NCLEX Pediatric Questions

Extract:

Question 1 of 5

18 years old P1 presents in outpatient department ten days after delivery with tender hot painful swelling in right breast. She also complains of fever with rigors. What will be the most likely management:

Correct Answer: C

Rationale: The symptoms suggest a breast abscess which requires incision and drainage for effective treatment especially with systemic symptoms like fever. Antibiotics alone are insufficient for an abscess and other options are inappropriate.

Question 2 of 5

Which statement by the parents of a child with chickenpox indicates a need for further teaching?

A. We'll keep our child out of school until the lesions are crusted over. B. We'll apply calamine lotion to relieve itching. C. We'll give our child aspirin to reduce fever. D. We'll ensure our child gets plenty of rest.

Correct Answer: C

Rationale: Aspirin should be avoided in children with chickenpox due to the risk of Reye's syndrome, a serious condition linked to aspirin use in viral infections, indicating a need for further teaching.

Question 3 of 5

If the physician orders a magnetic resonance imaging (MRI) study for the child with a brain tumor, which statement by the nurse would best prepare the child for the diagnostic test?

A. MRI machines differ with some being tunnel-like and others open. B. Pain may occur when the dye is injected into the vein. C. You'll be given medicine that will make you sleep during the test. D. You'll have little electrodes placed on your head with a special gel.

Correct Answer: A

Rationale: Explaining that MRI machines vary (tunnel-like or open) prepares the child for the procedure by addressing potential fears about the machine's appearance, ensuring they know what to expect.

Question 4 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.

Correct Answer: D

Rationale: 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 5 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.

Correct Answer: C

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

NCLEX Pediatric Questions | Nurselytic

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