Infants and children are immunized to prevent which diseases? (Select all that apply.)
a. Hepatitis B
b. Hepatitis C
c. Polio
d. Varicella
e. Lyme disease
ANS: A, C, D
Infants and children can be immunized against hepatitis B, polio, and varicella in addition to several other conditions.
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When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o'clock in each eye. The nurse should:
a. Consider this a normal finding. b. Refer the individual for further evaluation. c. Document this finding as an asymmetric light reflex. d. Perform the confrontation test to validate the findings.
Bowel sound assessment on a patient with an obstruction who has distention, nausea, and visible peristaltic waves would be:
a. loud and clearly audible. b. high pitched. c. hyperactive. d. absent.
A client with schizophrenia who admits to auditory hallucinations anxiously tells the nurse "The
voice is telling me to do things.". The priority assessment question the nurse should ask is a. "Do you recognize the voice speaking to you?' b. "How long has the voice been directing your behavior?" c. "Does what the voice tell you to do frighten you?" d. "What is the voice telling you to do?"
Which nervous system is responsible for the fight-or-flight response?
1. Sympathetic 2. Somatic 3. Peripheral 4. Parasympathetic