NCLEX RN Pediatric Nursing
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Question 1 of 5.
The parents of a 3-year-old suspect that the child has recently ingested a large amount of acetaminophen. The child does not appear in immediate distress. The nurse should anticipate doing which of these interventions in order of priority, from first to last?
- A. Draw acetaminophen serum levels.
- B. Attempt to determine the exact time and amount of drug ingested.
- C. Administer acetylcysteine (Acetadote IV).
- D. Administer activated charcoal.
- B. Attempt to determine the exact time and amount of drug ingested.
- D. Administer activated charcoal.
- A. Draw acetaminophen serum levels.
- C. Administer acetylcysteine (Acetadote IV).
Correct arrangement
Explanation: First, determine ingestion details (B) to assess risk. Administer charcoal (D) within 1-2 hours to reduce absorption. Draw serum levels (A) at 4 hours to confirm toxicity. Administer acetylcysteine (C) if levels are toxic.
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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