NCLEX RN Pediatric Questions

NCLEX RN Pediatric Questions Related

Review NCLEX RN Pediatric Questions related questions and content

A 4-month-old was born at 35 weeks of gestation. She seems to be developing normally, but her parents are concerned because she is a "more difficult" baby than their other child, who was term. What should the nurse's explanation include?

  • A. Infants' temperaments are part of their unique characteristics.
  • B. Infants become less difficult if they are not kept on scheduled feedings and structured routines.
  • C. The infant's behavior is suggestive of failure to bond completely with her parents.
  • D. The infant's difficult temperament is the result of painful experiences in the neonatal period.
Correct Answer: A

Rationale: The nurse should explain to the parents that infants' temperaments are part of their unique characteristics. Temperament refers to an individual's natural predisposition towards certain behaviors and emotional responses. It is not uncommon for babies to have different temperaments, even within the same family. This 4-month-old baby may simply have a more difficult temperament compared to her sibling who was born at term. It is important for parents to understand and accept their baby's temperament as part of her individuality, rather than attributing it to other factors such as failure to bond or painful experiences in the neonatal period. While schedules and routines can help with managing challenging behaviors, it is essential for the parents to recognize and appreciate the uniqueness of their baby's temperament.

You may also like to solve these questions

A parent reports to the nurse that her child has inflamed conjunctivae of both eyes with purulent drainage and crusting of the eyelids, especially on awakening. These manifestations suggest:

  • A. viral conjunctivitis.
  • B. allergic conjunctivitis.
  • C. bacterial conjunctivitis.
  • D. conjunctivitis caused by foreign body.
Correct Answer: C

Rationale: The symptoms described by the parent, which include inflamed conjunctivae of both eyes with purulent drainage and crusting of the eyelids, are indicative of bacterial conjunctivitis. Bacterial conjunctivitis is typically associated with these symptoms, along with redness, irritation, and a sensation of a foreign body in the eye. It is common for bacterial conjunctivitis symptoms to be most pronounced upon awakening due to the accumulation of discharge overnight. Treatment for bacterial conjunctivitis often involves antibiotic eye drops.

All the following are recognizable teratogens EXCEPT

  • A. ethanol
  • B. antiepileptic medications
  • C. toxoplasmosis
  • D. hypothermia
Correct Answer: D

Rationale: Hypothermia is not typically considered a teratogen.

understands that it is important that which of the following diagnostic tests is obtained to help prevent cardiac complications?

  • A. Chest x-ray examination c.White blood cell count
  • B. Throat culture
  • C. Erythrocyte sedimentation rate
Correct Answer: C

Rationale: The erythrocyte sedimentation rate (ESR) is an important diagnostic test that can help identify inflammation in the body, including inflammation in the heart. Elevated ESR levels may indicate the presence of an underlying condition that could potentially lead to cardiac complications if left untreated. Regular monitoring of ESR levels can help in the early detection and prevention of cardiac issues. The other options (A. Chest x-ray examination, B. Throat culture, and D. White blood cell count) are not specific diagnostic tests for assessing cardiac complications.

These facts are true regarding the developmental stage of preschool children EXCEPT

  • A. handedness is achieved by 3 years of age
  • B. boys are usually later than girls in achieving bladder control
  • C. knowing gender by 4 years
  • D. musturbation
Correct Answer: D

Rationale: Musturbation is not a recognized developmental milestone.

You are discussing with medical students the role of chemotherapy in malignant germ cell tumors (GCTs); you state that GCTs are sensitive to some types of chemotherapy. Of the following, the MOST effective chemotherapeutic agent in GCTs is

  • A. vincristine
  • B. cyclophosphamide
  • C. cisplatin
  • D. methotrexate
Correct Answer: C

Rationale: Cisplatin is a cornerstone in the treatment of germ cell tumors.

Copyright © 2025 Nokea. All rights reserved.