Pediatric Nclex Practice Questions

Pediatric Nclex Practice Questions Related

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A pediatric client is admitted to the emergency department with a traumatic brain injury (TBI) that caused a loss of consciousness. The last set of vital signs showed heart rate 48, blood pressure (BP) 148/74 mmHg, respiratory rate 28 and irregular. What does the nurse suspect based on these data?

  • A. Spinal cord injury
  • B. Increased intracranial pressure
  • C. Typical for sleep
  • D. Improvement
Correct Answer: B

Rationale: The vital signs of bradycardia, hypertension, and irregular respirations indicate increased intracranial pressure. Bradycardia (heart rate of 48), hypertension (blood pressure of 148/74 mmHg), and irregular respirations are typical signs of increased intracranial pressure in a pediatric client with a traumatic brain injury and loss of consciousness.

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A nurse is planning care for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

  • A. Position the infant on his abdomen
  • B. Cleanse the incision site with hydrogen peroxide
  • C. Offer the infant a pacifier
  • D. Keep the infant's elbow restrained
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Risk factors for birth brachial plexus injury include the following EXCEPT

  • A. shoulder dystocia
  • B. birthweight greater than 4 kg
  • C. primiparous mothers
  • D. diabetic mother
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A post-op patient has an epidural infusion of morphine sulfate. The patient’s respiratory rate declines to 8 breaths/minute. Which medication would the nurse anticipate administering?

  • A. Naloxone (Narcan)
  • B. Acetylcysteine (Mucomyst)
  • C. Methyprednisolone (Solu-Medrol)
  • D. Protamine Sulfate
Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A parent of a child with oral candidiasis is being taught by a nurse. Which statement by the parent indicates an understanding of the teaching?

  • A. I will boil the nipples and pacifiers for 20 minutes each day.
  • B. I will stop the medication as soon as the spots disappear.
  • C. I will apply an over-the-counter steroid cream to the spots.
  • D. I will mix the medication in my child's bottle.
Correct Answer: A

Rationale: Boiling the nipples and pacifiers for 20 minutes each day is an appropriate measure to prevent reinfection of oral candidiasis. This practice helps eliminate the Candida fungus from these items, reducing the risk of the child getting reinfected. It is crucial for the parent to follow this hygienic practice consistently to ensure the child's recovery and prevent the spread of the infection.

The serum alpha-fetoprotein (AFP) level is elevated with some malignant germ cell tumors (GCTs) especially endodermal sinus tumors; it can be used as a measure of treatment response and during follow-up after completion of chemotherapy. However, it is normally elevated during infancy. At which age does AFP physiologically fall to normal adult level?

  • A. three month
  • B. eight month
  • C. one year
  • D. three year
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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