Pediatric NCLEX Questions | Nurselytic

Questions 49

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Question 1 of 5

If the nurse collects the following data, which assessment finding best indicates the presence of increased intracranial pressure?

Correct Answer: C

Rationale: Elevated blood pressure (e.g., 150/90 mm Hg) is a sign of increased intracranial pressure, often part of Cushing's triad (hypertension, bradycardia, irregular respirations), indicating brain compression.

Question 2 of 5

Which medication instruction provided by the nurse is most accurate?

Correct Answer: C

Rationale: Using a glove to apply topical acyclovir prevents self-contamination and virus spread, making it an accurate and safe instruction.

Question 3 of 5

If the nurse collects the following data, which assessment finding best indicates the presence of increased intracranial pressure?

Correct Answer: C

Rationale: Elevated blood pressure (e.g., 150/90 mm Hg) is a sign of increased intracranial pressure, often part of Cushing's triad (hypertension, bradycardia, irregular respirations), indicating brain compression.

Question 4 of 5

Which finding documented by the nurse is most indicative of the presence of a Curling's ulcer in the burned child?

Correct Answer: B

Rationale: A positive hemoccult test indicates gastrointestinal bleeding, characteristic of a Curling's ulcer, a stress ulcer common in burn patients due to physiological stress and reduced mucosal protection.

Question 5 of 5

Which response by the nurse best explains why aspirin is preferred to acetaminophen (Tylenol) in the treatment of rheumatic fever?

Correct Answer: C

Rationale: Aspirin is preferred in rheumatic fever due to its anti-inflammatory properties, which relieve joint inflammation and pain associated with polyarthritis. Acetaminophen lacks significant anti-inflammatory effects, making aspirin more effective.

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