Questions 75

NCLEX-RN

NCLEX-RN Test Bank

RN Pediatric NCLEX Questions Questions

Extract:


Question 1 of 5

An adolescent sustains a T3 spinal cord injury. After insertion of an intravenous line, a nasogastric tube, and an indwelling urinary (Foley) catheter, the adolescent is admitted to the intensive care unit. What should the nurse do next when assessment reveals that the adolescent's feet and legs are cool to the touch?

Correct Answer: A

Rationale: Cool extremities indicate poor circulation, common in spinal cord injury; covering with blankets promotes warmth and comfort.

Question 2 of 5

The nurse should teach the mother of a child who has a new cast for a fractured radius to do which of the following for the first few days at home?

Correct Answer: B

Rationale: Refraining from strenuous activities prevents damage to the cast and supports healing during the initial recovery period.

Question 3 of 5

Which of the following diet plans would be appropriate for the nurse to discuss with the family of a child with acute renal failure?

Correct Answer: A

Rationale: High carb/protein supports nutritional needs.

Question 4 of 5

A 12-year-old with rheumatic fever has a history of long-term aspirin use. Which statement by the client indicates that the nurse should notify the health care provider?

Correct Answer: A

Rationale: Ringing in the ears (tinnitus) is a sign of aspirin toxicity, requiring immediate notification. Stomach pain is common but less urgent, and other symptoms are unrelated.

Question 5 of 5

A mother asks, "How should I bathe my baby now that he's had surgery for his inguinal hernia?" Which of the following instructions should the nurse give the mother?

Correct Answer: C

Rationale: Sponge baths for 1 week keep the incision dry and reduce infection risk.

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