Questions 76

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Pediatric Questions Questions

Extract:


Question 1 of 5

At the 2 week well-child visit a parent states, 'My baby seems to keep his head tilted to the right.' The nurse should further assess the:

Correct Answer: D

Rationale:
Torticollis is commonly caused by tightness or shortening of the sternocleidomastoid muscle, which should be assessed for asymmetry or tightness.

Question 2 of 5

The nurse is teaching the parents of a child with sickle cell disease. To instruct them on how to prevent sickle cell crisis, she should include which instruction?

Correct Answer: B

Rationale: Adequate hydration (1½ quarts daily) prevents blood viscosity, reducing the risk of sickle cell crisis. Other options are incorrect or overly restrictive.

Question 3 of 5

During hospitalization, a 10-year-old child with acute poststreptococcal glomerulonephritis and oliguria asks for food from home. After teaching the mother and child about diet, the nurse determines that the teaching had been effective when the mother brings in which food?

Correct Answer: D

Rationale: Low-sodium, low-protein options are best.

Question 4 of 5

A preschooler with pneumococcal meningitis is receiving intravenous antibiotic therapy. When discontinuing the intravenous therapy, the nurse allows the child to apply a dressing to the area where the needle is removed. The nurse's rationale for doing so is based on the interpretation that a child in this age-group has a need to accomplish which of the following?

Correct Answer: C

Rationale: Allowing the child to apply a dressing supports their developmental need to maintain body integrity, reducing anxiety about medical procedures.

Question 5 of 5

Which of the following breathing rates should the nurse use when performing rescue breathing during cardiopulmonary resuscitation for a 5-year-old?

Correct Answer: B

Rationale: For a 5-year-old, the recommended rescue breathing rate during CPR is 12 to 20 breaths per minute, with 12 breaths/minute being appropriate to avoid hyperventilation.

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