Study guides, Class notes & Summaries

Pediatrics Genitourinary Disorders PRACTICE NCLEX Questions 1. A 10-kg toddler is diagnosed with acute renal failure (ARF), is afebrile, and has a 24-hour urine output of 110 mL. After calculating daily fluid maintenance, which would the nurse expect the toddler’s daily allotment of fluids to be? 1. Sips of clear fluids and ice chips only. 2. 350 mL of oral and intravenous fluids. 3. 1000 mL of oral and intravenous fluids. 4. 2000 mL of oral and intravenous fluids. ANSWER: 2. 350 mL is...

Pediatrics Growth PRACTICE NCLEX Questions 1. A 3-year-old female is hospitalized for a femur fracture. As her nurse, what nursing action would help foster the child’s sense of autonomy? 1. Allow the child to choose what time to take her oral antibiotics. 2. Allow the child to have a doll for medical play. 3. Allow the child to administer her own dose of Keflex (cephalexin) via oral syringe. 4. Allow the child to watch age-appropriate videos. ANSWER: 3. Allowing toddlers to participate ...

Pediatrics Hematological or Immunological Disorders PRACTICE NCLEX Questions 1. The nurse is taking care of a child with sickle cell disease. The nurse is aware that which of the following problems is (are) associated with sickle cell disease? Select all that apply. 1. Polycythemia. 2. Hemarthrosis. 3. Aplastic crisis. 4. Thrombocytopenia. 5. Splenic sequestration. 6. Vaso-occlusive crisis. ANSWER: 3, 5, 6. Aplastic crisis is associated with sickle cell anemia. 5. Splenic sequestration ...

Pediatrics Issues Related to Health PRACTICE NCLEX Questions 1. A 10-month-old is carried into the emergency department by her parents after she fell down 15 stairs in her walker. Which would be your highest priority nursing intervention? 1. Assess airway while simultaneously maintaining cervical spine precautions. 2. Assess airway, breathing, and circulation simultaneously. 3. Prepare for diagnostic radiological testing to check for any injuries. 4. Obtain venous access and draw blood fo...

Pediatrics Neurologic PRACTICE NCLEX Questions 1. A 2-month-old infant is brought to the emergency room after experiencing a seizure. The infant appears lethargic with very irregular respirations and periods of apnea. The parents report the baby is no longer interested in feeding and before the seizure, rolled off the couch. What additional testing should the nurse immediately prepare for? 1. Computed tomography (CT) scan of the head and dilation of the eyes. 2. Computed tomography (CT) sca...

Pediatrics Cardiovascular PRACTICE NCLEX Questions 1. A 10-year-old child is recovering from a severe sore throat. The parent states that the child complains of chest pain. The nurse observes that the child has swollen joints, nodules on the fingers, and a rash on the chest. The likely cause is _____________________. ANSWER: Rheumatic fever or RF. To make the diagnosis of RF, major and minor criteria are used. Major criteria include carditis, subcutaneous nodules, erythema marginatum, chorea...

Pediatrics Respiratory Disorders PRACTICE NCLEX Questions 1. A 2-year-old has just been diagnosed with cystic fibrosis (CF). The parents ask the nurse what early respiratory symptoms they should expect to see in their child. Which is the nurse’s best response? 1. “You can expect your child to develop a barrel-shaped chest.” 2. “You can expect your child to develop a chronic productive cough.” 3. “You can expect your child to develop bronchiectasis.” 4. “You can expect your...

Pediatrics Gastrointestinal Disorders PRACTICE NCLEX Questions 1. A 10-year-old is being evaluated for possible appendicitis and complains of nausea and sharp abdominal pain in the right lower quadrant. An abdominal ultrasound is scheduled, and a blood count has been obtained. The child vomits, finds the pain relieved, and calls the nurse. Which should be the nurse’s next action? 1) Cancel the ultrasound, and obtain an order for oral Zofran (ondansetron). 2) Cancel the ultrasound, and prepar...