NCLEX RN Pediatric Questions

NCLEX RN Pediatric Questions Related

Review NCLEX RN Pediatric Questions related questions and content

A child is playing in the playroom. The nurse needs to obtain a child's blood pressure. Which is the appropriate procedure for obtaining the blood pressure?

  • A. Take the blood pressure in the playroom.
  • B. Ask the child to come to the exam room to obtain the blood pressure.
  • C. Ask the child to return to his or her room for the blood pressure, then escort the child back to the playroom.
  • D. Document that the blood pressure was not obtained because the child was in the playroom.
Correct Answer: B

Rationale: The appropriate procedure for obtaining a child's blood pressure is to ask the child to come to the exam room to obtain the blood pressure. This is important because the exam room provides a quiet and controlled environment, which is conducive to accurately measuring blood pressure. Taking the blood pressure in the playroom may lead to inaccurate readings due to distractions and noise. Similarly, asking the child to return to his or her room for the blood pressure and then escorting the child back to the playroom is not necessary and may disrupt the child's play. Documenting that the blood pressure was not obtained because the child was in the playroom is not a valid or appropriate action as it is important to ensure the child's health and monitor their blood pressure in a suitable environment. Therefore, the best course of action is to ask the child to come to the exam room to obtain the blood pressure.

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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.

A 50-year old male was brought toi the emergency department with a diagnosis of diabetes insipidus. The client had a posterior pituitary tumor. The nursing diagnosis most appropriate for this client is:

  • A. fluid volume excess
  • B. incontinence, bowel
  • C. fluid volume deficit
  • D. diarrhea
Correct Answer: C

Rationale: Diabetes insipidus is a condition characterized by excessive thirst and excretion of large amounts of dilute urine, resulting in fluid volume deficit. The posterior pituitary tumor in this case is likely causing decreased secretion of antidiuretic hormone (ADH), leading to the inability of the kidneys to concentrate urine and retain water. This imbalance results in the loss of fluid, leading to dehydration and electrolyte imbalances. Therefore, the most appropriate nursing diagnosis for this client is fluid volume deficit, as the priority is to address the dehydration and restore fluid balance to prevent further complications.

Streptococcal pharyngitis should be treated with antibiotics to avoid which of the following?

  • A. Otitis media
  • B. Acute laryngitis
  • C. Nephrotic syndrome
  • D. Hemorrhagic fever
Correct Answer: C

Rationale: Streptococcal pharyngitis, commonly known as strep throat, is caused by group A Streptococcus bacteria. If left untreated, the infection can lead to complications such as poststreptococcal glomerulonephritis, which is a type of nephrotic syndrome affecting the kidneys. Antibiotic treatment for streptococcal pharyngitis is important to prevent these potential severe complications, including nephrotic syndrome. Otitis media, acute laryngitis, and hemorrhagic fever are not direct complications of untreated streptococcal pharyngitis.

The nurse is aware that in communicating with an elderly client, the nurse will

  • A. Lean and shout at the ear of the client
  • B. Use a low-pitched voice
  • C. Open mouth wide while talking to the client
  • D. Use a medium-pitched voice
Correct Answer: B

Rationale: When communicating with an elderly client, it is important to use a low-pitched voice because high frequencies can be difficult for older individuals to hear. A low-pitched voice is easier for them to understand and can help enhance communication. Speaking clearly and directly in a calm manner with a lower pitch can make it easier for the elderly client to hear and comprehend what is being said. Additionally, it is important to speak at a moderate pace and volume to ensure effective communication with elderly clients.

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.

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