NCLEX-RN
NCLEX RN Pediatric Questions Questions
Extract:
Question 1 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 2 of 5
After teaching the parent of an infant who has had a surgical repair for a cleft lip about the use of elbow restraints at home, the nurse determines that the teaching has been successful when the parent states which of the following?
Correct Answer: A
Rationale: Elbow restraints should be worn continuously but removed periodically to check for skin irritation, ensuring both safety and comfort.
Question 3 of 5
After placing an infant with myelomeningocele in an isolette shortly after birth, which indicator should the nurse use as the best way to determine the effectiveness of this intervention?
Correct Answer: B
Rationale: The isolette maintains a stable thermal environment. Monitoring axillary temperature ensures the infant is normothermic, indicating the isolette's effectiveness.
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 a teaching plan for the mother of an asthmatic child concerning measures to reduce allergic triggers, which of the following suggestions should the nurse include:
Correct Answer: C
Rationale: Using a scented room deodorizer can irritate airways and trigger asthma symptoms. The nurse should advise against this to reduce allergic triggers, while recommending measures like dust mite control and avoiding strong odors.