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NCLEX- Pediatrics for test 4 questions with correct answers
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- Maryville University Of St. Louis
NCLEX- Pediatrics for test 4 questions with correct answers
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NCLEX- Pediatrics for test 4 questions with correctanswers
A 3-month-old infant is doing well after the repair of a cleft lip. The
nurse wants to provide the client with appropriate stimulation. What is
the best toy for the nurse to provide?
1. Colorful rattle
2. String of large beads
3. Mobile with a music box
4. Teddy bear with button eyes Correct Answer-3. Anything that can be
put in the mouth is inappropriate for a child with cleft lip repair. A rattle
and beads can go in the mouth. Button eyes are a hazard for any infant
because the infant may swallow them. A mobile with a music box is
appropriate for a 3-month-old who lays in a crib, and this item cannot be
put in the mouth. Note that a colorful rattle is also age appropriate but
not condition appropriate.
An 18-month-old child is admitted for a repeat cardiac catheterization.
The parents are continuously present and do everything for the child—
dress him, feed him, and even play for him. The nurse wants to prepare
the child and the parents for the procedure. Which of the following
should be included in the care plan?
1. Give the child simple explanations.
2. Talk with the parents to assess their knowledge and how they can help
with the child's care.
3. No specific action will be necessary because the child and family have
been through a cardiac
catheterization previously.
,4. Ask the parents to stay away as much as possible because they upset
the child. Correct Answer-2. An 18-month-old child cannot understand
explanations. The nurse needs to assess the clients' knowledge and base
teaching on that assessment. The nurse should not assume that no
teaching is needed just because the child has had the procedure before.
There are no data to indicate that the parents upset the child. They do
appear to be smothering the child, but at this time, the child would
probably be more miserable without the parents. The nurse may want to
teach parents about growth and development needs of the toddler.
The nurse is preparing a 6-year-old child for cardiac surgery. Which
preoperative teaching technique is most appropriate?
1. Have the child practice procedures that will be performed
postoperatively, such as coughing
and deep breathing.
2. Arrange for the child to tour the operating room and surgical intensive
care unit.
3. Encourage the child to draw pictures illustrating the operation.
4. Arrange for the child to discuss heart surgery and postoperative events
with a group of children who have undergone heart surgery. Correct
Answer-1. A 6-year-old learns best by doing. A 6-year-old cannot
conceptualize what he or she cannot see. Touring the operating room
and surgical intensive care unit can be very frightening for a 6-year-old.
Drawing pictures of the procedure would be more appropriate
postoperatively, when the nurse may want to help him in understanding
what happened to him. Drawing pictures is a good way to express
feelings that a 6-year-old cannot put into words. Group discussion is
more appropriate for an adolescent. A 6-year-old does not have the
verbal skills to participate in and learn from a discussion group.
,A 10-year-old girl is being treated for rheumatic fever. Which would be
an appropriate activity while she is on bed rest?
1. Stringing large wooden beads
2. Engaging in a pillow fight
3. Making craft items from felt
4. Watching television Correct Answer-3. Craft work allows her to
accomplish something while meeting her needs for rest. Industry is the
developmental task for school-age children. The joint pains with
rheumatic fever tend to be in the large joints, not the small ones, so craft
work using finger activity would probably not be painful. Stringing large
wooden beads is appropriate for younger children. Pillow fighting
requires too much energy for a child on bed rest and is not appropriate
for a hospital environment. Watching television is a solitary activity with
no sense of accomplishment.
A 10-year-old boy who is immobilized in a cast following an accident
has been squirting other children and the staff with a syringe filled with
water. The nurse wants to provide other activities to help him express his
aggression. Which activity would be most appropriate?
1. Cranking a wind-up toy
2. Pounding clay
3. Putting charts together
4. Writing a story Correct Answer-2. Pounding movements allow for the
expression of aggression. The other activities would not allow for an
expression of aggression. The scenario describes a child who is
expressing aggression in a very physical manner. This child is not likely
, to respond well to writing a story. Writing a story could be used to help
a child express aggression, but pounding clay is more appropriate given
the child's aggressive behavior.
A 6-year-old boy has tetralogy of Fallot. He is being admitted for
surgery. The nurse knows that which problem is not associated with
tetralogy of Fallot?
1. Severe atrial septal defect
2. Pulmonary stenosis
3. Right ventricular hypertrophy 4. Overriding aorta Correct Answer-1.
Atrial septal defect is not associated with tetralogy of Fallot. The four
defects are pulmonary stenosis, which causes right ventricular
hypertrophy, ventricular septal defect, and overriding aorta.
A 6-year-old child with tetralogy of Fallot is being admitted for surgery.
While the nurse is orienting the child to the unit, the child suddenly
squats with the arms thrown over the knees and knees drawn up to the
chest. What is the best immediate nursing action?
1. Observe and assist if needed
2. Place the child in a lying position
3. Call for help and return the child to the room
4. Assist the child to a standing position Correct Answer-1. The
squatting position will help the child with tetralogy of Fallot to have
better hemodynamics. It increases intra-abdominal pressure and
increases pulmonary blood flow. Placing the child in a lying or standing
position will increase his symptoms and be counterproductive. It is not
necessary to call for help because this is not an emergency situation.
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