Pediatric NCLEX Questions

Pediatric NCLEX Questions Related

Review Pediatric NCLEX Questions related questions and content

A nurse manager at a home-care agency is planning a continuing education program for the home-care staff nurses. Which type of continuing education program should the nurse manager plan?

  • A. On-line training modules
  • B. A structured written teaching module each nurse completes individually
  • C. A workshop training day, with a professional speaker, where nurses can interact with each other
  • D. One-on-one continuing education training with each nurse
Correct Answer: C

Rationale: A workshop training day with a professional speaker where nurses can interact with each other would be the most beneficial type of continuing education program for home-care staff nurses. This type of program allows for interactive learning and the opportunity for nurses to engage in discussions, ask questions, and share experiences with each other. It promotes a collaborative learning environment, fosters teamwork, and enhances communication among the staff. Additionally, bringing in a professional speaker can provide valuable insights and expertise on relevant topics, further enriching the education experience for the nurses. Overall, a workshop training day would be a more engaging and effective approach to continuing education for the home-care staff nurses compared to the other options listed.

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Which is defined as a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery?

  • A. Caput succedaneum
  • B. Hydrocephalus
  • C. Cephalhematoma
  • D. Subdural hematoma
Correct Answer: A

Rationale: Caput succedaneum is the vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery. It is often caused by pressure from the vaginal wall during labor. This condition does not involve the calvarial bone and typically resolves on its own within a few days after birth. Hydrocephalus refers to the abnormal accumulation of cerebrospinal fluid within the brain, which can result in an enlarged head circumference. Cephalhematoma is a collection of blood between the periosteum and the skull bone, usually occurring after birth trauma. Subdural hematoma is bleeding between the dura mater and the arachnoid mater surrounding the brain and is typically seen in traumatic head injuries.

You are evaluating a 6-year-old child with ALL on interim maintenance phase who has frequent mucositis and myelosuppression that needs frequent discontinuation of his treatment. Of the following, the MOST valuable test for this child is

  • A. complete blood count
  • B. pharmacogenetic testing of the thiopurine S-methyltransferase (TPMT) gene
  • C. renal function test
  • D. bone marrow study
Correct Answer: B

Rationale: TPMT gene testing helps determine the child's ability to metabolize thiopurine drugs, which may explain the adverse effects.

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.

There seems to be a positive correlation between type 2 diabetes mellitus and:

  • A. Hypotension
  • B. Obesity
  • C. Kidney dysfunction
  • D. Sex
Correct Answer: B

Rationale: There is a well-established positive correlation between type 2 diabetes mellitus and obesity. Obesity is a major risk factor for developing type 2 diabetes due to excess body fat leading to increased insulin resistance. As fat accumulates in the body, especially around the abdomen, the cells become less responsive to insulin, causing blood sugar levels to rise. This can ultimately lead to the development of type 2 diabetes. Managing obesity through lifestyle modifications such as healthy eating and regular exercise is crucial in preventing and managing type 2 diabetes.

A client with a cerebellar brain tumor is admitted to an acute care facility. The nurse formulates a nursing diagnosis of Risk for injury. Which "related-to" phrase should the nurse add to complete the nursing diagnosis statement?

  • A. Related to visual field deficits
  • B. Related to impaired balance
  • C. Related to difficulty swallowing
  • D. Related to psychomotor seizures
Correct Answer: B

Rationale: A client with a cerebellar brain tumor is likely to experience impaired balance due to the location of the tumor affecting the cerebellum, which is responsible for coordinating movement and balance. Impaired balance increases the risk for falls and other injuries, making it a priority concern for the client. Therefore, adding "Related to impaired balance" to the nursing diagnosis statement would be the most appropriate choice to address the client's risk for injury in this situation.

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