RN Pediatric NCLEX Questions
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Question 1 of 5.
A child with spastic cerebral palsy receiving intrathecal baclofen therapy is admitted to the pediatric floor with vomiting and dehydration. The family tells the nurse that they were scheduled to refill the baclofen pump today, but had to cancel the appointment when the child became ill. The nurse should:
A. Explain that the medication should be discontinued during illness.
B. Arrange for the pump to be refilled in the hospital.
C. Reschedule the pump refill for the day of discharge.
D. Instruct caregivers to call for a refill when the low-volume alarm sounds.
Explanation: Arranging for the pump to be refilled in the hospital ensures continuous therapy, as interrupting baclofen can cause withdrawal symptoms.
Question 2 of 5.
The nurse is teaching the parents of an 8-month-old about what the child should be eating. The nurse should include which of the following points in the teaching plan?
A. Items from all four food groups should be introduced to the infant by the time the child is 10 months old.
B. Solid foods should not be introduced until the infant is 10 months old.
C. Iron deficiency rarely develops before 12 months of age, so iron-fortified cereals should not be introduced until the infant is 12 months old.
D. The infant's diet can be changed from formula to whole milk when the infant is 12 months old.
Explanation: Whole milk can be introduced at 12 months, as infants need the fat content for brain development.
Question 3 of 5.
To assess the development of a 1-month-old, the nurse asks the parent if the infant is able to:
A. Smile and laugh out loud.
B. Roll from back to side.
C. Hold a rattle briefly.
D. Turn the head from side to side.
Explanation: A 1-month-old can turn their head side to side, a basic motor milestone.
Question 4 of 5.
A 2-year-old always puts his teddy bear at the head of his bed before he goes to sleep. The parents ask if this behavior is normal. The nurse should explain to the parents that toddlers use ritualistic patterns to:
A. Establish a sense of identity.
B. Establish control over adults in their environment.
C. Establish sequenced patterns of learning behavior.
D. Establish a sense of security.
Explanation: Ritualistic behaviors in toddlers provide comfort and security.
Question 5 of 5.
When observing the parent instilling prescribed ear drops ordered twice a day for a toddler, the nurse decides that the teaching about positioning of the pinna for instillation of the drops is effective when the parent pulls the toddler's pinna in which of the following directions?
A. Up and forward.
B. Up and backward.
C. Down and forward.
D. Down and backward.
Explanation: In children under 3, the pinna is pulled down and back to straighten the ear canal.
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