Pediatric Nursing NCLEX Quiz

1. A mother tells the nurse that she is very worried because her 2-year old child does not finish his meals. What should the nurse advise the mother?

Make the child seat with the family in the dining room until he finishes his meal

Provide quiet environment for the child before meals

Do not give snacks to the child before meals

Put the child on a chair and feed him

36. Answer C. do not give snacks to the child before meals

Explanation

36. Answer C. do not give snacks to the child before meals

2. Which of the following organisms is responsible for the development of rheumatic fever?

Streptococcal pneumonia

Haemophilus influenza

Group A ?-hemolytic streptococcus

Staphylococcus aureus

Rheumatic fever results from a delayed reaction to inadequately treated group A ?-hemolytic streptococcal infection.

Explanation

Rheumatic fever results from a delayed reaction to inadequately treated group A ?-hemolytic streptococcal infection.

3. Which of the following blood study results would the nurse expect as most likely when caring for the child with iron deficiency anemia?

Increased hemoglobin

Normal hematocrit

Decreased mean corpuscular volume (MCV)

Normal total iron-binding capacity (TIBC)

Lead poisoning may be caused by inhalation of dust and smoke from leaded gas. It may also be caused by lead-based paint. soil. water (especially from plumbings of old houses).

Explanation

Lead poisoning may be caused by inhalation of dust and smoke from leaded gas. It may also be caused by lead-based paint. soil. water (especially from plumbings of old houses).

4. An inborn error of metabolism that causes a premature destruction of RBC?

G6PD

Homocystinuria

Phenylketonuria

Celiac Disease

Normal heart rate of the newborn is 120 to 160 bpm.Options A. B. and C are normal assessment findings (uneven head shape is molding).

Explanation

Normal heart rate of the newborn is 120 to 160 bpm.Options A. B. and C are normal assessment findings (uneven head shape is molding).

5. Which of the following is the best method for performing a physical examination on a toddler

From head to toe

Distally to proximally

From abdomen to toes. the to head

From least to most intrusive

When examining a toddler or any small child. the best way to perform the exam is from least to most intrusive.Option A: Starting at the head or abdomen is intrusive and should be avoided.Option B: Proceeding from distal to proximal is inappropriate at any age.

Explanation

When examining a toddler or any small child. the best way to perform the exam is from least to most intrusive.Option A: Starting at the head or abdomen is intrusive and should be avoided.Option B: Proceeding from distal to proximal is inappropriate at any age.

6. Which of the following situations increase the risk of lead poisoning in children?

Playing in the park with heavy traffic and with many vehicles passing by

Playing sand in the park

Playing plastic balls with other children

Playing with stuffed toys at home

37. Answer D. heart rate is 80 bpm

Explanation

37. Answer D. heart rate is 80 bpm

7. The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?

Uneven head shape

Respirations are irregular. abdominal. 30-60 bpm

(+) Moro reflex

Heart rate is 80 bpm

If the child is hungry he/she more likely would finish his meals. Therefore. the mother should be advised not to give snacks to the child. The child is a “busy toddler.” He/she will not able to keep still for a long time.

Explanation

If the child is hungry he/she more likely would finish his meals. Therefore. the mother should be advised not to give snacks to the child. The child is a “busy toddler.” He/she will not able to keep still for a long time.

8. Which of the following would be inappropriate when administering chemotherapy to a child?

Monitoring the child for both general and specific adverse effects

Observing the child for 10 minutes to note for signs of anaphylaxis

Administering medication through a free-flowing intravenous line

Assessing for signs of infusion infiltration and irritation

When administering chemotherapy. the nurse should observe for an anaphylactic reaction for 20 minutes and stop the medication if one is suspected. Chemotherapy is associated with both general and specific adverse effects. therefore close monitoring for them is important.

Explanation

When administering chemotherapy. the nurse should observe for an anaphylactic reaction for 20 minutes and stop the medication if one is suspected. Chemotherapy is associated with both general and specific adverse effects. therefore close monitoring for them is important.

9. How does the nurse appropriately administer Mycostatin suspension in an infant?

Have the infant drink water. and then administer myostatin in a syringe

Place Mycostatin on the nipple of the feeding bottle and have the infant suck it

Mix Mycostatin with formula

Swab Mycostatin on the affected areas

Mycostatin suspension is given as swab. Never mix medications with food and formula.

Explanation

Mycostatin suspension is given as swab. Never mix medications with food and formula.

10. Which of the following is most likely associated with a cerebrovascular accident (CVA) resulting from congenital heart disease?

Polycythemia

Cardiomyopathy

Endocarditis

Low blood pressure

The child with congenital heart disease develops polycythemia resulting from an inadequate mechanism to compensate for decreased oxygen saturation

Explanation

The child with congenital heart disease develops polycythemia resulting from an inadequate mechanism to compensate for decreased oxygen saturation