NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
During a home visit, the public health nurse assesses the peritoneal catheter exit site of a child with chronic renal failure. Which of the following findings should lead the nurse to formulate the nursing diagnosis Risk for infection?
Correct Answer: A
Rationale: Leakage increases infection risk.
Question 2 of 5
After emphasizing to an adolescent with renal failure the importance of maintaining a positive self-concept, which of the following behaviors by the adolescent should the nurse identify as an indicator that the plan is working?
Correct Answer: D
Rationale: Self-care indicates positive adjustment.
Question 3 of 5
When assessing a 2-year-old child with Wilms' tumor, the nurse should avoid?
Correct Answer: B
Rationale: Palpation can cause tumor rupture.
Question 4 of 5
The nurse is teaching the parents of a child with myelomeningocele how to prevent urinary tract infections. What should the care plan include for this child? Select all that apply.
Correct Answer: A,C,D
Rationale: Meticulous skin care prevents skin breakdown and infection. Frequent bladder emptying and adequate fluid intake reduce urinary stasis and bacterial growth. The 'seeds's maneuver' is likely a typo for Credé's maneuver, which is not always appropriate without medical guidance. Tight diapers can cause irritation and increase infection risk.
Question 5 of 5
A 7-year-old has been diagnosed as mentally retarded. Which of the parents' expectations for their child is realistic?
Correct Answer: A,B,C
Rationale: Mental retardation involves difficulty learning, an IQ below 70, and deficits in adaptive behavior, which are realistic expectations for the child's capabilities.