NCLEX RN Pediatric Questions

NCLEX RN Pediatric Questions Related

Review NCLEX RN Pediatric Questions related questions and content

It is a serious condition in which the bone marrow does not produce enough new blood cells. It may be passed down from the parents or develop sometime during childhood:

  • A. Iron deficiency anemia
  • B. Sickle cell disease
  • C. Aplastic anemia
  • D. Thalassemia
Correct Answer: C

Rationale: Aplastic anemia is a serious condition characterized by the bone marrow's failure to produce enough blood cells - red blood cells, white blood cells, and platelets. This condition may be inherited or acquired later in life, including during childhood. It results in a deficiency of all types of blood cells, leading to symptoms like fatigue, weakness, frequent infections, and easy bruising or bleeding. Iron deficiency anemia, sickle cell disease, thalassemia, hemophilia, and idiopathic thrombocytopenic purpura are different blood disorders with distinct causes and symptoms, which do not match the description provided in the question.

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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.

The parents of a newborn ask the nurse what caused the baby's facial nerve paralysis. What knowledge should the nurse's response be based on?

  • A. Genetic defect
  • B. Birth injury
  • C. Spinal cord injury
  • D. Inborn error of metabolism
Correct Answer: B

Rationale: Facial nerve paralysis in a newborn is most commonly caused by birth injury. This can occur during the birthing process due to pressure on the baby's face or head, particularly if forceps or vacuum extraction are used during delivery. The trauma can affect the facial nerve resulting in temporary or permanent paralysis. It is important for the nurse to provide reassurance to the parents that birth injury is a common cause of facial nerve paralysis in newborns, and in many cases, the paralysis resolves on its own over time without further complications.

In a newborn's eyes, strabismus is a normal finding because of:

  • A. congenital cataracts.
  • B. lack of binocularity.
  • C. absence of red reflex.
  • D. inability of pupil to react to light.
Correct Answer: B

Rationale: Strabismus, or misalignment of the eyes, is a common condition in newborns due to the lack of binocularity. Binocularity refers to the ability of both eyes to focus simultaneously on a single point, which is not fully developed in newborns. As a result, it is normal for a newborn's eyes to appear misaligned at times. This lack of coordination between the eyes typically resolves as the infant's visual system matures and they develop the ability to focus both eyes together. Therefore, the presence of strabismus in a newborn is usually considered a normal finding related to the immature visual development rather than a sign of pathology such as congenital cataracts, absence of red reflex, or pupil reactivity issues.

The MOST common type of cerebral palsy is

  • A. ataxic cerebral palsy
  • B. spastic cerebral palsy
  • C. dystonic cerebral palsy
  • D. dyskinetic cerebral palsy
Correct Answer: B

Rationale: Spastic cerebral palsy is the most common type.

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