Ati rn pediatric proctored exam 7 versions latest 2022 21

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Ati rn pediatric proctored exam 7 versions latest 2022 214.n A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the following actions should the nurse take? a.Perfor... m the assessment in a head to toe sequence. b.Minimize physical contact with the child initially. c.Explain procedures using medical terminology. d.Stop the assessment if the child becomes uncooperative. Rationale: The nurse should initially minimize physical contact with the toddler, and then progress from the least traumatic to the most traumatic procedures. 5.A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is planning to attend college. The nurse should inform the client that he should receive which of the following immunizations prior to moving into a campus dormitory? a.Pneumococcal polysaccharide b.Meningococcal polysaccharide c.Rotavirus d.Herpes zoster Rationale: The meningococcal polysaccharide immunization is used to prevent infection by certain groups of meningococcal bacteria. Meningococcal infection can cause life-threatening illnesses, such as meningococcal meningitis, which affects the brain, and meningococcemia, which affects the blood. Both of these conditions can be fatal. College freshmen, particularly those who live in dormitories, are at an increased risk for meningococcal disease relative to other persons their age. Therefore, the Centers for Disease Control and Prevention has issued a recommendation that all incoming college students receive the meningococcal immunization. 6.A nurse is teaching the parent of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children? a.Cow's milk b.Wheat bread c.Corn syrup d.Eggs Rationale: According to evidence-based practice, the nurse should instruct the parent that cow’s milk is the most common food allergy in children. Some children are sensitive to the protein, called casein, found in cow’s milk. They have difficulty metabolizing the casein and are, therefore, allergic to cow’s milk. 7.A nurse is teaching the parent of a toddler about home safety. Which of the following statements by the parent indicates an understanding of the teaching? a."I lock my medications in the medicine cabinet." b."I keep my child's crib mattress at the highest level." c."I turn pot handles to the side of my stove while cooking." d."I will give my child syrup of ipecac if she swallows something poisonous." Rationale: Locking up medications and other potential poisons prevents access. Toddlers have improved gross and fine motor skills that allow for further exploration of the environment and possible access to hazardous substances. 8.A nurse is performing a physical assessment on a 6-month-old infant. Which of the following reflexes should the nurse expect to find? a.Stepping b. Babinski c. Extrusion d. Moro Rationale: The Babinski reflex, which is elicited by stroking the bottom of the foot and causing the toes to fan and the big toe to dorsiflex, should be present until the age of 1 year. Persistence of neonatal reflexes might indicate neurological deficits. 9.A nurse is preparing to administer recommended immunizations to a 2-month-old infant. Which of the following immunizations should the nurse plan to administer? a.Human papillomavirus (HPV) and hepatitis A b.Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis (TDaP) c.Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV) d.Varicella (VAR) and live attenuated influenza vaccine (LAIV) Rationale: The recommended immunizations for a 2-month-old infant include Hib and IPV. The Hib immunization series consists of 3 to 4 doses, depending on the immunization used, and at a minimum is administered at the ages of 2 months, 4 months, and 12 to 15 months. The IPV immunization series consists of 4 doses and is administered at the ages of 2 months, 4 months, 6 to 18 months, and 4 to 6 years. [Show More]

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