1. A client receiving chemotherapy asks the nurse why an antibiotic was prescribed.Which
tissue affected by chemotherapy should the nurse consider when formulating a response?
Answer
bone marrow
2. The nurse educates a client on decreasing the risk of developing antibi- otic-resistant
infections. Which statement made by the nurse will be most significant?
Answer
"Do not skip any dose of your antibiotics."
3. A child is administered a RotaTeq vaccine.What adverse drug effect should the nurse monitor
for?
Answer
intussusception
4. A nurse is assessing clients who are to be given the smallpox vaccination. Which client
should the nurse remove from the immunization line for medical counseling?
Answer
45-year-old woman with breast cancer
5. A registered nurse is teaching a student nurse regarding the interventions for a client with
human immunodeficiency virus (HIV) infection. Which state- ment by the student nurse
indicates the nurse needs to follow up?
Answer
,"I will ask the client to avoid involvement in community activities."
6. A 1-year-old exhibits a runny nose and cough after being administered a vaccine via the
intranasal route. Which vaccine may have been administered to the child?
Answer
Live attenuated influenza
7. Which medications act by binding with integrase enzyme and prevent hu- man
immunodeficiency virus (HIV) from incorporating its genetic material into the client's cell? Select
all that apply.
Answer
Raltegravir
Elvitegravir
8. A client presents with a localized bacterial infection of mucous membranes. Which organism
is most likely responsible for this condition in the client?
Answer
- Corynebacterium diphtheria
9. A client presents to the emergency department with shortness of breath, bloody sputum,
weight gain, generalized edema, and a blood pressure of 150/110. The nurse reviews the client's
laboratory results and determines that the client has impaired renal function. Which diagnosis
will the nurse most likely observe written in the client's electronic medical record?
Answer
Goodpasture syndrome
, 10. The 8-year-old son of migrant farm workers is brought to the county health clinic. He has no
history of immunizations. After measles is diagnosed, the public health nurse goes to the
migrant camp to search for people with a greater-than-average chance of contracting the
disease. What is the name of this variable?
Answer
risk factor
11. A newborn is Rh positive, and the mother is Rh negative.The infant is to receive an
exchange transfusion. When the parents ask why their baby will
receive Rh-negative blood, what explanation does the nurse provide?
Answer
The red blood cells will not be destroyed by maternal anti-Rh antibodies.
12. The nurse suspects the Jarisch-Herxheimer reaction in a client with syphilis who is on
antibiotic therapy. Which symptoms in the client support the nurse's suspicion? Select all that
apply.
Answer
fever
generalized ache
pain at the injection site
13. An adolescent is brought to the hospital by the parent.The adolescent has a slump and
cannot sit upright. On examination, the nurse finds a painless curvature of spine side to side.
What should the nurse advise the parent?
Answer
- "Your child has scoliosis and needs to see the primary health care provider."
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