NCLEX Exam 6 - Question 1 A child is hospitalized with Rocky M...

NCLEX Exam 6 Page 1 of 26 NCLEX Exam with Questions and Answers Question 1 A child is hospitalized with Rocky Mountain spotted fever (RMSF). The health record reveals documentation that the child was bitten by a tick 2 weeks ago. The child presents with complaints of headache, fever, and anorexia, and the nurse notes a rash on the palms of the hands and soles of the feet. The nurse reviews the primary health care provider's prescriptions and anticipates that which medication should be prescribed?Correct Answer Doxycycline Question 2 The nurse determines that a child with type 1 diabetes mellitus is having a hypoglycemic reaction. Which supplement should the nurse give the child to treat the reaction?Correct Answer ½ cup of fruit juice Question 3 An adolescent client with type 1 diabetes is experiencing high glucose levels upon awakening in the morning. After reviewing the client's chart, the nurse determines that the elevated glucose level in the morning is due to the Somogyi effect. Which finding should lead the nurse to this conclusion? Refer to chart.Correct Answer Glucose level at 2 am of 65 mg/dL 1 / 3

NCLEX Exam 6 Page 2 of 26 Question 4 The nurse is reviewing instructions to a parent of a 6-year-old on how to prevent influenza. Which statement by the parent indicates a need for further teaching?Correct Answer "I will not let my child play with other children who have the flu unless they are taking acetaminophen." Question 5 A mother brings her 15-month-old child to the primary health care provider's office with complaints that the child has suddenly developed a bright red rash on her cheeks. She has no other symptoms and has been playing and eating as usual. Based on the appearance of the child, the nurse might suspect that the child has which communicable disease?Correct Answer Fifth disease Question 6 A child with diabetes mellitus is brought to the emergency department by her mother, who states that her daughter has been complaining of abdominal pain and has a fruity odor on the breath. Diabetic ketoacidosis (DKA) is diagnosed. The nurse assisting with care for the child checks the intravenous (IV) and medication supply area for what?Correct Answer 0.9% normal saline IV infusion Question 7 A mother brings her 3-week-old infant to a clinic for a phenylketonuria rescreening blood test. The test indicates a serum phenylalanine level of 0 mg/dL (0 mcmol/L).The nurse reviews this result and makes which interpretation?Correct Answer It is negative. 2 / 3

NCLEX Exam 6 Page 3 of 26 Question 8 Several children have contracted rubeola (measles) in a local school, and the school nurse conducts a teaching session for the parents of the school children. Which statement, if made by a parent, indicates a need for further teaching regarding this communicable disease?Correct Answer "The communicable period ranges from 10 days before the onset of symptoms to 15 days after the rash appears." Question 9 The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The child is in the convalescent stage and is being prepared for discharge.Which statement by the parents indicates a need for further teaching?Correct Answer "We need to maintain respiratory precautions and a quiet environment for at least 2 weeks." Question 10 The nurse provides instructions to the mother of a child with impetigo regarding the application of antibiotic ointment. The mother asks the nurse when the child can return to school. Which response by the nurse is appropriate?Correct Answer Forty-eight hours after using the antibiotic ointment Question 11 The nurse determines that an adolescent client with diabetes mellitus needs further teaching about A1c levels and their purpose if the client made which statement when told that a level will be drawn?Correct Answer "I already had a complete blood cell count drawn an hour ago, so this test is not necessary."

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