Milestones NCLEX questions

Growth and Development NCLEX ScienceMedicinePaediatrics Tahimi9108 Save Milestones NCLEX questions 44 terms trburk514Preview Pediatric Respiratory questions with...62 terms sshrest33Preview Peds Respiratory NCLEX questions ...31 terms lyndsay_sexton2 Preview Growth 83 terms em A 4-year old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization. Which nursing intervention would be most appropriate to alleviate the child's fears?

• Encourage the child's parents to stay with the child
• Encourage play with other children of the same age
• Advise the family to visit only during the scheduled visiting hours
• Provide a private room, allowing the child to bring favorite toys from home
• Encourage the child's parents to stay with the child.

A 16-year-old is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is appropriate to facilitate normal growth and development postoperatively?

• Encourage the child to rest and read.
• Encourage the parents to room in with the child.
• Allow the child to interact with others in his or her same age group.
• Allow the family to bring in the child's favorite computer games.
• Allow the child to interact with others in his or her same age group.

A nurse prepares to administer digoxin (Lanoxin) to a 3-year-old child with a diagnosis of congestive heart failure and notes that the apical heart rate is 110 beats/min. Based on this finding, which nursing action is appropriate?

• Hold the medication.
• Notify the physician.
• Administer the digoxin.
• Recheck the apical rate in 15 minutes.
• Administer the digoxin

Which of the following care safety devices should be used for a child who is 8 years old and is 4 feet tall?

• Seat belt
• Booster seat
• Rear-facing convertible seat
• Front-facing convertible seat
• Booster seat

A nurse assesses the vital signs of a 12-month-old infant with a respiratory infection and notes that the respiratory rate is 35 breaths/min. Based on this finding, which action is appropriate?

• Administer oxygen.
• Notify the physician.
• Document the findings.
• Reassess the respiratory rate in 15 minutes.
• Document the findings

A nurse is monitoring a 3-month-old infant for signs of increased intracranial pressure. On palpation of the fontanels, the nurse notes that the anterior fontanel is soft and flat. Based on this finding, which nursing action is appropriate?

• Increase oral fluids.
• Notify the physician.
• Document the finding.
• Elevate the head of the bed to 90 degrees.
• Document the finding

A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the nurse expect to observe in this child?

• Uses a fork to eat
• Uses a cup to drink
• Pours own milk into a cup
• Uses a knife for cutting food.
• Uses a cup to drink

A 2-year-old child is treated in the emergency room for a burn to the chest and abdomen. The child sustained the burn by grabbing a cup of hot coffee that was left on the kitchen counter. The nurse reviews safety principles with the parents before discharge. Which statement by the parents indicates an understanding of measures to provide safety in the home?

• "We will be sure not to leave hot liquids unattended."
• "I guess my children need to understand what the word HOT means."
• "We will be sure that the children stay in their rooms when we work in the kitchen."
• "We will install a safety gate as soon as we get home so the children cannot get into the kitchen."
• "We will be sure not to leave hot liquids unattended."

A mother arrives at a clinic with her toddler and tells a nurse that she has a difficult time getting the child to go to bed at night. Which of the following is appropriate for the nurse to suggest to the mother?

• Avoid a nap during the day.
• Allow the child to set bedtime limits.
• Allow the child to have temper tantrums.
• Inform the child of bedtime a few minutes before it is time for bed.
• Inform the child of bedtime a few minutes before it is time for bed.

A mother of a 3-year-old asks a clinic nurse about appropriate and safe toys for the child. The nurse tells the mother that the most appropriate toy for a 3-year-old is which of the following?

• A wagon
• A golf set
• A farm set
• A jack set with marbles
• A wagon

The mother of a 3-year-old is concerned because her child still is insisting on a bottle at nap time and at bedtime. Which of the following is the appropriate suggestion to the mother?

• Allow the bottle if it contains juice.
• Allow the bottle if it contains water.
• Do not allow the child to have the bottle.
• Allow the bottle during naps but not at bedtime.
• Allow the bottle if it contains water.

A nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which of the following is the most appropriate activity for this child?

• A radio
• A sports video
• Large picture books
• Crayon and a coloring book
• Crayon and a coloring book

Which interventions are appropriate for the care of an infant? Select all that apply.

• Provide swaddling.
• Talk in a loud voice.
• Provide the infant with a bottle of juice at nap time.
• Hang mobiles with black and white contrast designs.
• Caress the infant while bathing or during diaper changes.
• Allow the infant to cry for at least 10 minutes before responding.
• Provide swaddling.
• Hang mobiles with black and white contrast designs.
• Caress the infant while bathing or during diaper changes.

Various children are being seen in the clinic for various well-baby checks. By what age should a nurse expect a child to begin to use simple words to communicate needs?

• Age 10-12 months
• Age 1-2 years
• Age 6-9 months
• Age 2-3 years
• Age 10-12 months

A nurse in a clinic is assessing the weight of an infant. Which infant's weight indicates to the nurse that the infant's weight is normal for the infant's age?

• The baby's weight has tripled in the first 6 months of life
• The baby's weight has doubled in the first year of life
• The baby's weight has doubled in the first 6 months of life and tripled in the first year.
• The baby's weight has doubled in the first 6 months and doubled again in the next 6 months
• The baby's weight has doubled in the first 6 months of life and tripled in the first year.

A student explains to an instructor that the infant period is categorized as the "oral phase" according to Freud's theory. Which statements by the student suggest an understanding of this phase? Select all that apply.

• An infant sucks for nourishment as well as pleasure
• An infant does not find pleasure in sucking but does find enjoyment from the nourishment
• An infant may have more pleasure in breastfeeding than bottle feeding because it expends more energy
• An infant does not find pleasure in use of a pacifier
• An infant explores the world through the mouth
• An infant begins to explore the genital area to learn sexual identity
• An infant sucks for nourishment as well as pleasure
• An infant may have more pleasure in breastfeeding than bottle feeding because it expends more energy
• An infant explores the world through the mouth

An 8-month-old baby girl, who is developing appropriately, is admitted to a pediatric unit for respiratory syncytial virus (RSV). The baby is crying and being held by her mother. A nurse wants to provide appropriate care based on Erikson's developmental stages. In which stage is this baby, according to Erikson's theory?

• Punishment versus obedience orientation
• Oral stage
• Initiative versus guilt
• Trust versus mistrust
• Trust versus mistrust