NCLEX RN Pediatric Nursing
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Question 1 of 5.
The parent of a 17-year-old boy, who is hospitalized for complications related to type I diabetes, requests to review the adolescent's medical record. The client reported receiving mental health counseling during the admission history, but did not want his parent to know. The nurse, who is uncertain of how to protect the adolescent's privacy and accommodate the parent's request, should consult:
A. The unit nurse manager.
B. The primary care provider.
C. The organization's privacy officer.
D. The customer service representative.
Explanation: The privacy officer is trained to handle HIPAA and confidentiality issues, ensuring the adolescent's privacy (e.g., mental health records) is protected while addressing parental rights.
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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