Pediatric Nclex Practice Questions

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The nurse is providing care for a pediatric client in the emergency department (ED) with a diagnosis of decreased level of consciousness (LOC) secondary to increased intracranial pressure (ICP). Which healthcare provider order should the nurse question?

  • A. Passive range-of-motion exercises to promote hip flexion
  • B. Oxygen at 2 L nasal cannula to maintain saturation above 95%
  • C. Hourly vital signs and neurologic checks
  • D. Elevate head of bed 30 degrees
Correct Answer: A

Rationale: In a pediatric client with increased intracranial pressure (ICP) and decreased level of consciousness (LOC), passive range-of-motion exercises to promote hip flexion should be questioned as they can potentially increase intracranial pressure. This action may not be safe for the client's condition. The other options are appropriate interventions for managing a pediatric client with increased ICP and decreased LOC.

You may also like to solve these questions

Head circumference (HC) increase in the first 3 months of life by

  • A. 0.5 cm per month
  • B. 1 cm per month
  • C. 1.5 cm per month
  • D. 2 cm per month
Correct Answer: B

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

What is the probable cause recognized by the nurse when a 5-year-old boy is admitted to the hospital with acute glomerulonephritis?

  • A. Recovery from German measles 2 months ago
  • B. Dysuria since the previous night
  • C. A history of allergy
  • D. A sore throat 2 weeks ago
Correct Answer: D

Rationale: Acute glomerulonephritis typically develops 1 to 3 weeks after a streptococcal infection, such as a sore throat, which triggers an allergic-type response that affects the glomeruli's function. This immune response leads to inflammation and damage to the glomeruli, resulting in acute glomerulonephritis.

When planning care for a pediatric client diagnosed with bacterial meningitis, what is the priority nursing diagnosis?

  • A. Impaired Gas Exchange
  • B. Risk for Infection
  • C. Anxiety (parental)
  • D. Acute Pain
Correct Answer: A

Rationale: The priority nursing diagnosis when caring for a pediatric client with bacterial meningitis is 'Impaired Gas Exchange.' This diagnosis takes precedence due to the potential for respiratory complications associated with the condition. Bacterial meningitis can lead to increased intracranial pressure, compromising the child's ability to ventilate adequately. Therefore, monitoring and addressing any signs of respiratory distress are crucial in the care of these patients.

The healthcare provider is providing dietary teaching to the parent of a school-age child who has celiac disease. The healthcare provider should recommend that the parent offer which of the following foods to the child?

  • A. Wheat bread
  • B. Vanilla malt
  • C. Barley soup
  • D. Rice pudding
Correct Answer: D

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

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.