Pediatric NCLEX Questions

Pediatric NCLEX Questions Related

Review Pediatric NCLEX Questions related questions and content

A 68-year old client has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, the nurse would suspect which of the following disorders?

  • A. Diabetes mellitus
  • B. Hypoparathyroidism
  • C. Diabetes insipidus
  • D. Hyperparathyroidism
Correct Answer: D

Rationale: The symptoms described in the client, such as increased urination, anorexia, weakness, irritability, depression, and bone pain suggest hyperparathyroidism. In hyperparathyroidism, excess parathyroid hormone (PTH) is released, leading to increased calcium levels in the blood. This results in symptoms such as increased thirst and urination (polyuria), anorexia, weakness, irritability, depression, and bone pain. The bone pain in hyperparathyroidism can be severe and interfere with the client's ability to go outdoors. It is essential to consider hyperparathyroidism as a potential cause of these symptoms in the 68-year-old client and further diagnostic evaluations should be conducted to confirm the diagnosis.

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Nurse Hannah is administering a steroid to a child diagnosed with idiopathic thrombocytopenic purpura (ITP); which of the following should the nurse monitor?

  • A. Infection
  • B. Anemia
  • C. Bleeding
  • D. Bruising
Correct Answer: C

Rationale: Idiopathic thrombocytopenic purpura (ITP) is a condition characterized by a low platelet count, which can lead to an increased risk of bleeding. Steroids are often prescribed to help increase platelet production in patients with ITP. Therefore, the nurse should monitor the child for signs of bleeding, such as petechiae, ecchymosis, gum bleeding, and other unusual bleeding manifestations. Monitoring for bleeding is crucial to assess the effectiveness of the steroid treatment and to prevent complications associated with ITP.

The nurse is assessing a 2-week-old for signs of DDH. The nurse should expect the infant to have which of the following?

  • A. Excessive hip abduction.
  • B. Femoral lengthening of an affected leg.
  • C. Asymmetry of gluteal and thigh folds.
  • D. Pain when lying prone.
Correct Answer: C

Rationale: Developmental dysplasia of the hip (DDH) is a condition where the hip joint does not develop normally. In infants, one of the signs of DDH is the presence of asymmetry of gluteal (buttock) and thigh folds. This is due to the dislocated or subluxed hip being positioned differently than the healthy hip. The nurse should look for this sign during the assessment of a 2-week-old infant to help identify potential hip joint problems early on. Excessive hip abduction, femoral lengthening of an affected leg, and pain when lying prone are not typical signs of DDH in a 2-week-old infant.

The age of a child who imitates construction of a bridge of 3 cubes; copies circle; makes tower of 10 cubes is

  • A. 24 months old
  • B. 30 months old
  • C. 36 months old
  • D. 42 months old
Correct Answer: C

Rationale: These milestones are typically achieved around 36 months.

To prevent leakage of fluid in the thoracic cavity, how will you position the client after thoracentesis?

  • A. Place flat in bed
  • B. Turn on the affected side
  • C. Turn on the unaffected side
  • D. On bed rest SENSORY DISORDERS
Correct Answer: C

Rationale: After thoracentesis, it is important to position the client on the unaffected side to prevent leakage of fluid into the thoracic cavity. Placing the client on the unaffected side helps to promote proper drainage and reduce the risk of complications such as pneumothorax or fluid leakage. This position also allows for adequate lung expansion and facilitates proper re-expansion of the lung on the side where the fluid was removed. It is essential to follow this positioning to optimize outcomes and minimize risks associated with the procedure.

The nurse is caring for an adolescent who has just started dialysis. The child seems always angry, hostile, or depressed. To what are these behaviors most likely related?

  • A. Neurologic manifestations that occur with dialysis
  • B. Physiologic manifestations of renal disease
  • C. Adolescents having few coping mechanisms
  • D. Adolescents often resenting the control and enforced dependence imposed by dialysis
Correct Answer: D

Rationale: Adolescents often resent the control and enforced dependence imposed by dialysis. Adolescence is a challenging time marked by striving for independence and autonomy. When adolescents have to rely on medical interventions like dialysis that impose control and dependence, it can lead to feelings of anger, hostility, and depression. This is a normal psychological response to feeling restricted and not in control of their own lives. It is important for healthcare providers to recognize these emotions and provide support and coping strategies to help the adolescent adjust to the situation.

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