NCLEX Pediatrics Test with 100% Verified Solutions Graded A+
1. A school nurse is caring for a 3. Contact the Department of Health and
child who fell on the playground. Human Services.
Upon examination of the child,
the nurse notes multiple bruis- (3. Correct: Unless there is a policy to
es in various stages of healing. direct otherwise, the nurse who suspects
What is the nurse's initial inter- child abuse is obligated to report it to the
vention? Department of Health and Human Ser-
vices (DHS).
1. Ask the parents who hit the
child on the back. 1. Incorrect: This is confrontational and
will warn the parents that you suspect
2. Notify the child's primary abuse. This may lead to greater harm for
healthcare provider. the child.
3. Contact the Department of 2. Incorrect: Unless there is a policy to
Health and Human Services. direct otherwise, the nurse who suspects
child abuse is obligated to report it to
4. Document the findings and the Department of Health and Human
observe the child over the next Services. DHS, rather than the prima-
week. ry healthcare provider can intervene to
maintain the child's safety.
4. Incorrect: This is delaying care. If
the child is being abused, not reporting
it could lead to serious injury or even
death.)
2. The parents of a toddler are wor- 3. Cook with an iron skillet.
ried about their child's poor meat
intake resulting in a low iron lev- (3. Correct: Possibly one of the greatest
el. What would be the best rec- cast iron skillet health benefits is that it
ommendation for the nurse to adds iron to food. Many people suffer from
make? iron deficiency and cooking with cast iron
pans can help increase iron content by as
1. Offer split pea soup once a much as 20 times.
week with a glass of milk.
1. Incorrect: The body may only absorb as
2. Provide spinach twice a week. little as 2 percent of the iron in legumes,
such as lentils, black beans and split peas
, NCLEX Pediatrics Test with 100% Verified Solutions Graded A+
3. Cook with an iron skillet. unless given with foods high in vitamin C.
Milk will decrease absorption of iron.
4. Encourage fresh fruit intake.
2. Incorrect: Spinach is a source of
non-heme iron, which is found in veg-
etable sources. Non-heme iron is not as
bioavailable to the body as the heme iron
found in animal products. Raw spinach
contains an inhibitor called oxalic acid or
oxalate. Oxalic acid naturally binds with
minerals like calcium and iron, making
them harder for the body to absorb. Cook-
ing spinach can help unlock these iron
absorption inhibitors and hence increase
iron bioavailability. In other words, cook-
ing spinach helps make iron more avail-
able to your body. However, once a week
would not provide enough iron.
4. Incorrect: Fresh fruit increases fiber not
iron. Fruit is high in vit C (Foods high
in vitamin C include citrus fruits, dark
green leafy vegetables, bell peppers, mel-
ons and strawberries). Good food sources
of beta-carotene and vitamin A include
carrots, sweet potatoes, spinach, kale,
squash, red peppers, cantaloupe, apri-
cots, oranges and peaches.)
3. The nurse working in a pediatri- 3. We tell our children the medicine is
cian's office is teaching a couple candy so they will take it without a fuss.
with small children about prop-
er medication administration for (3. Correct: Calling medication "candy" is
children. What statement by the inappropriate and misleading to the child.
couple would indicate that fur- Children may take medication to eat as
ther teaching is needed? candy if they have access to it.
1. We should carefully measure 1. Incorrect: This is a correct statement by
elixir medication with the provid- the parents. Medication should be mea-
, NCLEX Pediatrics Test with 100% Verified Solutions Graded A+
ed dropper. sured closely because too much or too
little might cause harm to the child.
2. Our children should not watch
us take medicine. 2. Incorrect: Taking medicine in front of
children is not recommended, as children
3. We tell our children the medi- often try to imitate adult behavior.
cine is candy so they will take it
without a fuss. 4. Incorrect: All medication should be
placed out of the reach of children.)
4. Even though medicine comes
in a childproof container, we will
put medication out of reach.
4. The nurse should assess for 2. Vomiting
what signs of toxicity in a child
who is admitted with salicylate 3. Tinnitus
overdose?
Select all that apply 4. Diaphoresis
1. Hypoventilation 5. Dehydration
2. Vomiting (2., 3., 4., & 5. Correct: Nausea and vom-
iting are the most common toxic effects.
3. Tinnitus This can be caused by CNS toxicity or
by direct damage to the gastric mucosa.
4. Diaphoresis Salicylates can be neurotoxic, and this is
manifested by ringing in the ears. Ototox-
5. Dehydration icity can also lead to hearing loss. Di-
aphoresis results in the early phase of
6. Hypothermia toxicity. Serious dehydration can result
from insensible losses due to hyperven-
tilation and fever, as well as active losses
due to vomiting.
1. Incorrect: The first phase of salicylate
toxicity is characterized by hyperventila-
tion due to stimulation of the respiratory
center in the brain. This is a key feature of
salicylate toxicity.
, 6. Incorrect: Hyperpyrexia is an indication
of severe toxicity, especially in younger
children.)
5. A 12 year old female, with 3. Rooming with a 10 year old female that
a history of juvenile rheuma- has been admitted for sickle cell disease.
toid arthritis, is being admit-
ted for re-evaluation. The child (3. Correct: The appropriate answer is
reported these symptoms for to room her with the 10 year old being
the last week: temperature of worked up for sickle cell disease. This is
102.9ºF/39.4ºC at 4:00 pm every an acceptable age/sex to pair as room-
day, increased pain in joints, mates. Each has a chronic illness and this
loss of appetite, and fatigue. allows them to see how another person
What would be an appropriate with limitations adjusts.
room assignment by the charge
nurse? 1. Incorrect: It is not necessary for this
child to be in a private room. The fever at
1. Private room only. a particular time of the day is a symptom
of juvenile rheumatoid arthritis and does
2. Rooming with a 12 year old not mean an infection.
male in skeletal traction due to a
fractured femur. 2. Incorrect: It would be inappropriate to
room her with a 12 year old male due to
3. Rooming with a 10 year old fe- opposite sex and age.
male that has been admitted for
sickle cell disease. 4. Incorrect: The 12 year old who is in
pain, feverish, and fatigued would be un-
4. Rooming with a 14 month old able to rest as needed in a room with a 14
female that has been admitted month old who is postoperative.)
for orthopedic surgery.
6. What signs and symptoms will 1. Dark, yellow urine
the nurse look for when caring
for an infant with severe dehy- 2. Lethargic
dration?
Select all that apply 4. Tachypnea
1. Dark, yellow urine 5. Decreased urine output
1. A school nurse is caring for a 3. Contact the Department of Health and
child who fell on the playground. Human Services.
Upon examination of the child,
the nurse notes multiple bruis- (3. Correct: Unless there is a policy to
es in various stages of healing. direct otherwise, the nurse who suspects
What is the nurse's initial inter- child abuse is obligated to report it to the
vention? Department of Health and Human Ser-
vices (DHS).
1. Ask the parents who hit the
child on the back. 1. Incorrect: This is confrontational and
will warn the parents that you suspect
2. Notify the child's primary abuse. This may lead to greater harm for
healthcare provider. the child.
3. Contact the Department of 2. Incorrect: Unless there is a policy to
Health and Human Services. direct otherwise, the nurse who suspects
child abuse is obligated to report it to
4. Document the findings and the Department of Health and Human
observe the child over the next Services. DHS, rather than the prima-
week. ry healthcare provider can intervene to
maintain the child's safety.
4. Incorrect: This is delaying care. If
the child is being abused, not reporting
it could lead to serious injury or even
death.)
2. The parents of a toddler are wor- 3. Cook with an iron skillet.
ried about their child's poor meat
intake resulting in a low iron lev- (3. Correct: Possibly one of the greatest
el. What would be the best rec- cast iron skillet health benefits is that it
ommendation for the nurse to adds iron to food. Many people suffer from
make? iron deficiency and cooking with cast iron
pans can help increase iron content by as
1. Offer split pea soup once a much as 20 times.
week with a glass of milk.
1. Incorrect: The body may only absorb as
2. Provide spinach twice a week. little as 2 percent of the iron in legumes,
such as lentils, black beans and split peas
, NCLEX Pediatrics Test with 100% Verified Solutions Graded A+
3. Cook with an iron skillet. unless given with foods high in vitamin C.
Milk will decrease absorption of iron.
4. Encourage fresh fruit intake.
2. Incorrect: Spinach is a source of
non-heme iron, which is found in veg-
etable sources. Non-heme iron is not as
bioavailable to the body as the heme iron
found in animal products. Raw spinach
contains an inhibitor called oxalic acid or
oxalate. Oxalic acid naturally binds with
minerals like calcium and iron, making
them harder for the body to absorb. Cook-
ing spinach can help unlock these iron
absorption inhibitors and hence increase
iron bioavailability. In other words, cook-
ing spinach helps make iron more avail-
able to your body. However, once a week
would not provide enough iron.
4. Incorrect: Fresh fruit increases fiber not
iron. Fruit is high in vit C (Foods high
in vitamin C include citrus fruits, dark
green leafy vegetables, bell peppers, mel-
ons and strawberries). Good food sources
of beta-carotene and vitamin A include
carrots, sweet potatoes, spinach, kale,
squash, red peppers, cantaloupe, apri-
cots, oranges and peaches.)
3. The nurse working in a pediatri- 3. We tell our children the medicine is
cian's office is teaching a couple candy so they will take it without a fuss.
with small children about prop-
er medication administration for (3. Correct: Calling medication "candy" is
children. What statement by the inappropriate and misleading to the child.
couple would indicate that fur- Children may take medication to eat as
ther teaching is needed? candy if they have access to it.
1. We should carefully measure 1. Incorrect: This is a correct statement by
elixir medication with the provid- the parents. Medication should be mea-
, NCLEX Pediatrics Test with 100% Verified Solutions Graded A+
ed dropper. sured closely because too much or too
little might cause harm to the child.
2. Our children should not watch
us take medicine. 2. Incorrect: Taking medicine in front of
children is not recommended, as children
3. We tell our children the medi- often try to imitate adult behavior.
cine is candy so they will take it
without a fuss. 4. Incorrect: All medication should be
placed out of the reach of children.)
4. Even though medicine comes
in a childproof container, we will
put medication out of reach.
4. The nurse should assess for 2. Vomiting
what signs of toxicity in a child
who is admitted with salicylate 3. Tinnitus
overdose?
Select all that apply 4. Diaphoresis
1. Hypoventilation 5. Dehydration
2. Vomiting (2., 3., 4., & 5. Correct: Nausea and vom-
iting are the most common toxic effects.
3. Tinnitus This can be caused by CNS toxicity or
by direct damage to the gastric mucosa.
4. Diaphoresis Salicylates can be neurotoxic, and this is
manifested by ringing in the ears. Ototox-
5. Dehydration icity can also lead to hearing loss. Di-
aphoresis results in the early phase of
6. Hypothermia toxicity. Serious dehydration can result
from insensible losses due to hyperven-
tilation and fever, as well as active losses
due to vomiting.
1. Incorrect: The first phase of salicylate
toxicity is characterized by hyperventila-
tion due to stimulation of the respiratory
center in the brain. This is a key feature of
salicylate toxicity.
, 6. Incorrect: Hyperpyrexia is an indication
of severe toxicity, especially in younger
children.)
5. A 12 year old female, with 3. Rooming with a 10 year old female that
a history of juvenile rheuma- has been admitted for sickle cell disease.
toid arthritis, is being admit-
ted for re-evaluation. The child (3. Correct: The appropriate answer is
reported these symptoms for to room her with the 10 year old being
the last week: temperature of worked up for sickle cell disease. This is
102.9ºF/39.4ºC at 4:00 pm every an acceptable age/sex to pair as room-
day, increased pain in joints, mates. Each has a chronic illness and this
loss of appetite, and fatigue. allows them to see how another person
What would be an appropriate with limitations adjusts.
room assignment by the charge
nurse? 1. Incorrect: It is not necessary for this
child to be in a private room. The fever at
1. Private room only. a particular time of the day is a symptom
of juvenile rheumatoid arthritis and does
2. Rooming with a 12 year old not mean an infection.
male in skeletal traction due to a
fractured femur. 2. Incorrect: It would be inappropriate to
room her with a 12 year old male due to
3. Rooming with a 10 year old fe- opposite sex and age.
male that has been admitted for
sickle cell disease. 4. Incorrect: The 12 year old who is in
pain, feverish, and fatigued would be un-
4. Rooming with a 14 month old able to rest as needed in a room with a 14
female that has been admitted month old who is postoperative.)
for orthopedic surgery.
6. What signs and symptoms will 1. Dark, yellow urine
the nurse look for when caring
for an infant with severe dehy- 2. Lethargic
dration?
Select all that apply 4. Tachypnea
1. Dark, yellow urine 5. Decreased urine output
