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Nclex Sample Questions For Pediatric Nursing 3 (exam Mode) By Rnpedia.com

30 Questions  I  By Rnpedia
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1.  David, age 15 months, is recovering from surgery to remove Wilms’ tumor. Which findings best indicates that the child is free from pain? 
A.
B.
C.
D.
2.  An infant is hospitalized for treatment of nonorganic failure to thrive. Which nursing action is most appropriate for this infant?
A.
B.
C.
D.
3.  An infant who has been in foster care since birth requires a blood transfusion. Who is authorized to give written, informed consent for the procedure? 
A.
B.
C.
D.
4.  Nurse Alice is providing cardiopulmonary resuscitation (CPR) to a child, age 4. the nurse should: 
A.
B.
C.
D.
5.  A tuberculosis intradermal skin test to detect tuberculosis infection is given to a high-risk adolescent. How long after the test is administered should the result be evaluated? 
A.
B.
C.
D.
6.  A 10-year-old client contracted severe acute respiratory syndrome (SARS) when traveling abroad with her parents. The nurse knows she must put on personal protective equipment to protect herself while providing care. Based on the mode of SARS transmission, which personal protective should the nurse wear? 
A.
B.
C.
D.
7.  A child has third-degree burns of the hands, face, and chest. Which nursing diagnosis takes priority? 
A.
B.
C.
D.
8.  The mother of Gian, a preschooler with spina bifida tells the nurse that her daughter sneezes and gets a rash when playing with brightly colored balloons, and that she recently had an allergic reaction after eating kiwifruit and bananas. The nurse would suspect that the child may have an allergy to: 
A.
B.
C.
D.
9.  The nurse is finishing her shift on the pediatric unit. Because her shift is ending, which intervention takes top priority? 
A.
B.
C.
D.
10.  Patrick, a healthy adolescent has meningitis and is receiving I.V. and oral fluids. The nurse should monitor this client’s fluid intake because fluid overload may cause:
A.
B.
C.
D.
11.  Nurse Oliver s teaching a mother who plans to discontinue breast-feeding after 5 months. The nurse should advise her to include which foods in her infant’s diet? 
A.
B.
C.
D.
12.  Cristina, a mother of a 4-year-old child tells the nurse that her child is a very poor eater. What’s the nurse’s best recommendation for helping the mother increase her child’s nutritional intake? 
A.
B.
C.
D.
13.  While preparing to discharge an 8-month-old infant who is recovering from gastroenteritis and dehydration, the nurse teaches the parents about their infant’s dietary and fluid requirements. The nurse should include which other topic in the teaching session? 
A.
B.
C.
D.
14.  A 4-month-old with meningococcal meningitis has just been admitted to the pediatric unit. Which nursing intervention has the highest priority? 
A.
B.
C.
D.
15.  An adolescent who sustained a tibia fracture in a motor vehicle accident has a cast. What should the nurse do to help relieve the itching? 
A.
B.
C.
D.
16.  Nurse Victoria is teaching the parents of a school-age child. Which teaching topic should take priority? 
A.
B.
C.
D.
17.  A parent brings a toddler, age 19 months, to the clinic for a regular check-up. When palpating the toddler’s fontanels, what should the nurse expects to find?
A.
B.
C.
D.
18.  The parents of a child, age 6, who will begin school in the fall ask the nurse for anticipatory guidance. The nurse should explain that a child of this age:
A.
B.
C.
D.
19.  A child is undergoing remission induction therapy to treat leukemia. Allopurinol is included in the regimen. The main reason for administering allopurinol as part of the client’s chemotherapy regimen is to:
A.
B.
C.
D.
20.  When planning care for a 8-year-old boy with Down syndrome, the nurse should: 
A.
B.
C.
D.
21.  When caring for an 11-month-old infant with dehydration and metabolic acidosis, the nurse expects to see which of the following? 
A.
B.
C.
D.
22.  After the nurse provides dietary restrictions to the parents of a child with celiac disease, which statement by the parents indicates effective teaching? 
A.
B.
C.
D.
23.  Nurse Roy is administering total parental nutrition (TPN) through a peripheral I.V. line to a school-age child. What’s the smallest amount of glucose that’s considered safe and not caustic to small veins, while also providing adequate TPN? 
A.
B.
C.
D.
24.  Nurse Kelly is teaching the parents of a young child how to handle poisoning. If the child ingests poison, what should the parents do first? 
A.
B.
C.
D.
25.  Sheena, tells the nurse that she wants to begin toilet training her 22-month-old child. The most important factor for the nurse to stress to the mother is: 
A.
B.
C.
D.
26.  Nurse Mariane is caring for an infant with spina bifida. Which technique is most important in recognizing possible hydrocephalus? 
A.
B.
C.
D.
27.  Which finding would alert a nurse that a hospitalized 6-year-old child is at risk for a severe asthma exacerbation? 
A.
B.
C.
D.
28.  Nurse Betina should begin screening for lead poisoning when a child reaches which age? 
A.
B.
C.
D.
29.  Gracie, the mother of a 3-month-old infant calls the clinic and states that her child has a diaper rash. What should the nurse advise? 
A.
B.
C.
D.
30.  A 3-year-old child is receiving dextrose 5% in water and half-normal saline solution at 100 ml/hour. Which sign or symptom suggests excessive I.V. fluid intake? 
A.
B.
C.
D.
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