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Pediatry (NURS 4331) - UT Arlington NCLEX PREP [Maternal, Fetal, and Pediatric Health] Questions With Complete Solutions $37.99
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Pediatry (NURS 4331) - UT Arlington NCLEX PREP [Maternal, Fetal, and Pediatric Health] Questions With Complete Solutions
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Pediatry (NURS 4331) - UT Arlington NCLEX PREP [Maternal, Fetal, and Pediatric Health] Questions With Complete Solutions

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  • May 24, 2025
  • 375
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • pediatry nurs 4331 ut arlington nclex prep ma

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Pediatry (NURS 4331) - UT Arlington NCLEX PREP
[Maternal, Fetal, and Pediatric Health] Questions With
Complete Solutions


A 1-year-old child who goes to day care is
recovering from an episode of otitis media. Which
intervention is most important for the nurse to
reinforce to the parents in order to prevent
recurrence?
1.Exclusive breastfeeding
2.Not sending the child to day care
3.Preventing water from entering the ear
4.Smoking cessation by the parents Correct
Answers Otitis media (OM) is the inflammation or
infection of the middle ear resulting from
dysfunction of the eustachian tube. OM typically
occurs in infants and children under age 2,
sometimes following a respiratory tract infection.
The eustachian tubes in infants and young children
are short, straight, and fairly horizontal, which
results in ineffective drainage and protection from
respiratory secretions. Infants with exposure to
tobacco smoke are at risk for OM due to the
resulting respiratory inflammation. OM risk is also
higher with activities such as using a pacifier or
drinking from a bottle when lying down as these
allow fluid to pool in the mouth and then reach the
eustachian tubes.

,Key preventive measures include eliminating
exposure to smoke, obtaining routine
immunizations to prevent infection, and reducing
or eliminating use of a pacifier after age 6 months.

A 12-month-old client has a high blood lead level of
18 mcg/dL. The nurse is reinforcing teaching about
lead poisoning to the parents. Which statements
made by a parent indicate that teaching has been
successful? Select all that apply.
1."I should have our home inspected for the source
of lead."
2."I will vacuum our hard-surface floors daily."
3."I will wash my child's hands often, especially
before eating."
4."We should use hot water from the tap for
cooking."
5."We will have to return for a follow-up lead level."
Correct Answers Lead poisoning occurs from
repeated lead exposure, either via ingestion of
lead-based paints (eg, walls, toys), glazes (eg,
pottery), or water from lead pipes or via inhalation
of contaminated dust or soil found around older
homes. Elevated blood lead levels (BLLs) impair
neural, blood, and renal development. A BLL
screening is recommended at ages 1-2 or up to
age 6 if the child was not previously screened.
Clients with elevated BLLs (≥5 mcg/dL) require
follow-up blood work to ensure that levels

,decrease. Chelation therapy may be required if
levels remain elevated.
The priority intervention for clients with elevated
BLLs is preventing continued exposure. The home
environment should be inspected for lead sources
(Option 1). Pediatric and pregnant clients should
not live in homes being renovated until work is
complete. Handwashing, especially before eating,
is important for removing lead residue.

A 14-month-old client is admitted for a blood
transfusion and started on oral iron
supplementation for severe iron deficiency anemia.
What are appropriate nursing actions for the LPN if
a dark black stool is noted in the diaper?
Select all that apply.
Notify the healthcare provider.
Document the finding.
Continue with your assessment.
Administer the oral iron supplement as prescribed.
Report possible GI to RN supervisor Correct
Answers Choices B, C, and D are correct.
B is correct. Black stools are an expected response
to iron supplementation. Documenting this finding
in the chart is an appropriate nursing action, but no
further action is needed.

C is correct. Black stools are an expected response
to iron supplementation. It is an appropriate
nursing action to continue with your assessment.

, Since the finding is expected, no other steps are
necessary.

D is correct. Black stools are an expected response
to iron supplementation. It is an appropriate
nursing action to administer the oral iron
supplement as prescribed.

A 14-year-old client confides to the school nurse
that she is pregnant, likely in the second trimester,
and has not had prenatal care. Which of the
following topics should the nurse discuss with the
client at this time? Select all that apply.
1.Desire for adoption planning services
2.Emotional response to the pregnancy
3.Family/social support systems
4.Nutritional habits and substance use5.Plan for
finishing high school Correct Answers Adolescent
clients who are pregnant are a unique population
because of their increased risk for complications
during pregnancy (eg, low birth weight, preterm
birth, preeclampsia) and developmental needs.
During an initial encounter, the nurse should
discuss the client's emotional response to the
pregnancy to build rapport and provide
psychosocial support (Option 2). Discussing the
client's level of family/social support or fear of
social discrimination is appropriate because these
factors may prevent the client from obtaining
prenatal care (Option 3).

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