NCLEX-PN Questions Pediatrics

NCLEX-PN Questions (Pediatrics) ScienceMedicinePaediatrics orocco1699 Save The nurse assists in creating a nursing care plan for the child with an arm cast and would include which interventions in the plan? (Select all)

• Instruct parents to keep the cast clean and dry
• Monitor the extremity for circulatory impairment
• Instruct the child not to stick objects down the cast
• Ensure that rough cast materials are cut off to keep smoothe
• Notify the registered nurse (RN) immediateyl if circulatory impairment occurs.
• Monitor the extremity for circulatory impairment
• Instruct the child not to stick objects down the cast

The nurse is reinforcing instructions to the mother of a child with juevenile idiopathic arthritis regarding measures to take if a painful exacerbation of the disease occurs. Which statement by the mother indicates the need for further teaching?The full range of motion (ROM) exercises must be performed every day even during the exacerbations

The nurse reinforces home care instructions to the parent of a 3 year olf child who has been hospitalized with hemophilia. Which statement by a parent indicates the need for further teaching?I will avoid immunizations and dental hygiene treatments for my child A parent with a 6 year old child diagnosed with enuresis discusses with the nurse the measures that are being taken to help her child. Which statement by the parent indicates a need for further teaching?I take away privileges such as TV time when bed is wet in the morning A child with rubeola (measles) is being admitted to the hospital. When preparing for the admission of the child, which precautions would be implemented? (select all)

• Enteric
• Contact
• Airborne
• Protective
• Neutropenic
• Contact
• Airborne

The nurse is caring for a hospitalized infant and is monitoring for increased intracranial pressure (ICP). The nurse notes that the anterior fontanel bulges when the infant cries. Based on this finding, which action would the nurse take?Document the findings The nurse reviews measures to prevent tick bites with a parent of a child with Rocky Mountain spotted fever. Which statement by the parent indicates a need for further teaching?I will have my child wear dark colored clothing so the tick with not be attracted to the colors

The nurse has just administered ibuprofen to a child with a temperature of 38.8 C (102F). The nurse would also take which action?Remove excess clothing and blankets from the child The nurse is reinforcing instruction to a mother of a child with atopic dermatitis (Eczema) regarding the application of topical cortisone cream to the affected skin sites. Which statement made by the mother indicates an understanding of the use of this medication?I need to wash the sites gently before I apply the medication A child with croup is being discharged from the hospital. The nurse reinforces home care instructions to the mother and advises the mother to bring the child to the emergency department if the child develops which symptoms?Stridor The nurse working in a pediatric clinic is preparing to administer childhood vaccinations to a 15 month old child. Which vaccine would be added to the child's routine immunizations at this time because the child is older than 12 months of age?Varicella The nurse is reviewing the record of a child with a diagnosis of pyloric stenosis. Which data would the nurse expect to note as having been documented in the child's record?Projectile vomiting

The nurse is caring for a mother and her infant who was born 12 hours ago. Which statements made by the mother would prompt the nurse to have the baby evaluated for early heart failure? (Select all)

• My baby's cheeks turn red when he cries
• Im chilly, but my baby's forehead is sweaty
• My baby doesn't seem to have any diffculty breathing
• I can feel my baby's heart rate when he's sleeping; it seems much faster than it did

yesterday.

• My baby latches on to my nipple well and has a strong suck, but seems to get weak very

quickly, then stops too soon

• I'm chilly, but my baby's forehead is sweaty
• I can feel my baby's heart rate when he's sleeping; it seems much faster than it did

yesterday

• My baby latches on to my nipple well and has a strong suck, but seems to get weak very

quickly, then stops too soon The nurse is assisting a primary health care provider (PHCP) during an examination of an infant with hip dysplasia. The PHCP performs the Ortolani maneuver. Which data would the nurse expect to note during the examination?The dislocated femoral pops out of the acetabulum A primary health care provider had prescribed oxygen as needed for a 10 month old infant with heart failure (HF). In which situation would the nurse administer the oxygen to the child?When drawing blood for electrolyte levels The nurse recieves a call from a mother whose child has a foreign body in the eye. The object is clearly visible and not embedded. When the mother asks for the most effective way to get it out, the nurse would give which response?Touch the object gently with a moistened sterile cotton swab, and lift it out.