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NCLEX RN Pediatric Nursing

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Question 1 of 5.

The health care team has noticed an increase in I.V. infiltrations on the pediatric floor. As part of a Plan, Do, Study, Act quality improvement plan the team should do the following in which order?

  1. A. Analyze the data.
  2. B. Decide to monitor I.V. gauges.
  3. C. Perform chart audits.
  4. D. Write a new I.V. insertion policy.

    5. Correct arrangement

  5. B. Decide to monitor I.V. gauges.
  6. C. Perform chart audits.
  7. A. Analyze the data.
  8. D. Write a new I.V. insertion policy.

Explanation: The PDSA cycle involves planning (deciding to monitor), doing (chart audits), studying (analyzing data), and acting (writing a new policy).

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.

Related Questions

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 school-age client admitted to the hospital because of decreased urine output and periorbital edema is diagnosed with acute poststreptococcal glomerulonephritis. Which of the following actions should receive the highest priority?

The nurse is caring for a 5-year-old boy who is taking prednisolone for nephrotic syndrome. The child is at the 75th percentile for height and has a blood pressure of 114/73. The nurse compares the reading to the below blood pressure levels for boys age and height percentiles. The nurse determines that the blood pressure represents a change and notifies the primary care provider of the assessment of:

The mother of a child with chronic renal failure who is receiving peritoneal dialysis at home asks the nurse what she can do if both inflow and drain times are increased. Which of the following instructions would be most appropriate for the nurse to include when responding to the mother?

The nurse reads the new medications orders for a 4-year-old child with nephrotic syndrome on the chart below: Orders D/C prednisolone 40 mg PO Daily Prednisolone 30 mg PO QOD The nurse should:

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