Pediatric NCLEX Questions

Pediatric NCLEX Questions Related

Review Pediatric NCLEX Questions related questions and content

Nursing intervention during the lumbar puncture procedure includes:

  • A. Monitoring Mrs. GC's color, pulse and respiration
  • B. Labeling all laboratory specimens in numerical order
  • C. Positioning Mrs. GC on her side with knees drawn up to her chest
  • D. All of the above
Correct Answer: C

Rationale: During a lumbar puncture procedure, it is important to position the patient correctly to facilitate the procedure and minimize the risk of complications. Placing the patient on their side with their knees drawn up to their chest helps open up the spaces in the lower spine, making it easier for the healthcare provider to access the appropriate area for the procedure. This position also helps to minimize the risk of post-procedure complications such as spinal headaches. Monitoring the patient's vital signs is important but does not specifically relate to the nursing intervention during the lumbar puncture procedure. Labeling laboratory specimens in numerical order is also a routine task but not directly related to the procedure itself. Thus, the correct intervention during the lumbar puncture procedure is positioning the patient on their side with knees drawn up to the chest.

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A child 2 years 6 months of age has arranged a play date with a neighbor's child aged 2 years 9 months. During the play date, which behavior is most typical for children of this age?

  • A. Share and trade toys while playing.
  • B. Play with one another with little or no conflict.
  • C. Engage in parallel play (playing alongside but not directly with one another).
  • D. Play with only one or two items, ignoring most of the other toys.
Correct Answer: C

Rationale: Toddlers typically engage in parallel play rather than cooperative play.

The child who helps to undress, puts 3 words together (subject, verb, object), and handles a spoon well has an age around

  • A. 15 mo
  • B. 18 mo
  • C. 24 mo
  • D. 30 mo
Correct Answer: C

Rationale: These milestones are typically achieved around 24 months.

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.

The nurse is planning care for a newborn receiving IV calcium gluconate for treatment of hypocalcemia. Which intervention is the most appropriate during the acute phase?

  • A. Allow newborn to sleep with pacifier to decrease stimuli.
  • B. Keep newborn awake to monitor central nervous system changes.
  • C. Encourage parents to hold and feed newborn to facilitate attachment during illness.
  • D. Awaken newborn periodically to assess level of consciousness.
Correct Answer: D

Rationale: During the acute phase of treatment with IV calcium gluconate for hypocalcemia in a newborn, it is essential to closely monitor the newborn's level of consciousness. Hypocalcemia can lead to central nervous system changes, such as irritability, jitteriness, and seizures. By awakening the newborn periodically to assess their level of consciousness, the nurse can promptly identify any signs of worsening central nervous system involvement and take appropriate action. This intervention ensures timely detection of any neurological complications and allows for timely intervention to prevent serious consequences. The other options do not address the importance of monitoring for central nervous system changes during the acute phase of treatment for hypocalcemia.

Wilma knew that the maximum time when suctioning James is

  • A. 10 seconds
  • B. 20 seconds
  • C. 30 seconds
  • D. 45 seconds SITUATION: A 45 year old male construction worker was admitted to a tertiary hospital for incessant vomiting. Assessment disclosed: weak rapid pulse, acute weight loss of .5kg, furrows in his tongue, slow flattening of the skin was noted when the nurse released her pinch. Temperature: 35.8 C , BUN Creatinine ratio : 10 : 1, He also complains for postural hypotension. There was no infection.
Correct Answer: C

Rationale: When suctioning a patient, it is important to limit the suctioning time to avoid hypoxia and tissue trauma. The maximum recommended time for suctioning an adult patient is usually around 10-15 seconds. However, in some cases, such as when dealing with thick or excessive secretions, the maximum time can be extended up to 30 seconds. In this particular case, where James is likely experiencing respiratory distress due to his symptoms, it would be appropriate for Wilma to suction him for a maximum of 30 seconds to effectively clear his airways while minimizing the risk of complications.

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