A client's diagnosis of cystic fibrosis was made 13 years ago, and he

Free NCLEX RN Pediatric Questions

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Question 1 of 5.

A client's diagnosis of cystic fibrosis was made 13 years ago, and he has since been hospitalized several times. On the latest admission, the client has labored respirations, fatigue, malnutrition, and failure to thrive. Which nursing actions are most important initially?

A. Placing the client on bed rest and ordering a blood gas analysis.

B. Ordering a high-calorie, high-protein, low-fat, vitamin-enriched diet and pancreatic granules.

C. Applying an oximeter and initiating respiratory therapy.

D. Inserting an I.V. line and initiating antibiotic therapy.

Explanation: Applying an oximeter to assess oxygen saturation and initiating respiratory therapy are critical initial actions to address labored respirations and support respiratory function in a cystic fibrosis patient with acute symptoms.

Question 2 of 5.

A 10-month-old looks for objects that have been removed from his view. The nurse should instruct the parents that:

A. Neuromuscular development enables the child to reach out and grasp objects.

B. The child's curiosity has increased.

C. The child understands the permanence of objects even though the child cannot see them.

D. The child is now able to transfer objects from hand to hand.

Explanation: This behavior indicates object permanence, a cognitive milestone typically achieved around 9-12 months.

Question 3 of 5.

The mother of a 6-month-old states that she started her infant on 2% milk. The nurse should first ask the mother:

A. Do you think your baby will be fine with this milk?

B. Is it possible for you to switch your baby to whole milk?

C. Can you tell me more about the reason you switched your baby to 2% milk?

D. You cannot switch to 2% milk right now. Did your pediatrician tell you to do this?

Explanation: Understanding the reason for the switch helps address misconceptions and provide education.

Question 4 of 5.

Which development is necessary for toilet training readiness for a 2-year-old? Select all that apply.

A. Adequate neuromuscular development for sphincter control.

B. Appropriate chronological age.

C. Ability to communicate the need to use the toilet.

D. Desire to please the parents.

E. Ability to play with other 2-year-olds.

Explanation: Neuromuscular control, communication, and motivation are key for toilet training readiness.

Question 5 of 5.

The mother asks the nurse for advice about discipline for her 18-month-old. Which of the following should the nurse suggest that the mother use?

A. Structured interactions.

B. Spanking.

C. Reasoning.

D. Time out.

Explanation: Time out is an effective, age-appropriate discipline method for an 18-month-old.