Pediatric Nclex Practice Questions

Pediatric Nclex Practice Questions Related

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Parents are speaking with the urologist about their son's undescended testicle. Which statement by the child's father causes the nurse to determine he understands the information presented?

  • A. An undescended testicle can reduce fertility.
  • B. The testicle usually descends spontaneously during the first month of life.
  • C. Surgical correction reduces the risk for testicular tumors.
  • D. The optimal time to surgically correct the condition is at diagnosis.
Correct Answer: A

Rationale: The correct answer is A because an undescended testicle can reduce fertility. Even after surgical correction (orchiopexy), fertility rates may be reduced, especially when one testis remains undescended. The statement in choice B is incorrect as the testicle should have descended into the scrotum by the time the infant is 4-6 months old. While choice C is true that surgical correction can reduce the risk of testicular tumors, the question focuses on the father's understanding of the information presented, which is better reflected in choice A. Choice D is incorrect because the optimal time for surgical correction of an undescended testicle is typically around 6-18 months of age, not necessarily at the time of diagnosis.

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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.

A 4-year-old child is admitted to the hospital secondary to dehydration. Laboratory tests indicate a high hemoglobin and hematocrit, and the serum sodium is below normal levels. Which condition does the nurse suspect based on the current data?

  • A. Hypernatremia
  • B. Metabolic acidosis
  • C. Hypotonic dehydration
  • D. Isotonic dehydration
Correct Answer: C

Rationale: The correct answer is hypotonic dehydration. The combination of high hemoglobin and hematocrit with low serum sodium indicates hypotonic dehydration. In this condition, there is an excess of solutes relative to water, leading to higher red blood cell concentration (elevated hemoglobin and hematocrit) and low serum sodium levels.

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.

The closeness of a measured value to a standard or known value is termed as

  • A. accuracy
  • B. precision
  • C. sensitivity
  • D. specificity
Correct Answer: A

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

Which urinary diversion procedure is the least damaging to the body image of the adolescent?

  • A. Urostomy
  • B. Ileal conduit
  • C. Nephrostomy
  • D. Suprapubic placement
Correct Answer: B

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

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