Pediatric NCLEX Questions

Pediatric NCLEX Questions Related

Review Pediatric NCLEX Questions related questions and content

Maintaining the infusion rate of hyperalimentation solutions is a nursing responsibility. What side effects would you anticipate from too rapid infusion rate?

  • A. Cellular dehydration and potassium
  • B. Hypoglycemia and hypovolemia
  • C. Potassium excess and CHF
  • D. Circulatory overload and hypoglycemia SITUATION: In the recall of the fluids and electrolytes, the nurse should be able to understand the calculations and other conditions related to loss or retention.
Correct Answer: D

Rationale: Too rapid infusion of hyperalimentation solutions can lead to circulatory overload due to the rapid volume expansion, which can strain the heart and lead to fluid overload. This can manifest as symptoms such as shortness of breath, crackles in the lungs, and edema. Additionally, a rapid infusion rate can cause a sudden surge in glucose levels, potentially leading to hypoglycemia due to increased insulin release in response to the elevated glucose levels. It is important for the nurse to maintain a careful and appropriate infusion rate to prevent these complications and ensure patient safety.

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Appropriate intervention is vital for many children with heart disease in order to go on to live active, full lives. Which of the following outlines an effective nursing intervention to decrease cardiac demands and minimize cardiac workload?

  • A. Feeding the infant over long periods
  • B. Allowing the infant to have her way to avoid conflict
  • C. Scheduling care to provide for uninterrupted rest periods
  • D. Developing and implementing a consistent care plan
Correct Answer: C

Rationale: The most appropriate intervention to decrease cardiac demands and minimize cardiac workload in children with heart disease is to schedule care to provide uninterrupted rest periods. By allowing the child to rest without interruptions, their heart will not have to work as hard, promoting better overall cardiac function. This intervention focuses on promoting rest and recovery, which is crucial for children with heart disease to maintain optimal cardiac health. Feeding the infant over long periods may not necessarily decrease cardiac demands, and allowing the infant to have her way to avoid conflict is not related to cardiac workload. Developing and implementing a consistent care plan is important but may not directly decrease cardiac demands as effectively as scheduling care for uninterrupted rest periods.

Prenatal exposure to cigarette smoke is associated with

  • A. shorter neonatal length
  • B. lower birthweight
  • C. changes in neonatal behavior
  • D. neonatal diabetes
Correct Answer: D

Rationale: Neonatal diabetes is not commonly associated with prenatal cigarette smoke exposure.

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.

A 3-day-old neonate has a large, soft, painless mass involving the head and neck region that mostly transilluminate; CT scan reveals a cystic mass involving the neck and intrathoracic mediastinum. The BEST modality for treatment of this neonate is

  • A. surgical resection
  • B. injection sclerosing agent
  • C. laser therapy
  • D. systemic interferon therapy
Correct Answer: A

Rationale: Surgical resection is the definitive treatment for cystic hygroma.

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.

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