Chapter 25: NURS 340 Preparation For The Nclex Questions and Answers ,100%CORRECT
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Chapter 25: NURS 340
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Chapter 25: NURS 340
Chapter 25: NURS 340 Preparation For The Nclex Questions and Answers
Origin: Chapter 25, 1
1.While providing care to a 5-month-old girl whose family has a history of food allergies, the nurse instructs the parents about foods to be avoided in the first year of life. Which response by the parents...
chapter 25 nurs 340 preparation for the nclex questions and answers
while providing care to a 5 month old girl whose family has a history of food allergies
the nurse instructs the parents about food
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Chapter 25: NURS 340 Preparation For The Nclex Questions
and Answers
Origin: Chapter 25, 1
1.While providing care to a 5-month-old girl whose family has a history of
food allergies, the nurse instructs the parents about foods to be avoided in
the first year of life. Which response by the parents indicates a need for
further teaching?
A) "She cannot have any cow's milk."
B) "I should continue breastfeeding until at least 6 months."
C) "Peanuts in any form should be avoided."
D) "Any kind of fruit is acceptable."
Ans: D
Feedback:
The nurse should caution the parents that kiwifruit should be avoided.
Other foods to avoid include cow's milk, eggs, peanuts, tree nuts, sesame
seeds, fish, and shellfish. Breastfeeding also is recommended for at least
the first 6 months.
Origin: Chapter 25, 2
2.A nurse is caring for a 12-year-old girl with a severe peanut allergy. The
girl's parents are upset because the school does not permit her to carry her
EpiPen with her. It must remain in the school's office per school
regulations. Which response by the nurse would be most appropriate?
A) "She is allowed by law to carry her EpiPen with her; I will talk
to school authorities."
B) "Let's file an action plan and keep it in the school office in
the event of anaphylaxis."
C) "Make sure she wears a medical alert bracelet so that school staff
know she has allergies."
D) "I will be happy to train school authorities and staff to recognize
anaphylaxis." Ans: A
Feedback:
Public Law No. 108-377, the Asthmatic Schoolchildren's Treatment and
Health Management Act of 2004, was passed by the U.S. Congress. This law
is intended to ensure that students with severe allergies can carry
prescribed medications such as an EpiPen with them at all times. The nurse
must contact the school and inform them of this law so that the girl is
Page 1
, allowed to carry her EpiPen on her person at all times. The school staff
should be trained to recognize anaphylaxis, there should be an action plan
on file, and the girl should wear a medical alert bracelet as well. However,
the most important action is to notify school authorities of the law.
Origin: Chapter 25, 3
3. The nurse is caring for a newborn whose mother is HIV positive. The nurse
would expect to administer a 6-week course of which medication?
A) Lopinavir
B) Ritonavir
C) Nevirapine
D) Zidovudine
Page 2
, Ans: D
Feedback:
Children born to HIV-positive mothers should receive a 6-week course of
zidovudine therapy. Lopinavir, ritonavir, and nevirapine are medications
used for treatment of HIV-1 infections as part of a three-drug regimen.
Origin: Chapter 25, 4
4. The nurse is caring for a child who is having an anaphylactic reaction with
bronchospasm. The nurse would expect to administer what medication for
bronchospasm as ordered?
A) Epinephrine
B) Corticosteroid
C) Albuterol
D) Diphenhydramine
Ans: C
Feedback:
The nurse would expect to administer bronchodilation inhalation
treatment (albuterol) if bronchospasm is present. Epinephrine,
diphenhydramine, and/or corticosteroids are administered to reverse the
allergic process.
Origin: Chapter 25, 5
5. The nurse is caring for a child undergoing highly active antiretroviral
therapy (HAART) for HIV infection. The nurse is preparing to administer
the prescribed medication. In addition to the nucleoside analog reverse
transcriptase inhibitors (NRTIs) and the nonnucleoside analog reverse
transcriptase inhibitors (NNRTIs), the nurse is cognizant that the child will
be taking which additional medication as part of the three-drug regimen?
A) Protease inhibitors
B) Corticosteroids
C) Cytotoxic drugs
D) Disease-modifying antirheumatic drugs
(DMARDs) Ans: A
Feedback:
The nurse understands that the child will be taking protease inhibitors as
part of the three- drug regimen for HAART. Corticosteroids, cytotoxic agents,
and DMARDs are typically used for the treatment of juvenile idiopathic
Page 3
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