NCLEX RN Pediatric Questions

NCLEX RN Pediatric Questions Related

Review NCLEX RN Pediatric Questions related questions and content

Which statement regarding chlamydia infection is correct?

  • A. Treatment of choice is oral penicillin.
  • B. Treatment of choice is nystatin or miconazole.
  • C. Clinical manifestations include dysuria and urethral itching in males.
  • D. Clinical manifestations include small, painful vesicles on genital areas.
Correct Answer: C

Rationale: The correct statement regarding chlamydia infection is that the clinical manifestations include dysuria and urethral itching in males. Chlamydia is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. In males, common symptoms include a burning sensation during urination (dysuria) and urethral itching. It is important to note that chlamydia is often asymptomatic, especially in women, which is why regular screening is important to detect and treat the infection early. Option A is incorrect because the treatment of choice for chlamydia is typically antibiotics such as azithromycin or doxycycline, not oral penicillin. Option B is incorrect because nystatin or miconazole are used to treat fungal infections, not chlamydia. Option D is incorrect because small, painful vesicles on genital areas are more indicative of herpes simplex virus infection rather than chlamydia

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A 50-year old male was brought toi the emergency department with a diagnosis of diabetes insipidus. The client had a posterior pituitary tumor. The nursing diagnosis most appropriate for this client is:

  • A. fluid volume excess
  • B. incontinence, bowel
  • C. fluid volume deficit
  • D. diarrhea
Correct Answer: C

Rationale: Diabetes insipidus is a condition characterized by excessive thirst and excretion of large amounts of dilute urine, resulting in fluid volume deficit. The posterior pituitary tumor in this case is likely causing decreased secretion of antidiuretic hormone (ADH), leading to the inability of the kidneys to concentrate urine and retain water. This imbalance results in the loss of fluid, leading to dehydration and electrolyte imbalances. Therefore, the most appropriate nursing diagnosis for this client is fluid volume deficit, as the priority is to address the dehydration and restore fluid balance to prevent further complications.

A parent reports to the nurse that her child has inflamed conjunctivae of both eyes with purulent drainage and crusting of the eyelids, especially on awakening. These manifestations suggest:

  • A. viral conjunctivitis.
  • B. allergic conjunctivitis.
  • C. bacterial conjunctivitis.
  • D. conjunctivitis caused by foreign body.
Correct Answer: C

Rationale: The symptoms described by the parent, which include inflamed conjunctivae of both eyes with purulent drainage and crusting of the eyelids, are indicative of bacterial conjunctivitis. Bacterial conjunctivitis is typically associated with these symptoms, along with redness, irritation, and a sensation of a foreign body in the eye. It is common for bacterial conjunctivitis symptoms to be most pronounced upon awakening due to the accumulation of discharge overnight. Treatment for bacterial conjunctivitis often involves antibiotic eye drops.

The nurse is caring for a patient with a bowel resection. Which of the following would indicate that the patient's gastrointestinal tract is resuming normal function?

  • A. Firm abdomen
  • B. Presence of flatus
  • C. Excessive thirst
  • D. Absent bowel sounds
Correct Answer: B

Rationale: The presence of flatus (gas) is a positive sign that the patient's gastrointestinal tract is resuming normal function after a bowel resection surgery. Flatus production indicates that peristalsis and normal bowel motility are returning, allowing gas to move through the intestine. This is an important milestone in the postoperative recovery process, as it suggests the return of normal bowel function. The other options provided are not indicative of the return of normal gastrointestinal function.

Inhalation of carbogen for short period is recommended:

  • A. To stimulate respiration
  • B. To dilate blood vessels
  • C. To dislodge the blood clot
  • D. All of the above
Correct Answer: D

Rationale: Inhalation of carbogen, which is a mixture of carbon dioxide and oxygen, for a short period can have several beneficial effects.

Which of the ff is the diagnostic sign for pericarditis?

  • A. Precordial pain
  • B. Pericardial friction rub
  • C. Hypotension
  • D. Rapid and labored respirations INFLAMMATORY
Correct Answer: B

Rationale: The classic diagnostic sign for pericarditis is the presence of a pericardial friction rub upon auscultation. This sound is caused by the inflamed pericardial layers rubbing against each other during the cardiac cycle. While precordial pain is a common symptom of pericarditis, it is not a specific diagnostic sign. Hypotension and rapid/labored respirations may occur in severe cases or complications but are not definitive diagnostic signs for pericarditis.

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