RN Pediatric NCLEX Questions
Home / Nursing & Allied Health Certifications / NCLEX RN / RN Pediatrics
Question 1 of 5.
An adolescent with a history of losing weight and fatigue is admitted to the hospital with a diagnosis of stage I chronic renal failure. Based on these fi ndings, the nurse should:The chart shows:
A. Continue monitoring intake and output.
B. Notify the physician.
C. Restrict the client's fluids.
D. Increase the client's fluids.
Explanation: The nurse would expect a person with a normal GFR to have approximately equal inputs and outputs. Chronic renal failure has fi ve stages. In stage I the glomerular fi ltration rate (GFR) is approximately ≥90 mL/minute/1.73 m2. In stage II the GFR decreases to approximately 60 to 89 mL/minute/1.73 m2. The decreased urine output may indicate worsening disease and should be reported. Assessing the client's intake and output is still important, but notifying the provider is the priority. Fluids are restricted based on decreased sodium. Clients are encouraged to drink to thirst. Therefore, there is not enough information to suggest increasing or restricting fl uids.
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.
Related Questions