NCLEX

A 5 year old a has temperature of 103.6 'F and is brought into the emergency room by his mother. Which statement by the mother causes concern? • "I administered Aspirin to help with the fever a few hours ago." • "I re-took his temperature 30 minutes after I gave the medication and it was still high." • "I've tried to encourage fluid intake every hour." • "I gave him a sponge bath to help witht he fever." A child should never have aspirin, especially for a fever due to Re...

1. Doctor orders Amoxil for a child that weighs 63 lbs. The safe dosage range for this medication is 50 mg/kg/day every 8 hours. What is the safe dose for this child per dose? 2. Doctor orders Zofran 2 mg for a child that weighs 13.6 kg. The safe dosage of this drug is 0.15 mg/kg. Is this a safe dose? 3. Doctor orders Zithromax for a child that weighs 82 lbs. The safe dose range for this medication is 10-12 mg/kg/day. What is the maximum safe daily dose for this child? 4. Doctor o...

1. Cystic fibrosis (CF) is a genetic disorder that causes the endocrine glands to work incorrectly. False: Cystic fibrosis (CF) is a genetic disorder that causes the EXOCRINE (not endocrine) glands to work incorrectly. Exocrine glands are glands that produce and transfer its secretions (ex: mucous, tears, sweat, digestive enzymes) via DUCTS to an intended area of the body, rather than directly into the bloodstream. This is different from endocrine glands that don’t have ducts but directly sec...

1. You’re caring for a 2-day-old infant with a large patent ductus arteriosus. The mother of the infant is anxious and asks you to explain her child’s condition to her again. Which statement below BEST describes this condition? A. “The vessel connecting the aorta and pulmonary vein has closed prematurely, which is leading to increased blood flow to the lungs.” B. “The vessel connecting the aorta and pulmonary artery has failed to close at birth, which is leading to a left-to-right sh...

A 14 month old boy is hospitalized with dehydration. He is unconsolable, screaming, and rejecting your physical contact. What best describes the infants response to you? • Separation anxiety-PROTEST PHRASE • Fear of injury and pain • Separation anxiety-DESPAIR • Loss of Control What nursing intervention would you NOT include in the plan of care with a two-year old experiecning loss of control? • Provide routines and rituals the 2-year old is familiar with. • Distract the...

1. Your patient is 4-years-old. According to Erickson’s Stages of Psychosocial Development the child should develop ____________ by the end of their developmental stage. A. trust B. purpose C. autonomy D. competence The answer is B: purpose. Ages 3-5 years include preschoolers, and according to Erickson’s Stages of Psychosocial Development the child is in the Initiative vs. Guilt stage. The child is learning how to venture out and be independent. If they are able to do this (not discour...

1. You’re providing an in-service to a group of new nurses who will be caring for patients who have Tetralogy of Fallot. Which statement below is INCORRECT concerning how the blood normally flows through the heart? A. Unoxygenated blood enters through the superior and inferior vena cava and travels to the left atrium. B. The pulmonic valve receives blood from the right ventricle and allows blood to flow to the lungs via the pulmonary artery. C. The left atrium allows blood to flow down thro...

1. A 2-year-old weighed 7 lbs. at birth. How much should the child weigh now? A. 14 lbs. B. 28 lbs. C. 21 lbs. D. 36 lbs. The answer is B. The child’s weight should be 4 times their birth weight when they are 2 years old. Therefore, if the child weighed 7 lbs. at birth they should be around 28 lbs. at 2 years (24 months). 2. You’re assessing the height of a 24-month-old. The child is 34 inches. Based on this measurement, what is an estimated adult height for this child? A. 6 feet 2 i...

1. A newborn baby is born with transposition of the great arteries (TGA). You’re explaining the condition to the parents. Which statement by the father demonstrates he understood the education provided about this condition? A. “The pulmonary vein and artery are switched, which causes the pulmonary vein to deliver unoxygenated blood to the systemic circulation while the pulmonary artery delivers oxygenated blood back to the lungs.” B. “The aorta and pulmonary vein are switched, which ca...

1. A newborn is diagnosed with truncus arteriosus. You’re educating the parents about this heart defect. Which statement by the mother demonstrates she understood the education provided about this condition? A. “My baby has narrowing in the pulmonary artery, and the aorta is arising out of the right ventricle rather than the left ventricle.” B. “My baby’s heart shares one artery that connects the right and left ventricles.” C. “The left side of my baby’s heart is not fully dev...