Questions 76

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Pediatric Questions Questions

Extract:


Question 1 of 5

To encourage autonomy in a 4-year-old, the nurse should instruct the mother to:

Correct Answer: C

Rationale: Praising efforts fosters autonomy by encouraging independence.

Question 2 of 5

A preschooler with a fractured femur of the left leg in traction tells the nurse that his leg hurts. It is too early for pain medication. The nurse should:

Correct Answer: C

Rationale: Assessing for neurovascular impairment is critical, as pain could indicate compromised circulation or nerve function.

Question 3 of 5

The nurse mentions that a group meeting for mothers of mentally retarded children is to be held soon. 'Not retarded!' the child's mother angrily blazes, 'Exceptional.' When responding to this outburst, which of the following replies by the nurse would be most appropriate?

Correct Answer: D

Rationale: Inviting the mother to share her feelings promotes therapeutic communication and addresses her emotional response sensitively.

Question 4 of 5

Which of the following breathing rates should the nurse use when performing rescue breathing during cardiopulmonary resuscitation for a 5-year-old?

Correct Answer: B

Rationale: For a 5-year-old, the recommended rescue breathing rate during CPR is 12 to 20 breaths per minute, with 12 breaths/minute being appropriate to avoid hyperventilation.

Question 5 of 5

Assessment of a school-age child with Guillain-Barré syndrome reveals absent gag and cough reflexes. Which of the following nursing diagnoses should receive the highest priority during the acute phase?

Correct Answer: B

Rationale: Absent gag and cough reflexes increase the risk of respiratory compromise, making ineffective breathing pattern the highest priority.

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