NCLEX Questions With 100% Pass
The nurse is caring for a 5-year-old child with a congenital heart defect. The nurse is
reviewing with the parents the actions that would be necessary if the child experiences
cardiopulmonary arrest and needs resuscitation. Which of the following statements by
the parents indicate to the nurse that the teaching has been understood? Select all that
apply. - Answer-"I have to use compressions to circulate the blood."
• "I will give two breaths for every 30 compressions."
• "I will check for responsiveness before starting CPR."
/.The nurse teaches the parents of a 5-year-old child who has been given
trimethoprim/sulfamethoxazole for a urinary tract infection about appropriate care
measures. Which of the following should be included in the teaching plan? Select all
that apply. - Answer-• Using a sunscreen.
• Keeping medication out of the sunlight.
• Keeping the child well hydrated.
/.A child, age 4, is admitted with a tentative diagnosis of congenital heart disease. When
assessment reveals a bounding radial pulse coupled with a weak femoral pulse, the
nurse suspects that the child has: - Answer-coarctation of the aorta.
/.Parents of a 5-year-old call the clinic to tell the nurse that they think their child has
been abused by her day-care provider. What should the nurse advise them to do? -
Answer-Schedule an immediate appointment with their health care provider.
/.The health care provider (HCP) has ordered a sterile urine specimen on a 3-year-old
boy with a history of recurrent urinary tract infections. The family is upset because the
last time the child was catheterized the procedure was very painful and traumatic. The
nurse should tell the family: - Answer-"I will get a prescription for a lubricant with
numbing medicine to make the procedure more comfortable."
/.A child, age 5, has acute lymphocytic leukemia (ALL) and is receiving induction
chemotherapy consisting of vincristine, asparaginase, and prednisone. When teaching
the parents about the adverse effects of this regimen, the nurse should stress the
importance of promptly reporting: - Answer-blindness.
/.When teaching a preschool-age child how to perform coughing and deep-breathing
exercises before corrective surgery for tetralogy of Fallot, which teaching and learning
principle should the nurse address first? - Answer-When teaching a preschool-age child
how to perform coughing and deep-breathing exercises before corrective surgery for
tetralogy of Fallot, which teaching and learning principle should the nurse address first?
, /.A 3-year-old boy has arrived in the emergency department. The nurse documents the
following assessment findings in the client's chart, knowing that they are consistent with
which disease process? - Answer-Pneumonia
/.A nurse is performing a respiratory assessment on a 5-year-old child diagnosed with
pneumonia. Which assessment finding should be reported to the physician
immediately? - Answer-Moderate intercostal retractions. Normally, children and men
use the abdominal muscles to breathe, whereas women use the thoracic muscles. Use
of the accessory or intercostal muscles would indicate a respiratory problem and should
be immediately reported to the physician.
/.Before performing an otoscopic examination on a child, where should the nurse
palpate for tenderness? - Answer-Tragus, mastoid process, and helix
/.The parent of a preschool-age child has been told the child has sleep terrors. Which of
the following statements should the nurse include when teaching the parents about
sleep terrors? - Answer-"It is appropriate to intervene only if it is necessary to protect
the child."
/.A nurse is preparing a 4-year-old child for surgery. Which is the best nursing
intervention? - Answer-Allowing the child to wear underwear if desired.
/.A 5-year-old child returns to the pediatric unit following a cardiac catheterization using
the right femoral vein. The child has a thick elastoplast dressing. Which assessment
finding requires immediate intervention? - Answer-The pedal pulse of the right leg isn't
detectable.
/.The parent of a 4-year-old expresses concern that the child may be hyperactive. The
parent describes the child as always in motion, constantly dropping and spilling things.
Which action would be appropriate at this time? - Answer-Explain that this is not
unusual behavior.
/.The mother asks the nurse why peanuts are one of the worst things a child can
aspirate. Which of the following should the nurse include in the explanation as the main
reason for the problem associated with aspirating peanuts? - Answer-They swell when
wet.
/.The father of a preschool-age child with a tentative diagnosis of juvenile idiopathic
arthritis (JIA) asks about a test to definitively diagnose JIA. The nurse's response is
based on knowledge of what information? - Answer-No specific laboratory test is
diagnostic.
Explanation:
The nurse's response to the father is based on the knowledge that there is no definitive
test for JIA. The latex fixation test, which is commonly used to diagnose arthritis in
adults, is negative in 90% of children.
The nurse is caring for a 5-year-old child with a congenital heart defect. The nurse is
reviewing with the parents the actions that would be necessary if the child experiences
cardiopulmonary arrest and needs resuscitation. Which of the following statements by
the parents indicate to the nurse that the teaching has been understood? Select all that
apply. - Answer-"I have to use compressions to circulate the blood."
• "I will give two breaths for every 30 compressions."
• "I will check for responsiveness before starting CPR."
/.The nurse teaches the parents of a 5-year-old child who has been given
trimethoprim/sulfamethoxazole for a urinary tract infection about appropriate care
measures. Which of the following should be included in the teaching plan? Select all
that apply. - Answer-• Using a sunscreen.
• Keeping medication out of the sunlight.
• Keeping the child well hydrated.
/.A child, age 4, is admitted with a tentative diagnosis of congenital heart disease. When
assessment reveals a bounding radial pulse coupled with a weak femoral pulse, the
nurse suspects that the child has: - Answer-coarctation of the aorta.
/.Parents of a 5-year-old call the clinic to tell the nurse that they think their child has
been abused by her day-care provider. What should the nurse advise them to do? -
Answer-Schedule an immediate appointment with their health care provider.
/.The health care provider (HCP) has ordered a sterile urine specimen on a 3-year-old
boy with a history of recurrent urinary tract infections. The family is upset because the
last time the child was catheterized the procedure was very painful and traumatic. The
nurse should tell the family: - Answer-"I will get a prescription for a lubricant with
numbing medicine to make the procedure more comfortable."
/.A child, age 5, has acute lymphocytic leukemia (ALL) and is receiving induction
chemotherapy consisting of vincristine, asparaginase, and prednisone. When teaching
the parents about the adverse effects of this regimen, the nurse should stress the
importance of promptly reporting: - Answer-blindness.
/.When teaching a preschool-age child how to perform coughing and deep-breathing
exercises before corrective surgery for tetralogy of Fallot, which teaching and learning
principle should the nurse address first? - Answer-When teaching a preschool-age child
how to perform coughing and deep-breathing exercises before corrective surgery for
tetralogy of Fallot, which teaching and learning principle should the nurse address first?
, /.A 3-year-old boy has arrived in the emergency department. The nurse documents the
following assessment findings in the client's chart, knowing that they are consistent with
which disease process? - Answer-Pneumonia
/.A nurse is performing a respiratory assessment on a 5-year-old child diagnosed with
pneumonia. Which assessment finding should be reported to the physician
immediately? - Answer-Moderate intercostal retractions. Normally, children and men
use the abdominal muscles to breathe, whereas women use the thoracic muscles. Use
of the accessory or intercostal muscles would indicate a respiratory problem and should
be immediately reported to the physician.
/.Before performing an otoscopic examination on a child, where should the nurse
palpate for tenderness? - Answer-Tragus, mastoid process, and helix
/.The parent of a preschool-age child has been told the child has sleep terrors. Which of
the following statements should the nurse include when teaching the parents about
sleep terrors? - Answer-"It is appropriate to intervene only if it is necessary to protect
the child."
/.A nurse is preparing a 4-year-old child for surgery. Which is the best nursing
intervention? - Answer-Allowing the child to wear underwear if desired.
/.A 5-year-old child returns to the pediatric unit following a cardiac catheterization using
the right femoral vein. The child has a thick elastoplast dressing. Which assessment
finding requires immediate intervention? - Answer-The pedal pulse of the right leg isn't
detectable.
/.The parent of a 4-year-old expresses concern that the child may be hyperactive. The
parent describes the child as always in motion, constantly dropping and spilling things.
Which action would be appropriate at this time? - Answer-Explain that this is not
unusual behavior.
/.The mother asks the nurse why peanuts are one of the worst things a child can
aspirate. Which of the following should the nurse include in the explanation as the main
reason for the problem associated with aspirating peanuts? - Answer-They swell when
wet.
/.The father of a preschool-age child with a tentative diagnosis of juvenile idiopathic
arthritis (JIA) asks about a test to definitively diagnose JIA. The nurse's response is
based on knowledge of what information? - Answer-No specific laboratory test is
diagnostic.
Explanation:
The nurse's response to the father is based on the knowledge that there is no definitive
test for JIA. The latex fixation test, which is commonly used to diagnose arthritis in
adults, is negative in 90% of children.
