Nursing Elites

1. Which statement by an 18-year-old woman vaccinated with Gardasil indicates that more teaching is necessary?

• A. This vaccination will cure the HPV infection I got when I was 16.
• B. I will still need to have a routine Pap screen performed.
• C. Gardasil can prevent genital warts in males and females.
• D. This drug does not protect against all types of HPV.

Correct answer: A

Rationale: The correct answer is A because Gardasil does not cure existing HPV infections. Gardasil is a preventive vaccine and does not treat existing infections. Choice B is correct as regular Pap screenings are still necessary even after vaccination. Choice C is also correct as Gardasil can prevent genital warts. Choice D is correct as Gardasil does not protect against all types of HPV. Therefore, option A is the statement that indicates the need for more teaching.

2. Which statement is true regarding playful children?

• A. They exhibit flexible problem-solving.
• B. They have low intelligence scores.
• C. They need clear rules and directions to succeed.
• D. They do not perform well in school.

Correct answer: A

Rationale: The correct statement is that playful children exhibit flexible problem-solving. Playful children often engage in creative and imaginative thinking, allowing them to approach problems in unique ways. This fosters better problem-solving abilities compared to those who may be more rigid in their thinking. Choice B is incorrect as there is no direct correlation between being playful and having low intelligence scores. Choice C is incorrect as playful children may thrive in environments that encourage creativity rather than rigid rules. Choice D is incorrect as being playful does not necessarily equate to poor academic performance.

3. Which assessment data would cause suspicion that a 3-year-old child has Hirschsprung disease?

• A. Clay-colored stools and dark urine
• B. History of early passage of meconium in the newborn period
• C. History of chronic, progressive constipation and failure to gain weight
• D. Continual bouts of foul-smelling diarrhea

Correct answer: C

Rationale: Hirschsprung disease is characterized by chronic, progressive constipation and failure to gain weight. These symptoms are indicative of the disorder due to the absence of ganglion cells in the distal colon, leading to impaired motility and obstruction.

4. When teaching a parent of a toddler with a new prescription for liquid ferrous sulfate, which of the following instructions should the nurse include?

• A. Mix the medication with milk.
• B. Give the medication with orange juice.
• C. Give the medication with meals.
• D. Administer the medication with an antacid.

Correct answer: B

Rationale: The correct answer is to give the medication with orange juice. Orange juice helps increase the absorption of iron from ferrous sulfate. This acidic environment aids in the absorption of iron, making it a suitable choice for administration. Mixing the medication with milk or an antacid may decrease iron absorption, and giving it with meals may not optimize its absorption as effectively as with orange juice.

5. A child with a history of seizures arrives in the emergency department (ED) in status epilepticus. Which is the priority nursing action?

• A. Take vital signs.
• B. Establish an intravenous line.
• C. Perform rapid neurologic assessment.
• D. Maintain a patent airway.

Correct answer: D

Rationale: When a child with a history of seizures presents in status epilepticus, the priority nursing action is to maintain a patent airway. This is crucial to ensure proper oxygenation and ventilation. While taking vital signs, establishing an intravenous line, and performing rapid neurologic assessment are important, maintaining a patent airway takes precedence. Hypoxia can lead to serious complications, making airway management the top priority to ensure the child's safety and prevent further deterioration.

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