Pediatric NCLEX Questions

Pediatric NCLEX Questions Related

Review Pediatric NCLEX Questions related questions and content

The stump of the umbilical cord usually separates in how many days?

  • A. 3
  • B. 10 to 14
  • C. 16 to 20
  • D. 28
Correct Answer: B

Rationale: The stump of the umbilical cord usually separates from the baby's belly button within 10 to 14 days after birth. During this time, it is important to keep the area clean and dry to prevent infection. Once the stump falls off, a small open wound may be left behind, which should also be kept clean and dry until it completely heals. It is normal for a small amount of blood or discharge to be present during this process, but if there are signs of infection such as redness, swelling, or foul odor, it is important to contact a healthcare provider for further evaluation and treatment.

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When evaluating the effectiveness of nursing interventions for sinusitis discomfort, which of the following does the nurse assess?

  • A. WBC count
  • B. Capillary refill
  • C. Amount and color of sinus drainage
  • D. Comfort level
Correct Answer: C

Rationale: When evaluating the effectiveness of nursing interventions for sinusitis discomfort, assessing the amount and color of sinus drainage is crucial. Changes in these aspects can provide valuable information about the progression of the sinusitis and the effectiveness of the interventions being implemented. Increased or purulent sinus drainage can indicate infection or inflammation, while clearer drainage may suggest improvement. Monitoring these parameters helps the nurse make informed decisions about continuing, modifying, or discontinuing interventions to manage the patient's sinusitis discomfort effectively. Evaluating WBC count, capillary refill, and comfort level are also important assessments in certain situations, but assessing the amount and color of sinus drainage is most directly related to sinusitis symptoms.

A 12-year-old male adolescent, recently diagnosed with Hodgkin lymphoma, shows left cervical and supraclavicular lymph node involvement and drenching night sweats. Based on Ann Arbor Classification, the patient is classified as

  • A. stage IA
  • B. stage IB
  • C. stage IIA
  • D. stage IIB
Correct Answer: D

Rationale: Involvement of two lymph node regions above the diaphragm with systemic symptoms corresponds to stage IIB.

Biopsy is not usually performed for a child with suspicion of Wilms tumor EXCEPT

  • A. age of 2-3 year
  • B. signs of inflammation or infection
  • C. significant lymph node enlargement radiologically
  • D. intratumoral calcification radiologically
Correct Answer: E

Rationale: Presence of intratumoral calcifications may warrant biopsy to rule out other diagnoses.

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.

Potential sources of mercury include all of the following EXCEPT

  • A. swordfish
  • B. old teething powders
  • C. quicksilver
  • D. milk
Correct Answer: D

Rationale: Mercury is not typically found in milk. It is commonly found in fish, old teething powders, quicksilver, and other sources.

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