Pediatric NCLEX review questions - test 1

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Leifer Intro to Maternity and Pediatric Nursing, Chapters 23-26 NCLEX review questions for 1st pediatric test Cerro Coso Community College LVN Program

Symptoms of an earache in and infant include:
1.) external drainage, pain, and decrease in temp
2.) tugging at the ear and rolling head from side to side
3.) crying and pointing to affected ear
4.) redness of the cheeks and cyanosis of the ear

Tugging at the ear and rolling head from side to side

A parent asks the nurse to tell her what cerebral palsy is. The best response of the nurse would be that it is a:
1.) motor disability caused by a nonprogressive disturbance in brain development
2.) disorder of the brain that results in mental retardation
3.) complication of the birth process that causes brain damage
4.) brain disorder that involves seizures

Motor disability caused by a nonprogressive disturbance in brain development

Reye's syndome affects the:
1.) stomach and the intestine
2.) islet of Langerhans
3.) Liver and the brain
4.) heart and the blood vessels

liver and the brain

A practice that has been helpful in preventing mental retardation is:
1.) administering the Stanford-Binet test
2.) a blood test at birth
3.) careful preschool development screening
4.) a urine test at age 6 months

a blood test at birth

Which term describes a seizure in which the child cries out, falls to the floor, becomes rigid, and then has a convulsion?
1.) Petit mal
2.) Myoclonic
3.) Grand mal
4.) Atonic

Grand mal

A disorder in which the blood supply to the epiphyses of the bone is disrupted is callled:
1.) muscular dystrophy
2.) cerebral palsy
3.) congenital hip dysplasia
4.) Legg-Calve-Perthes Disease

Legg-Calve-Perthes Disease

A teenager who had a cast applied after a tibia fracture complains that his pain medication is not working and his pain is still a 9 or 10. The nurse notices some edema of the toes and a capillary refill of 6 seconds. The priority action of the nurse would be:
1.) call the health care provider immediately
2.) check if there is an order for a stronger pain medication
3.) try nonpharmacological techniques of pain relief
4.) explain to the teen that a new fracture is expected to be painful the first day

Call the health care provider immediately

Buck's extension is an example of:
1.) skin traction
2.) skeletal traction
3.) balanced traction
4.) Bryant's Traction

skin traction

An abdominal S-Shaped curvature of the spine seen in school-aged children is:
1.) sclerosis
2.) sciatica
3.) scabies
4.) scoliosis

scoliosis

A yellow bruise is apporoximately:
1.) 2 days old
2.) 5 to 7 days old
3.) 7 to 10 days old
4.) 10 to 14 days old

7 to 10 days old

Which is a priority nursing diagnosis in a child admitted with acute asthma?
1.) risk for infection
2.) imbalanced nutrition
3.) ineffective breathing pattern
4.) disturbed body image

ineffective breathing pattern

which sign or symptom observed in a sleeping 2-year-old child immediately after a tonsillectomy necessitates reporting and follow-up care?
1.) pulse of 110 beats/min
2.) a blood pressure of 96/64 mm Hg
3.) nausea
4.) frequent swallowing

frequent swallowing

The nurse is reinforcing teaching concerning the use of a cromolyn sodium inhaler for a 10-year-old with asthma. Which would be an accurate concept to emphasize?
1.) you should use the inhaled whenever you feel some difficulty in breathing
2.) you should use the inhaler between meals
3.) you should use the inhaler regularly every day even if you are symptom free
4.) you can discontinue using the inhaler when you are feeling stronger

you should use the inhaler regularly every day even if you are symptom free

A health care provider is preparing to examine the throat of a child diagnosed with acute epiglottis. A priority nursing responsibility would be to?
1.) have a tracheotomy set at the bedside
2.) immobilize the child's head
3.) restrain the child's arms
4.) have oxygen available

have a tracheotomy set at the bedside

An infant is admitted with a diagnosis of respiratory syncytial virus (RSV) infection . The type of transmission-based isolation precaution the nurse would set up would be:
1.) standard precautions
2.) droplet precautions
3.) contact precautions
4.) airborne infection isolation precautions

contact precautions

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