A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella zoster virus. Which of the following information should the nurse include in the teaching?

Children who have varicella should be placed in droplet precautions.

Children who have varicella can have aspirin if experiencing discomfort.

Children who have varicella should receive the herpes zoster vaccine.

Children who have varicella are contagious until vesicles are crusted.

Answer and Explanation

The Correct Answer is D

A. Varicella (chickenpox) requires airborne and contact precautions, not droplet precautions, due to its high transmissibility.

B. Aspirin should never be given to children with viral infections because it increases the risk of Reye’s syndrome, a life-threatening condition causing liver failure and encephalopathy.

C. The herpes zoster vaccine (Zostavax or Shingrix) is for adults to prevent shingles, not for children with active varicella infection.

D. Children with varicella are contagious from 1–2 days before the rash appears until all vesicles have crusted over (usually 5–7 days). They should be isolated from susceptible individuals during this period.

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Correct Answer is D

Explanation

A. Keeping the drainage bag above waist level: The drainage bag should always remain below the level of the bladder to prevent backflow and infection.

B. Disconnecting the catheter from the drainage bag to empty the bag: The bag should not be disconnected, as this increases infection risk.

C. Using sterile gloves when emptying the drainage bag: Clean gloves (not sterile) are appropriate when emptying urine.

D. Emptying the drainage bag when it is half full: Emptying at the halfway point prevents backflow due to overfilling and ensures accurate urine output measurement.

A. Check for a disconnection in the ventilator tubing. B. Check for a kink in the ventilator tubing C. Suction the ET to remove secretions. D. Assess the ET for a cuff leak. E. Verify the placement of the ET.

Correct Answer is ["B","C"]

Explanation

A. Check for a disconnection in the ventilator tubing: A disconnection causes low-pressure alarms, not high-pressure alarms.

B. Check for a kink in the ventilator tubing: Kinked or obstructed tubing increases resistance to airflow, causing high-pressure alarms.

C. Suction the ET to remove secretions: Secretions in the airway increase airway resistance and pressure, leading to high-pressure alarms.

D. Assess the ET for a cuff leak: A cuff leak results in low-pressure alarms due to air escaping from the system.

E. Verify the placement of the ET: Malposition usually leads to decreased airflow or low-pressure alarms.

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A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella zoster virus. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is supervising an assistive personnel (AP) who is caring for a client with an indwelling urinary catheter. Which of the following actions taken by the AP indicates proper technique?

Correct Answer is D

Explanation

A nurse is caring for a client who has an endotracheal tube (ET) and is on mechanical ventilation. Which of the following actions should the nurse take for a ventilator alarm due to an increase in peak airway pressure? (Select all that apply.)

Correct Answer is ["B","C"]

Explanation

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