PEDIATRIC NURSING NCLEX-PN

PEDIATRIC NURSING (NCLEX-PN)

ScienceMedicinePaediatrics sperez1990 Save Peds Exam 1 NCLEX style questions 37 terms alanna_buonanno Preview PN Pediatric Nursing Practice 2023 ...60 terms awood032087 Preview NCLEX-PN Questions (Pediatrics) 118 terms orocco1699Preview Pediatr 135 term mik At what age does the birth length double?

• years

When does the child sit unsupported? No booster seat?

• years

When does a child achieve 50% of adult height?

• years

When should a child throw a ball overhand?18 months When should a child speak 2 to 3 word sentences?

• years

When can a child use scissors?

• years

When should a child tie his/her shoes?

• years

Be aware that a girl's growth spurt during adolescence begins earlier than boys (as early as?) 10 years The practical nurse (PN) is examining a child with an exacerbation of juvenile rheumatoid arthritis (JRA) and notes that the child's mobility is greatly reduced. What factor should the PN observe that affects the child's mobility?

• Pathologic fractures
• Poor alignment of joints
• Dyspnea on exertion
• Joint inflammation

The practical nurse (PN) is caring for a child with an acute respiratory condition. When the PN is monitoring for impending respiratory distress, what sign is the child likely to exhibit first?

• Cyanosis
• Sternal retraction
• Restlessness
• Crowing respiration

The practical nurse (PN) is caring for a child who had a cleft lip repair. What is the most important reason to minimize this child's crying during the postoperative recovery period?

• Tear formation increases salivation.
• This behavior increases respiration"s.
• Lack of comforting can enhance pain.
• Crying stresses the suture line.

A 2-month-old infant is scheduled to receive the first DPT immunization. What is the preferred injection site to administer this immunization?

• Dorsal gluteal
• Vastus lateralis
• Ventral gluteal
• Deltoid

The nurse observes that a 3-year-old child combines words in short phrases and understands the concepts of hot and cold and big and little.Which intervention should the PN implement?

• Document that the child's expressive speech is age appropriate.
• Request immediate referrals for speech and hearing evaluations.
• Review the child's history for prior evaluations of developmental lags.
• Ask the parent to leave the room so that findings can be reevaluated.

Which intervention should the practical nurse implement when a child cannot swallow prescribed tablets?

• Give the tablets with a very cold beverage of the child's choice.
• Put intact tablets in 1 tablespoon of corn syrup.
• Place the crushed tablet in a gelatin capsule and give with food.
• Crush tablets to a fine powder and mix with a small amount of soft food.

Which action should the practical nurse (PN) implement first when obtaining the tympanic temperature of a 2-year-old child?

• Point the thermometer probe tip anteriorly.
• Remove drainage from the external auditory meatus.
• Apply the probe cover to the electronic thermometer.
• Ask the mother to help stabilize the child's head.

A high-school graduate with attention deficit hyperactivity disorder (ADHD) presents to the family health care provider for a precollege physical and tells the practical nurse (PN), "I don't want to take my amphetamine-dextroamphetamine in college." How should the PN respond?

• "There are other medications you can use for ADHD."
• "Your ADHD probably won't be a problem in college."
• "What will happen if you stop your Adderall?"
• "What are your concerns about continuing Adderall?"

The practical nurse (PN) is caring for an infant with pyloric stenosis. What nursing intervention should be included in the preoperative period?

• Monitor for signs of metabolic acidosis.
• Estimate the quantity of diarrhea stools.
• Place in a supine position after feeding.
• Observe for projectile vomiting.

A child with acute appendicitis who is scheduled for surgery in 3 hours is complaining of abdominal pain. Which intervention should the practical nurse implement?

• Assist the child into a position of comfort.
• Withhold administration of a narcotic analgesic.
• Place a warm compress over the tender area.
• Offer to provide the child with warm tea or broth.

A child with poison ivy weighs 25 kg and receives a prescription for diphenhydramine PO 5 mg/kg. The medication is available as a 125 mg/5 mL solution. How many milliliters should the practical nurse administer?5mL First determine how much of the drug the child should get.The order is 5 mg/kg. Multiply 5 mg by the child's weight. 5 mg × 25 kg = 125 mg.The child would get 125 mg.Next, determine how many milliliters to administer using the following formula:Desired dose/available dose × mL/dose of available drug = mL to administer125/125 × 5 mL = 5 mL The practical nurse (PN) in the clinic receives a phone call from the mother of a 6-year-old child with a newly applied cast for a fracture of the femur. The mother reports that the child is in pain and is crying and that the child's foot appears swollen and blue. Which nursing diagnosis supports the PN's initial intervention?

• Impaired skin integrity
• Altered comfort (acute pain)
• Altered peripheral tissue perfusion
• Ineffective individual coping

A short arm cast is applied to a child with a fractured right ulna. The practical nurse (PN) is preparing the parents with home instructions and should reinforce that the parents follow which discharge instruction?

• Call the health care provider immediately if the nail beds appear "blue" or "empty."
• Check the child's ability to move his fingers without pain hourly for the first 48 hours.
• Elevate the arm above the heart for the first 24 hours.
• Monitor temperature every 4 hours for the next 2 days and call if an elevation is noted.

An infant is born with a ventricular septal defect (VSD), and surgery is planned to correct the defect. The practical nurse (PN) should understand that the surgical correction is designed to achieve which hemodynamic outcome?

• Stop the flow of unoxygenated blood into systemic circulation.
• Increase the flow of unoxygenated blood to the lungs.
• Prevent the return of oxygenated blood to the lungs.
• Reduce peripheral tissue hypoxia and nail bed clubbing.

The parents of a 7-month-old infant with spastic cerebral palsy bring him to the pediatric clinic. Which symptom reported by the parents warrants immediate intervention by the practical nurse (PN)?

• Choking while being fed.
• The child's legs continually cross each other.
• Child gets stiff when shifting to a sitting position.
• Older sibling is jealous of the younger sibling.

Minocycline 50 mg PO every 8 hours is prescribed for a 18-year-old adolescent girl diagnosed with acne. The nurse discusses self-care with the client while she is taking the medication. Which teaching points should be included in the discussion? (Select all that apply.)

• Report vaginal itching or discharge.
• Take the medication at 0800, 1500, and 2200 hours.
• Protect skin from natural and artificial ultraviolet light.
• Avoid driving until response to medication is known.
• Take with an antacid tablet to prevent nausea.
• Use a non-hormonal method of contraception if sexually active Terms (24)

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