NCLEX RN Pediatric Practice Questions
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Question 1 of 5.
The nurse identifies a nursing diagnosis of Risk for perioperative-positioning injury related to the surgical procedure for a school-age child scheduled for a tonsillectomy. Which of the following is an expected outcome for this nursing diagnosis?
A. The child is able to tell about the surgery and recovery.
B. The child remains on nothing-by-mouth (NPO) status for the designated preoperative period.
C. The child and family demonstrate an understanding of the procedure.
D. The child knows the parents will not leave.
Explanation: The most appropriate outcome for a nursing diagnosis of Risk for perioperative-positioning injury related to the surgical procedure should be that the child remains NPO for the designated period of time before surgery, thereby minimizing the risk of aspiration during the surgery. Ability to tell about the surgery and demonstrating an understanding of the procedure are appropriate outcomes for a nursing diagnosis of Deficient knowledge. Knowing that the parents will not leave is associated with a nursing diagnosis of Anxiety or Fear related to separation from support systems or an unfamiliar environment.
Question 2 of 5.
The nurse should refer the parents of an 8-month-old child to a health care provider if the child is unable to:
A. Stand momentarily without holding onto furniture.
B. Stand alone well for long periods of time.
C. Stoop to recover an object.
D. Sit without support for long periods of time.
Explanation: An 8-month-old should be able to sit without support; inability to do so warrants further evaluation.
Question 3 of 5.
The parents of a 9-month-old bring the infant to the clinic for a regular checkup. The infant has received no immunizations. Which of the following would be appropriate for the nurse to administer at this visit?
A. Diphtheria, tetanus, and acellular pertussis (DTaP); Haemophilus influenzae type B (Hib); inactivated poliomyelitis vaccine (IPV); and purified protein derivative (PPD).
B. DTaP; Hib; oral polio vaccine (OPV); and measles, mumps, and rubella (MMR).
C. PPD, MMR, hepatitis B (hepB), and OPV.
D. HepB, IPV, Hib, and varicella.
Explanation: These vaccines align with catch-up schedules for a 9-month-old, except PPD, which is a test, not a vaccine.
Question 4 of 5.
A 2-year-old tells his mother he is afraid to go to sleep because 'the monsters will get him.' The nurse should tell his mother to:
A. Allow him to sleep with his parents in their bed whenever he is afraid.
B. Increase his activity before he goes to bed, so he eventually falls asleep from being tired.
C. Give him a favorite cuddly animal or a blanket.
D. Allow him to stay up an hour later with the family until he falls asleep.
Explanation: A comfort object helps a toddler feel secure and supports self-soothing.
Question 5 of 5.
A 2-year-old child brought to the clinic by her parents is uncooperative when the nurse tries to look in her ears. Which of the following should the nurse try first?
A. Ask another nurse to assist.
B. Allow a parent to assist.
C. Wait until the child calms down.
D. Restrain the child's arms.
Explanation: Parental involvement can comfort the child and improve cooperation.
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