NCLEX HESI RN PEDIATRICS EXAM | ALL QUESTIONS AND
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PEDIATRICS PRACTICE QUESTIONS... ATI PEDS PROCTORED EXAM 2023 ... Peds MIDTERM
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Which interventions should the B, D, E
nurse include in the teaching Rationale:
plan for the mother of a 6-year- Encopresis is fecal incontinence, usually as the result of recurring
old who is experiencing fecal impaction and an enlarged rectum caused by chronic
encopresis secondary to a fecal constipation. Encopresis is managed through bowel retraining
impaction? (Select all that with mineral oil, eliminating dairy products, and initiating a
apply.) regular toileting routine. A high-fiber diet, not option A, and
increased daily fluids, not option C, are components of care for a
A.Provide a low-fiber diet. child with encopresis.
B.Administer mineral oil daily.
C.Decrease the daily fluids.
D.Eliminate dairy products.
E.Initiate consistent toileting
routine.
The nurse is planning D
postoperative care for a child Rationale:
who has had a cleft lip repair. Prevention of stress on the lip suture line is essential for optimum
What is the most important healing and the cosmetic appearance of a cleft lip repair.
reason to minimize this child's Although crying also causes options A, B, and C, these
crying during the recovery conditions do not create a problem for the child with a cleft lip
period? repair
A.Tear formation increases
salivation.
B. This behavior increases
respirations.
C. Excessive hysteria can lead to
vomiting.
D. Crying stresses the suture
line.
,A 6-month-old male infant is B
admitted to the post-anesthesia Rationale:
care unit with elbow restraints in Removing restraints one at a time is safer than option C. The
place. He has an endotracheal infant should have the restrained extremities assessed frequently
tube and is ventilator- for signs of neurologic or vascular impairment, and range-of-
dependent but will be motion exercises should be performed with these assessments.
extubated soon following Under no circumstances should restraints be applied to the client
recovery from anesthesia. Which continuously. Documentation of assessment findings regarding
nursing intervention should be the restrained extremities must occur much more frequently than
included in this child's plan of every 72 hours; however, the reason for using restraints must be
care? justified and should be stated in the medical record.
A. Keep restraints on at all times
to prevent unplanned
extubation.
B. Remove restraints one at a
time and provide range-of-
motion exercises.
C. Remove all restraints
simultaneously and provide play
activities.
D. Document the reason for
application of the restraints
every 72 hours.
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In making the initial assessment D
of a 2-hour-old infant, which Rationale:
finding should lead the nurse to Diminished femoral pulses could indicate coarctation of the
suspect a congenital heart aorta. In the normal transition period, options A and B occur
defect? during the 4 to 6 hours after birth (second period of reactivity).
Option C is a normal finding in the newborn.
A. Irregular respiration and heart
rate
B. Gagging
C. Blue feet and hands
D. Diminished femoral pulses
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, The nurse is preparing a health B
teaching program for parents of Rationale:
toddlers and preschoolers and The only reliable way to prevent poisonings in young children is
plans to include information to make the items inaccessible. Teaching children not to taste
about the prevention of anything but food is important but ineffective for young children.
accidental poisonings. It is most Options C and D will not control a child's curiosity.
important for the nurse to
include which instruction?
A. Tell children that they should
not taste anything but food.
B. Store all toxic agents and
medicines in locked cabinets.
C. Provide special play areas in
the house and restrict play in
other areas.
D. Punish children if they open
cabinets that contain household
chemicals.
The nurse observes a 4-year-old C
boy in a day care setting. Which Rationale:
behavior should the nurse Four-year-old children are aggressive in their behavior and enjoy
expect this child to exhibit? telling tales. Options A and D are typical toddler behaviors. A
preschooler's play is usually cooperative, so playing alone is not
A. Throws a temper tantrum typical.
when told he must share the
toys.
B. Plays by himself for most of
the day.
C. Boasts aggressively when
telling a story.
D. Cries and is fearful when
separated from his parents.
A nurse is preparing to end the A
shift and receives a laboratory Rationale:
report stating that a child with The therapeutic level of theophylline is 10 to 20 mcg/dL, so the
asthma has a theophylline level child's level is within the therapeutic range. This information
of 15 mcg/dL. Which action evaluates the prescribed therapy and should be communicated
should the nurse take? in the nurse's report. Based on the laboratory finding, options B,
C, and D are not indicated.
A. Communicate the result to
the oncoming nurse and
document.
B. Tell the oncoming nurse that
the level is dangerously high.
C. Ask the laboratory to redo
the test because the result is
faulty.
D. Hold the next dose of
theophylline based on this
finding.