nclex sample questions pediatric nursing part 1

NCLEX Sample Questions Pediatric Nursing Part 1

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.

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

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

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

family¶s health practicesb. Physical characteristics mark the child as part of a particular culturec. Heritage dictates a group¶s shared valuesd.

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

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

that the most common assessment finding in a child with ulcerative colitis is:a. Intense abdominal crampsb. Profuse diarrheac. Anal fissuresd.

Abdominal distention6. When administering an I.M. injection to an infant, the nurse in charge should use which site?a. Deltoidb. Dorsoglutealc. Ventrogluteald.

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

the doctor will order which laboratory test?a. Total iron-binding capacityb. Hemoglobinc. Total proteind. Serum transferring8. When developing a plan of care for

a male adolescent, the nurse considers the child¶s psychosocial needs.During adolescence, psychosocial development focuses on:a.

Becoming industrious

b. Establishing an identityc. Achieving intimacyd. Developing initiative9. When developing a plan care for a

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.

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

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

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

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

to communicable diseasesc. Number of immunizations receivedd. Height and weight12. A mother asks the nurse how to handle her 5-year-old child,

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

response?a. The child forgets previously learned skillsb. The child experiences growth while regressing, regrouping, and then progressingc.

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

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?

´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

solid foods. The nurseshould instruct her to introduce which solid food first?a. Applesauceb. Egg whitesc. Rice cereald. Yogurt15. To decrease the likelihood of

bradyarrhythmias in children during endotracheal intubation, succinylcholine(Anectine) is used with which of the following agents?

a. Epinephrine (Adrenalin)b.

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

traction to treat congenital hipdislocation. When preparing the patient¶s room, the nurse anticipates using which traction system?a. Bryant¶s tractionb.

Buck¶s extension tractionc. Overhead suspension tractiond. 90-90 traction17. Mandy, age 12, is 7 months pregnant. When teaching parenting skills to

an adolescent, the nurse knows thatwhich teaching strategy is least effective?a. Providing a one-on-one demonstration and requesting a return demonstration,

using a live infant modelb. Initiating a teenage parent support group with first ± and ± second-time mothersc. Using audiovisual aids that show discussions of

feelings and skillsd. Providing age-appropriate reading materials18. When performing a physical examination on an infant, the nurse in charge

notes abnormally low-set ears. Thisfindings is associated with:a. Otogenous tetanusb. Tracheoesophageal fistulac. Congenital heart defectsd. Renal anomalies19.

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

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

feature?a. Eustachian tubesb. Nasopharynxc. Tympanic membraned. External ear canal21. The nurse is evaluating a female child with

acute poststreptoccocal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?a. Increased urine outputb.

Increased appetitec. Increased energy leveld. Decreased diarrhea22. Dr. Smith prescribes corticosteroids for a child with nephritic syndrome. What

is the primary purpose of administering corticosteroids to this child?a. To increase blood pressureb. To reduce inflammation

A recent episode of pharyngitis is the most important factor in establishing the diagnosis of rheumaticIn an emergency, intraosseous drug administration is typically used

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

normally closes between ages 12 and 18 months, the nurse shouldUlcerative colitis causes profuse diarrhea, intense abdominal cramps, anal fissures, and abdominalThe

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

is best detected byAccording to Erikson, the primary psychosocial task during adolescence is to establish a personalPreschool-age children are most

likely to view illness as a punishment for misdeeds. Separationshould obtain objective information about the child¶s nutritional intake, such as by asking

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

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

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

is used to treat femoral fractures of congenital hip dislocation in children under age 2Because adolescents absorb less information through reading, providing age-

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

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

first sign that a child withurpose of administering corticosteroids to a child with nephritic syndrome is to decreaseinfant, signs of fluid volume deficit (dehydration)

include sunken fontanels, increased pulse rate,should shake a suspension before administration to dispersed drug particles uniformly.

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

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

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

sense of self causes overreaction to criticism and a sense of The nurse always should reinforce safety guidelines when teaching parents how to

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

respiratory system, which tries to eliminate theA patient with celiac disease must maintain dietary restrictions lifelong to avoid recurrence of clinicalBy age 18

months, the anterior and posterior fontanels should be closed. The diamond-shapedBecause of the inflammation of the meninges, the client is vulnerable to

developing cerebral edemaThe nurse caring for an infant with nonorganic failure to thrive should maintain a consistent, structuredith spina bifida often develop an

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

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

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

compress 1´ to 1½ ³. The nurse should use the heelsnewly admitted infant with meningococcal meningitis.tally ready, child and parent will become

frustrated. Consistency isminors and aren¶t emancipated, their parents or designated legal guardians aremassive cell destruction resulting from chemotherapy

may place the client at risk for developingThe transmission of layed hypersensitivity. If the test results are positive, a reaction shouldmerican Academy of

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

should call the poison control center for specific directions.the hospital for burns, the primary focus is on assessingther signs of respiratory distress signify

fluid volume excess (overload), which canteroid-dependent asthma, a contributing factor to this client¶s high-risk status, requires thecircumference is the most

important assessment technique for recognizing possiblecast can be relieved by directing blow-dyer, set, on the cool setting, toward the