NCLEX RN Pediatric Nursing
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Question 1 of 5.
A father of a child with a urinary tract infection calls the clinic and explains, "My wife and I are concerned because our child refuses to obey us concerning the preventions you told us about. Our child refuses to take the medication unless we buy a present. We don't want to use discipline because of the illness, but we're worried about the behavior." Which response by the nurse is best?
A. I sympathize with your difficulties
B. but just ignore the behavior for now.
C. I understand it's hard to discipline a child who is ill
D. but things need to be kept as normal as possible.
E. I understand that things are difficult for you right now
F. but your child is ill and deserves special treatment.
G. I understand your concern
Explanation: Maintaining routines is essential.
Question 2 of 5.
Which of the following structures should be closed by the time the child is 2 months old?
A. A.
B. B.
C. C.
D. D.
Explanation: posterior fontanelle closes by 2 months.
Question 3 of 5.
The nurse notes that an infant stares at an object placed in her hand and takes it to her mouth, coos and gurgles when talked to, and sustains part of her own weight when held in a standing position. The nurse correctly interprets these findings as characteristic of an infant at which of the following ages?
A. 2 months.
B. 4 months.
C. 7 months.
D. 9 months.
Explanation: These milestones (visual tracking, mouthing objects, cooing, and partial weight-bearing) are typical at 4 months.
Question 4 of 5.
A mother of a toilet-trained 3-year-old expresses concern over her child's bedwetting while hospitalized. The nurse should tell the mother:
A. He was too immature to be toilet trained. In a few months he should be old enough.
B. Children are afraid in the hospital and frequently wet their bed.
C. It's very common for children to regress when they're in the hospital.
D. This is normal. He probably received too much fluid the night before.
Explanation: Regression, such as bedwetting, is common in hospitalized children due to stress.
Question 5 of 5.
When assessing for pain in a toddler, which of the following methods should be the most appropriate?
A. Ask the child about the pain.
B. Observe the child for restlessness.
C. Use a numeric pain scale.
D. Assess for changes in vital signs.
Explanation: Toddlers cannot reliably verbalize pain, so observing behavior like restlessness is most appropriate.
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