Questions 56

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Nclex-Pn Practice Questions Pediatrics Questions

Question 1 of 5

A 10 year-old-child is diagnosed with Hepatitis A. What is most likely way the child contracted this disease.

Correct Answer: D

Rationale: Hepatitis A spreads via fecal-oral route, often contaminated water (
D). Blood (
A) is Hep B/C, droplets (
B) respiratory viruses, ticks (
C) Lyme. Document: 'The ingestion of contaminated water… [is how] hepatitis A [is contracted].'

Question 2 of 5

Doctor orders: levothyroxine 0.2 mg PO daily. Available is levothyroxine 200 mcg/tab. How many tablets will you give?

Correct Answer: A

Rationale:
To determine the number of tablets, convert the ordered dose to the same units as the available dose. Ordered: 0.2 mg = 0.2 × 1000 = 200 mcg. Available: 200 mcg per tablet. Divide the ordered dose by the available dose per tablet: 200 mcg ÷ 200 mcg/tab = 1 tablet. Thus, you give 1 tablet.

Question 3 of 5

Most common cause of hemoptysis in patients with cystic fibrosis is:

Correct Answer: B

Rationale: Bronchiectasis is the top cause of hemoptysis in cystic fibrosis, per CFF, from chronic airway damage. A, C-E are less common.

Question 4 of 5

A child with acute leukemia on prednisolone may experience

Correct Answer: C

Rationale: Mood changes C are a common steroid side effect, per document p18, 6.

Question 5 of 5

The nurse understands which of the following as a common fear for a hospitalized pediatric patient between the ages of 6 to 36 months?

Correct Answer: C

Rationale: Stranger anxiety peaks at 6-36 months, a developmental fear in toddlers. Restraints and death are less age-specific, and play is not a fear.

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