Which nursing action best facilitates the child's reestablishment of f

NCLEX Pediatric Questions

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Question 1 of 5.

Which nursing action best facilitates the child's reestablishment of friendships with peers?

A. Encourage the child to make friends with children who have cancer.

B. Tell the child that real friends do not care how you look on the outside.

C. Encourage the child's friends to visit while the child is still in the hospital.

D. Tell the child that the appearance changes are temporary and not that bad.

Explanation: Encouraging friends to visit in the hospital maintains social connections, supporting the child's emotional well-being and facilitating reintegration with peers.

Question 2 of 5.

Which finding documented by the nurse is most indicative of a client with rheumatic fever?

A. Slow, irregular heartbeat

B. Blotchy, diffuse erythema

C. Decreased antistreptolysin O titer (ASO titer)

D. Generalized migrating joint tenderness

Explanation: Generalized migrating joint tenderness (polyarthritis) is a hallmark symptom of rheumatic fever, reflecting the inflammatory process affecting multiple joints. An elevated ASO titer (not decreased) would indicate a recent streptococcal infection, and the other options are less specific.

Question 3 of 5.

Which statement by the parents best indicates that the nurse's teaching has been effective?

A. We'll give our child the penicillin for the full 10 days.

B. We will keep our child at home until fully recovered.

C. We will make sure that our child stays out of the sun with being treated.

D. We'll notify the physician if our child has a sore throat.

Explanation: Effective teaching about rheumatic fever emphasizes preventing recurrent streptococcal infections, which can trigger relapse. Notifying the physician about a sore throat ensures prompt treatment of potential streptococcal infections, reducing recurrence risk.

Question 4 of 5.

When is the correct time for the nurse to administer the child's morning dose of a combination regular and NPH insulin?

A. 30 minutes before breakfast is served

B. 15 minutes before breakfast is served

C. 30 minutes after breakfast is served

D. 15 minutes after breakfast is served

Explanation: Regular insulin peaks in 2-4 hours, and NPH peaks in 4-12 hours. Administering the combination 30 minutes before breakfast aligns insulin onset with food intake, controlling postprandial glucose levels effectively.

Question 5 of 5.

Which clinical manifestation of the client's full-thickness burns would the nurse detect during an assessment?

A. Moderate level of pain due to exposed nerve endings

B. Eschar formation throughout the area of the burn

C. The appearance of blister formation throughout the area of the burn

D. Noted tissue destruction extending to the subcutaneous layer

Explanation: Full-thickness burns involve destruction of all skin layers, including the subcutaneous layer, resulting in a leathery or charred appearance. Pain is minimal due to nerve destruction, and blisters are characteristic of partial-thickness burns.