NCLEX RN Pediatric
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Question 1 of 5.
A nurse evaluates discharge teaching as successful when the parents of a school-age child with a ventriculoperitoneal shunt insertion identify which sign as signaling a blocked shunt?
A. Decreased urine output with stable intake.
B. Tense fontanel and increased head circumference.
C. Elevated temperature and reddened incisional site.
D. Irritability and increasing difficulty with eating.
Explanation: Irritability and difficulty eating are early signs of shunt blockage due to increased intracranial pressure, which parents should recognize for timely intervention.
Question 2 of 5.
Which of the following is appropriate language development for an 8-month-old? The child should be:
A. Saying 'dada' and 'mama' specifically ('dada' to father and 'mama' to mother).
B. Saying three other words besides 'mama' and 'dada.'
C. Saying 'dada' and 'mama' nonspecifically.
D. Saying 'ball' when parents point to a ball.
Explanation: At 8 months, infants typically say 'dada' and 'mama' nonspecifically, as specific use develops closer to 12 months.
Question 3 of 5.
The nurse assesses a 6-month-old for vaccination readiness. Which finding would most likely indicate the need to delay administering the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine?
A. A family history of sudden infant death syndrome (SIDS).
B. A fever of 38.5°C following the 4-month vaccinations.
C. An acute bilateral ear infection.
D. Living with a family member who is immunosuppressed.
Explanation: An acute infection is a contraindication for vaccination due to the risk of adverse reactions.
Question 4 of 5.
A mother states that she thinks her 9-month-old 'is developing slowly.' When assessing the infant's development, the nurse is also concerned because the infant should be demonstrating which of the following characteristics?
A. Vocalizing single syllables.
B. Standing alone.
C. Building a tower of two cubes.
D. Drinking from a cup with little spilling.
Explanation: Building a tower of two cubes is expected by 9 months; failure to do so suggests developmental delay.
Question 5 of 5.
When assessing a 2-year-old child brought by his mother to the clinic for a routine checkup, which of the following should the nurse expect the child to be able to do?
A. Ride a tricycle.
B. Tie his shoelaces.
C. Kick a ball forward.
D. Use blunt scissors.
Explanation: Kicking a ball forward is a gross motor skill expected at 2 years.
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