Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
60. A charge nurse on a pediatric unit is preparing the daily assignment sheet. Which nurse is the best choice to care for a child hospitalized with German measles (rubella)?
. A 25-year-old woman who is a new graduate from nursing school.
. A 32-year-old woman with 8 years of pediatric nursing experience.
. A 45-year-old woman who is a new graduate from nursing school.
. A 50-year-old woman with 25 years of pediatric nursing experience.
Test-Taking Tip
The clue is in the age of the nurse. Correlate the most severe side effect of this disease (teratogenic) with the childbearing ages of the nurses.
Content Area: Child Health, Infectious Disease; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Delegation
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because German measles (rubella) has a teratogenic effect on fetuses. At 25 years of age, pregnancy could be a concern for this nurse. Answer 2 is incorrect because German measles (rubella) has a teratogenic effect on fetuses. At 32 years of age, pregnancy could be a concern for this nurse. Answer 3 is incorrect because the nurse is a new graduate, and it may be unlikely that she had experience in caring for a child with German measles (rubella). However, at 45 years of age, pregnancy would be an unlikely concern. Answer 4 is correct because German measles (rubella) has a teratogenic effect on fetuses. At 50 years of age, this likely would not be a concern. And, the nurse's 25 years of pediatric nursing experience would be a plus in caring for the child.