before administering an mmr measles mumps and rubella vaccine to a 15 month old which question should the nurse ask the mother of the child

ATI RN

ATI RN Custom Exams Set 5

1. Before administering an MMR (measles, mumps, and rubella) vaccine to a 15-month-old, which question should the nurse ask the mother of the child?

A. “Has your child had any sore throats?”
B. “Has your child been eating properly?”
C. “Is your child allergic to any antibiotics?”
D. “Has your child been exposed to any infections?”

Correct answer: C

Rationale: The correct question for the nurse to ask the mother before administering the MMR vaccine to a 15-month-old is about the child's allergy to antibiotics. This is crucial because the MMR vaccine contains neomycin, an antibiotic, and being allergic to antibiotics like neomycin is a contraindication for the MMR vaccine. Asking about sore throats, eating habits, or exposure to infections is not directly relevant to the administration of the MMR vaccine.

2. Which of the following drugs may cause weight gain?

A. Amphetamines
B. Steroids
C. Antibiotics
D. Nonsteroidal anti-inflammatory drugs

Correct answer: B

Rationale: The correct answer is B, Steroids. Steroids are known to cause weight gain as a side effect. Amphetamines, choice A, are more likely to cause appetite suppression and weight loss. Antibiotics, choice C, and nonsteroidal anti-inflammatory drugs, choice D, are not typically associated with weight gain as a common side effect.

3. During a physical assessment of a newborn, which of the following findings should the nurse prioritize reporting?

A. Head circumference of 40 cm
B. Chest circumference of 32 cm
C. Acrocyanosis and edema of the scalp
D. Heart rate of 160 bpm and respirations of 40/min

Correct answer: A

Rationale: The correct answer is A. A head circumference of 40 cm is abnormally large for a newborn and could indicate conditions like hydrocephalus or other abnormalities, making it a crucial finding to report. Choices B, C, and D are within normal parameters for a newborn and do not pose immediate concerns. Chest circumference of 32 cm is a normal finding. Acrocyanosis and edema of the scalp are common in newborns due to physiological adaptations. A heart rate of 160 bpm and respirations of 40/min may be within the normal range for a newborn.

4. One potential side effect associated with the use of nonsteroidal anti-inflammatory drugs is:

A. Stomach irritation and bleeding
B. Stomatitis and esophagitis
C. Impaired folate absorption
D. Increased potassium excretion

Correct answer: A

Rationale: The correct answer is A: Stomach irritation and bleeding. Nonsteroidal anti-inflammatory drugs (NSAIDs) can lead to stomach irritation and bleeding by affecting the gastric mucosa. Stomatitis and esophagitis (choice B) are not commonly associated with NSAIDs. Impaired folate absorption (choice C) is not a typical side effect of NSAIDs. Increased potassium excretion (choice D) is not a common side effect of NSAIDs.

5. Who typically collects blood specimens?

A. The nurse
B. Medical technologist
C. Physician
D. Phlebotomist

Correct answer: A

Rationale: Nurses typically collect blood specimens from patients as part of their everyday duties in medical settings. They are trained in venipuncture techniques and are responsible for ensuring that blood samples are properly obtained and labeled for diagnostic testing. Medical technologists process and analyze the blood specimens in the laboratory under the direction of a physician. Physicians are not commonly involved in the direct collection of blood specimens. While phlebotomists are specialized professionals trained to draw blood, in many medical settings, nurses perform this task as part of their responsibilities.