NCLEX Questions - PEDIATRIC NURSING

NCLEX Questions - PEDIATRIC NURSING.PEDIATRIC NURSING GROWTH AND DEVELOPMENT: 1. When does birth length double? = by 4 years 2. When does the child sit unsupported? = 8 months 3. When does a child achieve 50% of adult height? = 2 years 4. When does a child throw a ball overhand? = 18 months 5. When does a child speak 2-3 word sentences? = 2 years 6. When does a child use scissors? = 4 years 7. When does a child tie his/her shoes? = 5 years CHILD HEALTH PROMOTION: 1. List 2 contraindications for live virus immunization. - Immunocompromised child or a child in a household with an immunocompromised individual. 2. List 3 classic signs and symptoms of measles. - Photophobia, confluent rash that begins on the face and spreads dowward, and Koplik’s spots on the buccal mucosa. 3. List the signs and symptoms of iron deficiency. - Anemia, pale conjunctiva, pale skin color, atrophy of papillae on tongue, brittle/ridged/spoon-shaped nails, and thyroid edema. 4. Identify food sources for Vitamin A. - Liver, sweet potatoes, carrots, spinach, peaches, and apricots. 5. What disease occurs with vitamin C deficiency? - Scurvy. 6. What measurements reflect present nutritional status? - Weight, skinfold thickness, and arm circumference. 7. List the signs and symptoms of dehydration in an infant. - Poor skin turgor, absence of tears, dry mucous membranes, weight loss, depressed fontanel and decreased urinary output. 8. List the laboratory findings that can be expected in a dehydrated child. - Loss of bicarbonate/decreased serum pH, losso f sodium (hyponatremia), loss of potassium (hypokalemia), elevated Hct, and elevated BUN. 9. How should burns in children be assessed? - Use the Lund-Browder chart, which takes into account the changing proportions of the child’s body. 10. How can the nurse BEST evaluate the adequacy of fluid replacement in children? - Monitor urine output. 11. How should a parent be instructed to “child proof” a house? - Lock all cabinets, safely store all toxic household items in locked cabinets, and examine the house from the child’s point of view. 12. What interventions should the nurse do FIRST in caring for a child who has ingested a poison? - Assess the child’s respiratory, cardiac, and neurological status. 13. List 5 contraindications to administering syrup of ipecac. - Coma, seizures, CNS depression, ingestion of petroleum-based products, and ingestion of corrosives. 14. What instructions should be given by phone to a mother who knows her child has ingested a bottle of medication? - Administer syrup of ipecac if the child is conscious. Bring any emesis or stool to the emergency room. Bring the container in which the medicine was stored to the emergency room. RESPIRATORY DISORDERS: 1. Describe the purpose of bronchodilators. - Reverse bronchospasm 2. What are the physical assessment findings for a child with asthma? - Expiratory wheezing, rales, right cough, and signs of altered blood gases.