NCLEX Pediatric Questions

Extract:

Question 1 of 5

The parents of the child with juvenile rheumatoid arthritis (JRA) ask the nurse why the child cannot have aspirin. The parents further explain that they have heard that aspirin is used in the elderly for arthritis and the use of the patients. The nurse correctly explains that children with JRA are given different medications than adults with arthritis and explains that the toxic effects of aspirin include which manifestations?

Correct Answer: B

Rationale: Aspirin in children can cause toxicity, including ringing in the ears (tinnitus), nausea, and vomiting, and is avoided due to the risk of Reye's syndrome, especially in children with viral infections.

Question 2 of 5

Which statement by the parents best indicates that the nurse's teaching has been effective?

A. We'll give our child the penicillin for the full 10 days. B. We will keep our child at home until fully recovered. C. We will make sure that our child stays out of the sun with being treated. D. We'll notify the physician if our child has a sore throat.

Correct Answer: D

Rationale: Effective teaching about rheumatic fever emphasizes preventing recurrent streptococcal infections, which can trigger relapse. Notifying the physician about a sore throat ensures prompt treatment of potential streptococcal infections, reducing recurrence risk.

Question 3 of 5

If the physician orders a magnetic resonance imaging (MRI) study for the child with a brain tumor, which statement by the nurse would best prepare the child for the diagnostic test?

A. MRI machines differ with some being tunnel-like and others open. B. Pain may occur when the dye is injected into the vein. C. You'll be given medicine that will make you sleep during the test. D. You'll have little electrodes placed on your head with a special gel.

Correct Answer: A

Rationale: Explaining that MRI machines vary (tunnel-like or open) prepares the child for the procedure by addressing potential fears about the machine's appearance, ensuring they know what to expect.

Question 4 of 5

Duration of latent phase in a multigravida is:

A. 1-2 hours. B. 2-4 hours. C. 4-6 hours. D. 6-8 hours. E. 8-10 hours.

Correct Answer: C

Rationale: The latent phase in multigravida typically lasts 4-6 hours shorter than in primigravida due to prior cervical changes. Other durations are less common.

Question 5 of 5

Which nursing action best facilitates the child's reestablishment of friendships with peers?

A. Encourage the child to make friends with children who have cancer. B. Tell the child that real friends do not care how you look on the outside. C. Encourage the child's friends to visit while the child is still in the hospital. D. Tell the child that the appearance changes are temporary and not that bad.

Correct Answer: C

Rationale: Encouraging friends to visit in the hospital maintains social connections, supporting the child's emotional well-being and facilitating reintegration with peers.

NCLEX Pediatric Questions | Nurselytic

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