Nursing Elites

1. An infant, age 6 months, has six teeth. The nurse should recognize that this is what?

• A. Normal tooth eruption
• B. Delayed tooth eruption
• C. Unusual and dangerous
• D. Earlier than expected tooth eruption

Correct answer: D

Rationale: Having six teeth at 6 months is earlier than the typical tooth eruption schedule, but it is not unusual or dangerous. It is within the range of normal variations in infant development.

2. What does the Hib conjugate vaccine protect against?

• A. Bacterial meningitis
• B. Epiglottitis
• C. Bacterial pneumonia
• D. All Correct

Correct answer: D

Rationale: The Hib conjugate vaccine is crucial for protecting children from several severe infections caused by Haemophilus influenzae type b, including bacterial meningitis, epiglottitis, bacterial pneumonia, septic arthritis, and sepsis. Therefore, all the provided options are correct. Bacterial meningitis, epiglottitis, and bacterial pneumonia are serious conditions that the Hib vaccine effectively prevents, making choice D the correct answer. Choices A, B, and C are incorrect when considered individually as the Hib vaccine does not protect against only one specific infection; rather, it provides immunity against multiple diseases caused by Haemophilus influenzae type b.

3. In teaching parents about appropriate pacifier selection, the nurse should recommend which characteristic?

• A. Easily grasped handle
• B. Detachable shield for cleaning
• C. Soft, pliable material
• D. Ribbon or string to secure to clothing

Correct answer: A

Rationale: A pacifier with an easily grasped handle is safer and more convenient for the infant to use without the risk of choking hazards that detachable parts might pose.

4. What may be a clinical manifestation of failure to thrive (FTT) in a 13-month-old include?

• A. Irregularity in activities of daily living
• B. Preferring solid food to milk or formula
• C. Weight that is at or below the 10th percentile
• D. Appropriate achievement of developmental landmarks

Correct answer: C

Rationale: FTT is characterized by weight that falls below the 10th percentile, often accompanied by delayed developmental milestones and poor feeding habits. Regularity in activities and preference for solid food over milk or formula are less commonly associated with FTT.

5. The parents of a 12-month-old child ask the nurse if the child can eat hot dogs as do their other children. The nurse’s reply should be based on what?

• A. The child is too young to digest hot dogs.
• B. The child is too young to eat hot dogs safely.
• C. Hot dogs must be sliced into sections to prevent aspiration.
• D. Hot dogs must be cut into small, irregular pieces to prevent aspiration.

Correct answer: D

Rationale: Cutting hot dogs into small, irregular pieces reduces the risk of aspiration, which is a significant choking hazard for young children.

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