Pediatric NCLEX Questions

Pediatric NCLEX Questions Related

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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.

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The child begins to understand right and left by age of

  • A. 3 yr
  • B. 4 yr
  • C. 5 yr
  • D. 6 yr
Correct Answer: C

Rationale: Understanding right and left typically develops around age 5.

The nurse should expect to assess which causative agent in a child with warts?

  • A. Bacteria
  • B. Fungus
  • C. Parasite
  • D. Virus
Correct Answer: D

Rationale: Warts are typically caused by a viral infection, specifically the human papillomavirus (HPV). This virus infects the top layer of the skin, causing the skin cells to grow rapidly, leading to the formation of a wart. Other causative agents such as bacteria, fungus, and parasites do not typically cause warts in children. Therefore, when assessing a child with warts, the nurse should expect the causative agent to be a virus, specifically HPV.

The nurse will assess a loss of ability in which of the following areas?

  • A. Balance
  • B. Speech
  • C. Judgment
  • D. Endurance
Correct Answer: A

Rationale: The nurse will assess a loss of ability in the area of balance. Balance is an essential component of the physical function that allows individuals to maintain an upright posture and stability during movement. A loss of balance can significantly impact a person's mobility, coordination, and safety. Nurses often assess balance as part of their evaluations to identify any impairments that may affect a patient's independence and daily activities.

A 9mo-old infant develops a left adrenal mass; histological examination with genetic characteristics confirms neuroblastoma. Which of the following carries a better outcome?

  • A. amplification of the MYCN (N-myc) proto-oncogene
  • B. hyperdiploidy
  • C. loss of heterozygosity of 17q chromosome
  • D. loss of 1p chromosome
Correct Answer: B

Rationale: Hyperdiploidy is associated with a better prognosis in neuroblastoma.

A 72 y.o. man is admitted to a skilled care facility following a stroke. When the nursing assistant is bathing him, he makes a sexual remark and tries to touch her inappropriately. The assistant finishes the bath, then tells the LPN in charge, "I refuse to take care of that dirty old man!" Which response by the nurse is best?

  • A. "The next time he tries to touch you inappropriately, lightly smack his hand and tell him no!"
  • B. "His stroke has made him less inhibited. We'll see if we can find a male assistant to help him."
  • C. "We have to take care of all patients equally, even the dirty old men."
  • D. "He didn't mean anything by it, just ignore it."
Correct Answer: B

Rationale: The best response by the nurse is to address the situation with understanding and empathy. Referring to the patient as a "dirty old man" is disrespectful and unprofessional. The nurse should acknowledge that the patient's behavior may be a result of the stroke affecting his inhibitions and offer a solution to find a male assistant to help him, recognizing the nursing assistant's discomfort while still providing care for the patient. It is important to prioritize the well-being and comfort of both the patient and the staff while maintaining professionalism and dignity in the care provided.

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