NCLEX Pediatric Questions

Extract:

Question 1 of 5

Which finding documented by the nurse is most indicative of a client with rheumatic fever?

Correct Answer: D

Rationale: Generalized migrating joint tenderness (polyarthritis) is a hallmark symptom of rheumatic fever, reflecting the inflammatory process affecting multiple joints. An elevated ASO titer (not decreased) would indicate a recent streptococcal infection, and the other options are less specific.

Question 2 of 5

The nurse is preparing the parents of a full-term,24-hour-old male newborn for discharge with their infant. Which are the expected discharge criteria that should be met before the infant leaves the hospital? Select all that apply.

A. Infant vital signs have been normal for the last 12 hours. B. The infant has passed at least three meconium stools. C. The infant has gained weight at the minimum 100 grams. D. The circumcision has had no bleeding for the last 2 hours. E. The infant has had six diaper changes in the last 24 hours. F. The infant has completed 2 successful consecutive feedings.

Correct Answer: A,D,F

Rationale: Discharge criteria include stable vital signs for 12 hours no circumcision bleeding for 2 hours and two successful feedings. One meconium stool is sufficient weight gain isn’t required and diaper changes aren’t specified.

Question 3 of 5

Which statement by the parents of a child with chickenpox indicates a need for further teaching?

A. We'll keep our child out of school until the lesions are crusted over. B. We'll apply calamine lotion to relieve itching. C. We'll give our child aspirin to reduce fever. D. We'll ensure our child gets plenty of rest.

Correct Answer: C

Rationale: Aspirin should be avoided in children with chickenpox due to the risk of Reye's syndrome, a serious condition linked to aspirin use in viral infections, indicating a need for further teaching.

Question 4 of 5

Which instruction is most appropriate to give to the client regarding doxycycline?

A. The medication normally causes a dark orange discoloration of urine. B. Take the medication 1 hour before or 2 hours after a meal. C. Don't drink water for at least 30 minutes after taking the medication. D. Report any symptoms of GI upset to the health care provider.

Correct Answer: B

Rationale: Doxycycline should be taken on an empty stomach (1 hour before or 2 hours after a meal) to ensure optimal absorption, making this the most appropriate instruction.

Question 5 of 5

18 years old P1 presents in outpatient department ten days after delivery with tender hot painful swelling in right breast. She also complains of fever with rigors. What will be the most likely management:

A. Antibiotics. B. Analgesics. C. Incision & drainage. D. Conservative management. E. Lactation inhibition.

Correct Answer: C

Rationale: The symptoms suggest a breast abscess which requires incision and drainage for effective treatment especially with systemic symptoms like fever. Antibiotics alone are insufficient for an abscess and other options are inappropriate.

NCLEX Pediatric Questions | Nurselytic

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