Peds Nclex Exam questions with verified answers 100%

Peds Nclex Exam questions with verified answers 100% A nurse is providing care to an infant who underwent a laparoscopic pyloromyotomy. After providing discharge instructions to the infant's caregivers, which statements indicate appropriate understanding? Select all that apply. A. "I will feed my baby 3 times per day." B. "I will clean the incision site with warm, soapy water twice per day." C. "I will burp my baby every 1-2 ounces during feedings." D. "I will hold my baby in an upright position for 15 minutes after each feeding." E. "It is important to slide the diaper under my baby when changing the diaper." - "I will burp my baby every 1-2 ounces during feedings." "It is important to slide the diaper under my baby when changing the diaper." The nurse is providing care to a 1-month-old infant who is brought to the pediatric clinic for projectile vomiting. Which data collected during the assessment process would support the diagnosis of pyloric stenosis? Select all that apply. A. Persistent hunger B. Peristaltic wave C. Consistent weight gain D. Low-grade fever E. Blood-tinged vomit - Persistent hunger Peristaltic wave Blood-tinged vomit The nurse suspects that an infant has pyloric stenosis. Which physical assessment should the nurse identify that are associated with this disorder? (Select all that apply.) A. Bulging fontanels B. Mucus-streaked stools C. Olive-shaped mass D. Hyperactive bowel sounds E. Full bounding pulses - Olive-shaped mass Hyperactive bowel sounds A new mother brings a male infant, 2 weeks old, to the pediatric clinic for a checkup. The mother is concerned that the infant may be at risk for pyloric stenosis due to his age and because her husband had surgery for the condition when he was an infant. Which responses by the nurse are the most appropriate based on this data? A. "As long as your baby has bowel movements there is nothing to worry about." B. "Due to your age, your son is at an increased risk for the condition." C. "Your baby has a greater risk for the condition due to a familial history." D. "Your baby would have an increased risk if the infant was a girl." - "Your baby has a greater risk for the condition due to a familial history." The nurse is caring for an infant who is scheduled for surgery for pyloric stenosis. When planning the infant's care, which nursing diagnoses are appropriate? Select all that apply. A. Imbalanced Nutrition: Less than Body Requirements related to inadequate intake and vomiting B. Hyperbilirubinemia related to poor liver function C. Sleep Pattern Disturbance related to discomfort and hunger D. Parental Anxiety related to surgery E. Deficient Fluid Volume related to inadequate intake and vomiting - Imbalanced Nutrition: Less than Body Requirements related to inadequate intake and vomiting Sleep Pattern Disturbance related to discomfort and hunger Parental Anxiety related to surgery Deficient Fluid Volume related to inadequate intake and vomiting The nurse is reviewing the laboratory values for an infant diagnosed with pyloric stenosis. Which change should the nurse expect to see secondary to this condition? (Select all that apply.) A. Decreased pH B. Low level of serum chloride C. Low level of serum calcium D. low level of serum sodium E. Low level of serum potassium - Low level of serum chloride Low level of serum sodium Low level of serum potassium A nurse is caring for an infant postsurgery for pyloric stenosis. Which nursing interventions are appropriate when providing care for this infant? Select all that apply. A. Teach the parents to remove the Steri-Strips during the infant's first bath postsurgery. B. Encourage swaddling and rocking to facilitate relaxation. C. Monitor temperature once per shift. D. Administer analgesics, per order. E. Instruct the parents on proper diapering to avoid pressure over the incision. - Encourage swaddling and rocking to facilitate relaxation. Administer analgesics, per order. Instruct the parents on proper diapering to avoid pressure over the incision. The nurse is caring for an infant who is admitted for possible pyloric stenosis. When assessing the infant, which actions are appropriate? Select all that apply. A. Palpate the right upper quadrant of the abdomen. B. Observe the infant's abdomen. C. Auscultate bowel sounds. D. Pass a nasogastric tube. E. Provide oral feeding. - Palpate the right upper quadrant of the abdomen. Observe the infant's abdomen. Auscultate bowel sounds. The nurse is providing discharge teaching to the parents of an infant recovering from a pyloromyotomy. Which information should the nurse include about breastfeeding? (Select all that apply.) A. Hold the infant in a sitting position for at least 30 minutes after breastfeeding. B. Avoid rocking the infant for 30 minutes after breastfeeding. C. If the infant vomits, offer the breast again as soon as the infant shows interest. D. Limit breastfeeding to 10 minutes or less during each session. E. Burp the infant every 1-2 minutes while breastfeeding. - Hold the infant in a sitting position for at least 30 minutes after breastfeeding. Avoid rocking the infant for 30 minutes after breastfeeding. If the infant vomits, offer the breast again as soon as the infant shows interest. The nurse is providing care to an infant who underwent surgery for pyloric stenosis. Which actions by the nurse will decrease the risk for infection when caring for this infant? Select all that apply. A. Auscultate the lungs to assess for any adventitious sounds. B. Place pressure on the incision. C. Inspect the incision for redness, swelling, or discharge. D. Monitor temperature every hour. E. Give the infant a tub bath. - Auscultate the lungs to assess for any adventitious sounds. Inspect the incision for redness, swelling, or discharge. The nurse is caring for a pregnant woman with congenital heart disease. The woman asks if she will be able to have a vaginal delivery. Which answer by the nurse iscorrect? A. A vaginal birth is preferred because there is a lower risk of thrombophlebitis than with a Cesarean section. B. A Cesarean section is preferred because you will lose less blood than with a vaginal birth. C. A Cesarean section is preferred because there is a lower risk of infection than with a vaginal birth. D. A vaginal birth is preferred over a Cesarean section for women who have aortic stenosis. - A vaginal birth is preferred because there is a lower risk of thrombophlebitis than with a Cesarean section. The nurse provides discharge instructions to the parents of a child recovering from surgery to repair a congenital heart defect. What statement indicates that teaching has been effective? A. "Fluids should be restricted to maximize lung function." B. "Our child should not return to normal activities for at least 2 years." C. "Our child will need to take antibiotics prior to having dental surgery." D. "Our child should be restricted in play and activity for at least 6 months." - "Our child will need to take antibiotics prior to having dental surgery." The nurse is assessing a toddler diagnosed with tetralogy of Fallot (TOF). Which clinical manifestations does the nurse anticipate during the physical assessment? Select all that apply. A. Cough B. Palpable thrill in the pulmonic area C. Nail clubbing D. Apneic periods E. Knee-chest position - Palpable thrill in the pulmonic area Nail clubbing Knee-chest position