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NCLEX RN Pediatric Questions Questions

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Question 1 of 5

During the initial assessment of a child admitted to the pediatric unit with osteomyelitis of the left tibia, when assessing the area over the tibia, which is a new needed finding?

Correct Answer: C

Rationale: Increased warmth is a key sign of osteomyelitis, indicating inflammation and possible infection in the affected bone.

Question 2 of 5

A father brings his 4-week-old son to the clinic for a checkup, stating that he believes his son's testicle is missing. Which of the following explanations would be most appropriate?

Correct Answer: B

Rationale: Testes often descend by 6 months of age; however, if they haven't, surgical intervention may be necessary.

Question 3 of 5

The parent of a 9-month-old infant is concerned that the infant's front soft spot is still open. The nurse should tell the parent:

Correct Answer: D

Rationale: The anterior fontanelle typically closes between 12-18 months, so this is normal.

Question 4 of 5

Parents bring a 10-month-old boy born with myelomeningocele and hydrocephalus with a ventriculoperitoneal shunt to the emergency department. His symptoms include vomiting, poor feeding, lethargy, and irritability. What interventions by the nurse are appropriate? Select all that apply.

Correct Answer: C,D,E

Rationale: These symptoms suggest possible shunt malfunction or increased intracranial pressure. Palpating the anterior fontanel assesses for bulging, indicating increased pressure. Obtaining vital signs monitors for abnormalities like bradycardia or hypertension. Assessing the cry's pitch and quality can indicate neurological distress. Weighing and listening to bowel sounds are less critical in this acute context.

Question 5 of 5

When developing the plan of care for a child who is unconscious after a serious head injury, in which of the following positions should the nurse expect to place the child?

Correct Answer: B

Rationale: Side-lying with the head elevated reduces intracranial pressure and maintains airway patency in an unconscious child.

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