NCLEX RN Pediatric Questions

NCLEX RN Pediatric Questions Related

Review NCLEX RN Pediatric Questions related questions and content

The client with rheumatoid arthritis reports GI irritation after taking piroxicam (Feldene). To prevent GI upset, the nurse should provide which instruction?

  • A. Space the administration every 4 hours.
  • B. Use the drug for a short time only
  • C. Take piroxicam with food or oral antacid
  • D. Decrease the piroxicam dosage
Correct Answer: C

Rationale: Piroxicam is a nonselective NSAID (nonsteroidal anti-inflammatory drug) that can irritate the gastrointestinal (GI) tract, leading to symptoms such as heartburn, indigestion, and stomach pain. Taking piroxicam with food or an oral antacid can help reduce GI irritation by providing a protective barrier and reducing acid production within the stomach. Encouraging the client to take piroxicam with a meal or antacid can help prevent or minimize GI upset associated with the medication. Additionally, using a proton pump inhibitor (PPI) or histamine-2 receptor antagonist (H2 blocker) along with piroxicam may further protect the stomach lining from irritation.

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A 2-year-old is noted to be drinking from a container filled with kerosene. He immediately coughs, becomes tachypneic, and is brought to the hospital. The best approach to his treatment is to

  • A. induce emesis
  • B. perform nasogastric tube lavage
  • C. instill mineral oil
  • D. administer steroids
Correct Answer: E

Rationale: Inducing emesis or performing gastric lavage can increase the risk of aspiration. The best approach is supportive care, including oxygen and monitoring.

What is an important consideration regarding TPN administration?

  • A. IV site is kept aseptic while infusing the solution
  • B. Feeding is poured into a pouch and then infused
  • C. Solution is only hung for a maximum of 8 hours at a time New formula is added as needed so the line does not run dry
  • D. Solution is only hung for a maximum of 8 hours at a time h. New formula is added as needed so the line does not run dry
Correct Answer: A

Rationale: An important consideration regarding TPN administration is ensuring the intravenous (IV) site is kept aseptic while infusing the solution. This is crucial to prevent the risk of infection, as TPN solutions are highly concentrated and can provide an ideal environment for the growth of microorganisms. Strict aseptic technique must be maintained during the entire process of TPN administration, from preparation to infusion, to minimize the risk of introducing pathogens into the patient's system. Failure to maintain aseptic technique can lead to serious complications such as bloodstream infections, which can be life-threatening for the patient.

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.

The pediatric nurse cares for a patient who has undergone a hydrocele repair. While assessing the patient, the nurse notices that the scrotum is swollen and discolored. These findings are:

  • A. abnormal, and indicate the need for a cool compress.
  • B. abnormal, and indicate the presence of hemorrhaging.
  • C. normal, and indicate no need for intervention.
  • D. normal, and indicate the need for a position change.
Correct Answer: C

Rationale: Swelling and discoloration after hydrocele repair are typically normal postoperative findings and do not require immediate intervention unless excessive or worsening.

These facts are true regarding the developmental stage of preschool children EXCEPT

  • A. handedness is achieved by 3 years of age
  • B. boys are usually later than girls in achieving bladder control
  • C. knowing gender by 4 years
  • D. musturbation
Correct Answer: D

Rationale: Musturbation is not a recognized developmental milestone.

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