NCLEX RN Pediatric Questions

NCLEX RN Pediatric Questions Related

Review NCLEX RN Pediatric Questions related questions and content

A patient with a new diagnosis of lymphoma is experiencing fatigue. Which of the ff. is the best way to assess her fatigue?

  • A. Observe her activity level
  • B. Have her rate her fatigue on a scale of 0 to
  • C. Monitor for changes in vital signs 10
  • D. Monitor hemoglobin and hematocrit values
Correct Answer: B

Rationale: The best way to assess a patient's fatigue is to have her rate her fatigue on a scale of 0 to 10. Fatigue is primarily a subjective symptom, and patients are the best source of information regarding their own levels of fatigue. Using a standardized scale allows for a more quantitative assessment of the severity of the fatigue experienced by the patient. This can also help in monitoring changes in fatigue over time and evaluating the effectiveness of interventions aimed at managing fatigue. While observing the patient's activity level (choice A) can provide some information, it may not always accurately reflect the subjective experience of fatigue. Monitoring for changes in vital signs (choice C) and assessing hemoglobin and hematocrit values (choice D) can be important in evaluating overall health status and potential causes of fatigue, but they do not directly assess the patient's subjective experience of fatigue.

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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.

At about what age does the Babinski sign disappear?

  • A. 4 months
  • B. 6 months
  • C. 1 year
  • D. 2 years
Correct Answer: D

Rationale: The Babinski sign is a reflex response in infants where their big toe moves upward and the other toes fan out when the sole of the foot is stroked. This reflex is normally present in infants up to around 2 years of age. By the age of 2, the nervous system has matured, and the Babinski sign disappears as the child's motor pathways develop and the reflex becomes suppressed. After the age of 2, the presence of the Babinski sign can indicate neurological issues, so its absence beyond this age is considered normal.

Under which of the ff situations should a nurse notify the physician when caring for a client with lymphangitis? Choose all that apply

  • A. Affected area appears to enlarge
  • B. Red streaks extend up the arm or leg
  • C. Additional lymph nodes become
  • D. Liver and spleen become enlarged
Correct Answer: A

Rationale: A nurse should notify the physician when caring for a client with lymphangitis under the following situations:

Which is an accurate description of a Kasai procedure?

  • A. A palliative procedure in which the bile duct is attached to a loop of bowel to assist with bile drainage.
  • B. A curative procedure that connects the bile duct to the bowel.
  • C. A curative procedure where the bile duct is banded.
  • D. A palliative procedure where the bile duct is banded.
Correct Answer: A

Rationale: The Kasai procedure is a palliative surgery for biliary atresia that helps restore bile flow and delays the need for liver transplantation.

Early this morning, a baby boy was circumcised by using the Plastibell method. When should the nurse tell the mother that the baby can be discharged?

  • A. The newborn voids
  • B. Receiving vitamin K
  • C. Yellow exudate forms over glans
  • D. The Plastibell rim falls off
Correct Answer: D

Rationale: The nurse should inform the mother that the baby can be discharged once the Plastibell rim falls off. The Plastibell method involves placing a small plastic ring over the foreskin, which cuts off circulation and causes the foreskin to fall off on its own within a week to 10 days after the procedure. Once the Plastibell rim has fallen off, it indicates that the circumcision site has healed, and the baby is ready to be discharged. The other options, such as the newborn voiding, receiving vitamin K, or yellow exudate forming over the glans, are important aspects of post-circumcision care but are not indicative of the baby being ready for discharge.

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