nclex sample questions pediatric nursing part 1
TRANSCRIPT
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NCLEX Sample Questions Pediatric Nursing Part 1
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1. Andrea with suspected rheumatic fever is admitted to the pediatric unit. When obtaining the child¶s history, thenurse considers which information to be most important?a.
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A fever that started 3 days agob. Lack of interest in foodc. A recent episode of pharyngitisd. Vomiting for 2 days2. Nurse Liza is administering a medication via
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the intraosseous route to a child. Intraosseous drug administration istypically used when a child is:a. Under age 3b. Over age 3c. Critically ill and under age 3d. Critically ill and
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over age 33. When assessing a child¶s cultural background, the nurse in charge should keep in mind that:a. Cultural background usually has little bearing on a
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family¶s health practicesb. Physical characteristics mark the child as part of a particular culturec. Heritage dictates a group¶s shared valuesd.
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Behavioral patterns are passed from one generation to the next4. While examining a 2-year-old child, the nurse in charge sees that the anterior fontanel is open. The nurse
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should:a. Notify the doctor b. Look for other signs of abusec. Recognize this as a normal findingd. Ask about a family history of Tay-Sachs disease5. The nurse is aware
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that the most common assessment finding in a child with ulcerative colitis is:a. Intense abdominal crampsb. Profuse diarrheac. Anal fissuresd.
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Abdominal distention6. When administering an I.M. injection to an infant, the nurse in charge should use which site?a. Deltoidb. Dorsoglutealc. Ventrogluteald.
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Vastus lateralis7. A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance. To help diagnosethis problem, the nurse in charge anticipates that
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the doctor will order which laboratory test?a. Total iron-binding capacityb. Hemoglobinc. Total proteind. Serum transferring8. When developing a plan of care for
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a male adolescent, the nurse considers the child¶s psychosocial needs.During adolescence, psychosocial development focuses on:a.
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Becoming industrious
b. Establishing an identityc. Achieving intimacyd. Developing initiative9. When developing a plan care for a
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hospitalized child, nurse Mica knows that children in which age group aremost likely to view illness as a punishment for misdeeds?a. Infancyb. Preschool agec. Scholl aged.
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Adolescence10. Nurse Taylor suspects that a child, age 4, is being neglected physically. To best assess the child¶s nutritionalstatus, the nurse should ask the parents
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which question?a. ³Has your child always been so thin?´b. ³Is your child a picky eater?´c. ³What did your child eat for breakfast?´d. ³Do you think your child eats enough?´11. A
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female child, age 2, is brought to the emergency department after ingesting an unknown number of aspirintablets about 30 minutes earlier. On entering the examination
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room, the child is crying and clinging to the mother.Which data should the nurse obtain first?a. Heart rate, respiratory rate, and blood pressureb. Recent exposure
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to communicable diseasesc. Number of immunizations receivedd. Height and weight12. A mother asks the nurse how to handle her 5-year-old child,
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who recently started wetting the pants after beingcompletely toilet trained. The child just started attending nursery school 2 days a week. Which principle should guidethe nurse¶s
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response?a. The child forgets previously learned skillsb. The child experiences growth while regressing, regrouping, and then progressingc.
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The parents may refer less mature behaviorsd. The child returns to a level of behavior that increases the sense of security.13. A female child, age 6, is brought to the health clinic
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for a routine checkup. To assess the child¶s vision, thenurse should ask:a. ³Do you have any problems seeing different colors?´b. ³Do you have trouble seeing at night?
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´c. ³Do you have problems with glare?´d. ³How are you doing in school?´14. During a well-baby visit, Jenny asks the nurse when she should start giving her infant
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solid foods. The nurseshould instruct her to introduce which solid food first?a. Applesauceb. Egg whitesc. Rice cereald. Yogurt15. To decrease the likelihood of
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bradyarrhythmias in children during endotracheal intubation, succinylcholine(Anectine) is used with which of the following agents?
a. Epinephrine (Adrenalin)b.
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Isoproterenol (Isuprel)c. Atropine sulfated. Lidocaine hydrochloride (Xylocaine)16. A 1 year and 2-month-old child weighing 26 lb (11.8 kg) is admitted for
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traction to treat congenital hipdislocation. When preparing the patient¶s room, the nurse anticipates using which traction system?a. Bryant¶s tractionb.
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Buck¶s extension tractionc. Overhead suspension tractiond. 90-90 traction17. Mandy, age 12, is 7 months pregnant. When teaching parenting skills to
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an adolescent, the nurse knows thatwhich teaching strategy is least effective?a. Providing a one-on-one demonstration and requesting a return demonstration,
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using a live infant modelb. Initiating a teenage parent support group with first ± and ± second-time mothersc. Using audiovisual aids that show discussions of
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feelings and skillsd. Providing age-appropriate reading materials18. When performing a physical examination on an infant, the nurse in charge
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notes abnormally low-set ears. Thisfindings is associated with:a. Otogenous tetanusb. Tracheoesophageal fistulac. Congenital heart defectsd. Renal anomalies19.
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Nurse Raven should expect a 3-year-old child to be able to perform which action?a. Ride a tricycleb. Tie the shoelacesc. Roller-skatesd. Jump rope20. Nurse Betina is
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teaching a group of parents about otitis media. When discussing why children are predisposedto this disorder, the nurse should mention the significance of which anatomical
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feature?a. Eustachian tubesb. Nasopharynxc. Tympanic membraned. External ear canal21. The nurse is evaluating a female child with
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acute poststreptoccocal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?a. Increased urine outputb.
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Increased appetitec. Increased energy leveld. Decreased diarrhea22. Dr. Smith prescribes corticosteroids for a child with nephritic syndrome. What
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is the primary purpose of administering corticosteroids to this child?a. To increase blood pressureb. To reduce inflammation
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A recent episode of pharyngitis is the most important factor in establishing the diagnosis of rheumaticIn an emergency, intraosseous drug administration is typically used
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when a child is critically ill andA family¶s behavioral patterns and values are passed from one generation to the next. CulturalBecause the anterior fontanel
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normally closes between ages 12 and 18 months, the nurse shouldUlcerative colitis causes profuse diarrhea, intense abdominal cramps, anal fissures, and abdominalThe
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recommended injection site for an infant is the vastus lateralis or rectus femoris muscles. TheA negative nitrogen balance may result from inadequate protein intake and
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is best detected byAccording to Erikson, the primary psychosocial task during adolescence is to establish a personalPreschool-age children are most
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likely to view illness as a punishment for misdeeds. Separationshould obtain objective information about the child¶s nutritional intake, such as by asking
![Page 47: NCLEX Sample Questions Pediatric Nursing Part 1](https://reader031.vdocuments.us/reader031/viewer/2022012308/55158fca497959ee1d8b4d98/html5/thumbnails/47.jpg)
The most important data to obtain on a child¶s arrival in the emergency department are vital signstress of starting nursery school may trigger a return to a level of
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successful behavior from earlier A child¶s poor progress in school may indicate a visual disturbance. The other options are morereal is the first solid food an infant should
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receive because it is easy to digest and is associatedSuccinycholine is an ultra-short-acting depolarizing agent used for rapid-sequence intubation.Bryant¶s traction
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is used to treat femoral fractures of congenital hip dislocation in children under age 2Because adolescents absorb less information through reading, providing age-
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appropriate readinglly the top of the ear aligns with an imaginary line drawn across the inner and outer canthus of 3, gross motor development and refinement in eye-hand
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coordination enable a child to ride as are short and lie in a horizontal plane, promoting entry of nasopharyngealsign of improving kidney function, typically is the
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first sign that a child withurpose of administering corticosteroids to a child with nephritic syndrome is to decreaseinfant, signs of fluid volume deficit (dehydration)
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include sunken fontanels, increased pulse rate,should shake a suspension before administration to dispersed drug particles uniformly.
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ment must be calculated to the child¶s weight to avoid over-hydration. Initial fluidAmerican Association on Mental Deficiency, a person with an intelligence quotient
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relationship patterns focus on body image and the patient¶s relationship with others, whichk and 1 year of age. The incidence peaks at 2 to 4 months of demonstrates a
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preoccupation with death (such as by talking about deathmost common sign of Wilms¶ tumor is a painless, palpable abdominal mass, sometimesIn a 6-year-old child, a precarious
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sense of self causes overreaction to criticism and a sense of The nurse always should reinforce safety guidelines when teaching parents how to
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care for their child.nurse should start screening a child for lead poisoning at age 18 months and perform repeatThe body compensates for metabolic acidosis via the
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respiratory system, which tries to eliminate theA patient with celiac disease must maintain dietary restrictions lifelong to avoid recurrence of clinicalBy age 18
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months, the anterior and posterior fontanels should be closed. The diamond-shapedBecause of the inflammation of the meninges, the client is vulnerable to
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developing cerebral edemaThe nurse caring for an infant with nonorganic failure to thrive should maintain a consistent, structuredith spina bifida often develop an
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allergy to latex and shouldn¶t be exposed to it. If a child isrecommendation is to allow the child to feed herself because the child¶s stage of mount of glucose that¶s
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considered safe for peripheral veins while still providing adequatethe most valuable clues to pain is a behavior change: A child who¶s pain-free likes to play. AC.major cause of
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death and disability during the school-age years. Therefore, accidenttake top priority. Documentation is the only way the nurse can legally claim thatl of one hand and
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compress 1´ to 1½ ³. The nurse should use the heelsnewly admitted infant with meningococcal meningitis.tally ready, child and parent will become
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frustrated. Consistency isminors and aren¶t emancipated, their parents or designated legal guardians aremassive cell destruction resulting from chemotherapy
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may place the client at risk for developingThe transmission of layed hypersensitivity. If the test results are positive, a reaction shouldmerican Academy of
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Pediatrics recommends that infants at age 5 months receive iron-richoff while the infant sleeps helps to promote air circulation to the area, improving the, the parents
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should call the poison control center for specific directions.the hospital for burns, the primary focus is on assessingther signs of respiratory distress signify
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fluid volume excess (overload), which canteroid-dependent asthma, a contributing factor to this client¶s high-risk status, requires thecircumference is the most
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important assessment technique for recognizing possiblecast can be relieved by directing blow-dyer, set, on the cool setting, toward the
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A recent episode of pharyngitis is the most important factor in establishing the diagnosis of rheumaticIn an emergency, intraosseous drug administration is typically used
![Page 74: NCLEX Sample Questions Pediatric Nursing Part 1](https://reader031.vdocuments.us/reader031/viewer/2022012308/55158fca497959ee1d8b4d98/html5/thumbnails/74.jpg)
when a child is critically ill andA family¶s behavioral patterns and values are passed from one generation to the next. CulturalBecause the anterior fontanel
![Page 75: NCLEX Sample Questions Pediatric Nursing Part 1](https://reader031.vdocuments.us/reader031/viewer/2022012308/55158fca497959ee1d8b4d98/html5/thumbnails/75.jpg)
normally closes between ages 12 and 18 months, the nurse shouldUlcerative colitis causes profuse diarrhea, intense abdominal cramps, anal fissures, and abdominalThe
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recommended injection site for an infant is the vastus lateralis or rectus femoris muscles. TheA negative nitrogen balance may result from inadequate protein intake and
![Page 77: NCLEX Sample Questions Pediatric Nursing Part 1](https://reader031.vdocuments.us/reader031/viewer/2022012308/55158fca497959ee1d8b4d98/html5/thumbnails/77.jpg)
is best detected byAccording to Erikson, the primary psychosocial task during adolescence is to establish a personalPreschool-age children are most
![Page 78: NCLEX Sample Questions Pediatric Nursing Part 1](https://reader031.vdocuments.us/reader031/viewer/2022012308/55158fca497959ee1d8b4d98/html5/thumbnails/78.jpg)
likely to view illness as a punishment for misdeeds. Separationshould obtain objective information about the child¶s nutritional intake, such as by asking
![Page 79: NCLEX Sample Questions Pediatric Nursing Part 1](https://reader031.vdocuments.us/reader031/viewer/2022012308/55158fca497959ee1d8b4d98/html5/thumbnails/79.jpg)
The most important data to obtain on a child¶s arrival in the emergency department are vital signstress of starting nursery school may trigger a return to a level of
![Page 80: NCLEX Sample Questions Pediatric Nursing Part 1](https://reader031.vdocuments.us/reader031/viewer/2022012308/55158fca497959ee1d8b4d98/html5/thumbnails/80.jpg)
successful behavior from earlier A child¶s poor progress in school may indicate a visual disturbance. The other options are morereal is the first solid food an infant should
![Page 81: NCLEX Sample Questions Pediatric Nursing Part 1](https://reader031.vdocuments.us/reader031/viewer/2022012308/55158fca497959ee1d8b4d98/html5/thumbnails/81.jpg)
receive because it is easy to digest and is associatedSuccinycholine is an ultra-short-acting depolarizing agent used for rapid-sequence intubation.Bryant¶s traction
![Page 82: NCLEX Sample Questions Pediatric Nursing Part 1](https://reader031.vdocuments.us/reader031/viewer/2022012308/55158fca497959ee1d8b4d98/html5/thumbnails/82.jpg)
is used to treat femoral fractures of congenital hip dislocation in children under age 2Because adolescents absorb less information through reading, providing age-
![Page 83: NCLEX Sample Questions Pediatric Nursing Part 1](https://reader031.vdocuments.us/reader031/viewer/2022012308/55158fca497959ee1d8b4d98/html5/thumbnails/83.jpg)
appropriate readinglly the top of the ear aligns with an imaginary line drawn across the inner and outer canthus of 3, gross motor development and refinement in eye-hand
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coordination enable a child to ride as are short and lie in a horizontal plane, promoting entry of nasopharyngealsign of improving kidney function, typically is the
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first sign that a child withurpose of administering corticosteroids to a child with nephritic syndrome is to decreaseinfant, signs of fluid volume deficit (dehydration)
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include sunken fontanels, increased pulse rate,should shake a suspension before administration to dispersed drug particles uniformly.ment must be
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calculated to the child¶s weight to avoid over-hydration. Initial fluidAmerican Association on Mental Deficiency, a person with an intelligence quotientrelationship
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patterns focus on body image and the patient¶s relationship with others, whichk and 1 year of age. The incidence peaks at 2 to 4 months of demonstrates a preoccupation
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with death (such as by talking about deathmost common sign of Wilms¶ tumor is a painless, palpable abdominal mass, sometimes