Which tool should the nurse use to monitor pain in a toddler-aged patient?

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Pediatric Gi Nclex Practice Questions Questions

Question 1 of 9

Which tool should the nurse use to monitor pain in a toddler-aged patient?

Correct Answer: B

Rationale: The FLACC scale is designed for nonverbal children like toddlers, assessing behavior (e.g., face, legs, activity). FACES and Oucher require comprehension, and numeric is for older children.

Question 2 of 9

Doctor orders: Furosemide 2 mg/kg PO daily for congestive heart failure. Available is Furosemide 10 mg/ml oral solution. How many ml will you give a child weighing 10 lbs? Round to the nearest tenth.

Correct Answer: D

Rationale: Convert weight to kg: 10 lbs ÷ 2.2 lbs/kg = 4.545 kg. Calculate the dose: 2 mg/kg × 4.545 kg = 9.09 mg. Divide by concentration: 9.09 mg ÷ 10 mg/ml = 0.909 ml. Round to the nearest tenth: 0.909 ≈ 0.9 ml.

Question 3 of 9

When teaching a mother to administer eye drops to a 5-year-old, place the drop

Correct Answer: B

Rationale: Inside lower eyelid B ensures absorption, per document p15, 4.

Question 4 of 9

Most common complication of type 1 diabetes in children is:

Correct Answer: A

Rationale: Hypoglycemia is the most common acute complication in type 1 diabetes, per AAP (doc p151, Q596).

Question 5 of 9

A 3-month-old infant presents with seizures and hypotonia. MRI shows periventricular leukomalacia. Most likely cause is:

Correct Answer: A

Rationale: Hypoxic-ischemic encephalopathy causes periventricular leukomalacia in infants, per AAP, often from perinatal asphyxia. B-E are less likely.

Question 6 of 9

What is the quickest most common method to obtain neonatal blood for glucose screening 1 hour after birth?

Correct Answer: D

Rationale: Puncture the lateral pad of the heel D is the standard, least invasive method for neonatal blood sampling, per document 2.

Question 7 of 9

A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that the woman place the infant to her breast within 15 minutes after birth. The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the

Correct Answer: C

Rationale: First period of reactivity C is when newborns are alert and breastfeeding is effective, per document p5, 0.

Question 8 of 9

A child appears with chronic cough and failure to thrive. Physical examination reveals nasal polyps and digital clubbing. Sweat chloride test is positive. Most likely diagnosis is:

Correct Answer: D

Rationale: Cystic fibrosis matches chronic cough, failure to thrive, polyps, clubbing, and positive sweat test, per CFF. A-C, E don’t fit.

Question 9 of 9

A 6-year-old girl presents with abdominal pain and a palpable mass. CT shows a suprarenal mass. Most likely diagnosis is:

Correct Answer: B

Rationale: Neuroblastoma is a common suprarenal mass, per NCI. A, C-E differ.

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