for a toddler in a clinic. Which of the following actions should you take? Look at the following information to help you make your decision:
15 month old, female
Hep B: 1, 2 , 12 months
Rotavirus: 2, 4, 6 months
DTaP: 2, 4, 6 months
Hib: 2, 4, 12 months
IPV: 2, 4, 6 months
MMR: 12 months
Varicella: 12 months
HepA: 12 months
Temp: 37.8 C (100.1 F)
Sore Throat
Family history of seizures
A. Administer DTaP vaccine
B. Administer Rotovirus vaccine
C. Hold immunizations until fever subsides
D. Administer hep A vaccine
A.
You are preparing to assess a preschool-age child. Which of the following is an appropriate action for you to take to prepare the child?
A. Allow the child to role-play using miniature equipment
B. Use medical terminology to describe what will happen
C. Separate the child from her parent during the examination
D. Keep medical equipment visible to the child
A.
You are checking the vitals of a 3-year-old child during a well-child visit. Which should you report to the provider?
A. temperature 37.2 C (99.0 F)
B. Heart rate 106/min
C. respirations 30/min
D. BP 88/54 mm Hg
C. Respirations of 30/minute for a 3-year-old is above range
You are assessing a 6-month-old infant. What reflexes should the infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic Neck
B.The plantar grasp is from birth to 8 months
The Moro reflex is from birth to 4 months
The Stepping reflex is from birth to 4 months
The tonic neck reflex is from birth to 3 or 4 months
You are caring for a toddler who has acute otitis media. Which of the following is the priority action for you to take?
A. Provide emotional support to the family
B. Educate the family on care of the child
C. Prevent clinical complications
D. Administer analgesics
D
You are working in an outpatient facility and are caring for an infant who has manifestations of AOM. Which of the following places the infant at risk for otitis media?
A. Breastfeeding s formula supplementation
B. Attends day care 4 days per week
C. Immunizations are up to date
D. History of a cleft palate repair
E. Parents smoke cigarettes outside
B, D, E
You are caring for a 2-year-old patient who has has three ear infections in the past 5 months. Which of the following long term complications is the child at risk for developing?
A. Balance difficulties
B. Prolonged hearing loss
C. Speech delays
D. Mastoiditis
C
You are assessing an infant. Which of the following findings are clinical manifestations of acute otitis media?
A. Decreased pain in the supine position
B. Rolling head side to side
C. Loss of appetite
D. Increases sensitivity to sound
E. Crying
B, C, E
You are caring for a child who has enuresis. Which of the following is a complication?
A. Urinary tract infections
B. Emotional problems
C. Ureosepsis
D. Progressive kidney disease
B [Show Less]