Pediatric Nursing NCLEX Quiz 5

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Pediatric Nursing NCLEX Quiz 5 - Quiz

The pediatric nursing exam is the most important exam for becoming a nurse. Play this exciting and knowledgeable quiz on "pediatric nursing NCLEX 5" to revise your NCLEX exam concepts. The quiz contains various questions ranging from easy, moderate, to high-level that are sure to gauge preparation level and provide valuable learnings. All questions are shown, but the results will only be given after you've finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz. If you like the quiz, share it with your friends and family. All the best!


Questions and Answers
  • 1. 

    The nurse answers a call bell and finds a frightened mother whose child. the patient. is having a seizure. Which of these actions should the nurse take?

    • A.

      The nurse should insert a padded tongue blade in the patient’s mouth to prevent the child from swallowing or choking on his tongue

    • B.

      The nurse should help the mother restrain the child to prevent him from injuring himself

    • C.

      The nurse should call the operator to page for seizure assistance

    • D.

      The nurse should clear the area and position the client safely

    Correct Answer
    D. The nurse should clear the area and position the client safely
    Explanation
    Glucose-6-phosphate dehydrogenase deficiency (G6PD) is an X-linked recessive hereditary disease characterised by abnormally low levels of glucose-6-phosphate dehydrogenase (abbreviated G6PD or G6PDH). a metabolic enzyme involved in the pentose phosphate pathway. especially important in red blood cell metabolism.

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  • 2. 

    At the community center. the nurse leads an adolescent health information group. which often expands into other areas of discussion. She knows that these youths are trying to find out “who they are.” and discussion often focuses on which directions they want to take in school and life. as well as peer relationships. According to Erikson. this stage is known as:

    • A.

      Identity vs. role confusion

    • B.

      Adolescent rebellion.

    • C.

      Career experimentation.

    • D.

      Relationship testing

    Correct Answer
    A. Identity vs. role confusion
    Explanation
    For the child with iron deficiency anemia. the blood study results most likely would reveal decreased mean corpuscular volume (MCV) which demonstrates microcytic anemia. decreased hemoglobin. decreased hematocrit and elevated total iron binding capacity.

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  • 3. 

    The nurse is assessing a 9-month-old boy for a well-baby check up. Which of the following observations would be of most concern?

    • A.

      The baby cannot say “mama” when he wants his mother

    • B.

      The mother has not given him finger foods.

    • C.

      The child does not sit unsupported.

    • D.

      The baby cries whenever the mother goes out.

    Correct Answer
    C. The child does not sit unsupported.
    Explanation
    The primary role of the nurse when a patient has a seizure is to protect the patient from harming him or herself.

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  • 4. 

    Cherry. the mother of an 11-month-old girl. Elizabeth. is in the clinic for her daughter’s immunizations. She expresses concern to the nurse that Elizabeth cannot yet walk. The nurse correctly replies that. according to the Denver Developmental Screen. the median age for walking is:

    • A.

      12 months

    • B.

      15 months

    • C.

      10 months

    • D.

      14 months

    Correct Answer
    A. 12 months
    Explanation
    During this period. which lasts up to the age of 18-21 years. the individual develops a sense of “self.” Peers have a major big influence over behavior. and the major decision is to determine a vocational goal.

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  • 5. 

    Sunshine. age 13. has had a lumbar puncture to examine the CSF to determine if bacterial infection exists. The best position to keep her in after the procedure is:

    • A.

      Prone for two hours to prevent aspiration. should she vomit

    • B.

      Semi-Fowler’s so she can watch TV for five hours and be entertained

    • C.

      Supine for several hours. to prevent a headache.

    • D.

      On her right sides to encourage return of CSF

    Correct Answer
    C. Supine for several hours. to prevent a headache.
    Explanation
    Over 90% percent of babies can sit unsupported by nine months. Most babies cannot say “mama” in the sense that it refers to their mother at this time.

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  • 6. 

    Buck’s traction with a 10 lb. weight is securing a patient’s leg while she is waiting for surgery to repair a hip fracture. It is important to check circulation- sensation-movement:

    • A.

      Every shift

    • B.

      Every day

    • C.

      Every 4 hours

    • D.

      Every 15 minutes

    Correct Answer
    C. Every 4 hours
    Explanation
    By 12 months. 50 percent of children can walk well.

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  • 7. 

    Kim is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include:

    • A.

      Tachycardia. nausea. vomiting. heart palpitations. inability to sleep. restlessness. and seizures

    • B.

      Tachycardia. headache. dyspnea. temp. 101 F. and wheezing

    • C.

      Blurred vision. tachycardia. hypertension. headache. insomnia. and oliguria

    • D.

      Restlessness. insomnia. blurred vision. hypertension. chest pain. and muscle weakness

    Correct Answer
    A. Tachycardia. nausea. vomiting. heart palpitations. inability to sleep. restlessness. and seizures
    Explanation
    Lying flat keeps the patient from having a “spinal headache.” Increasing the fluid intake will assist in replenishing the lost fluid during this time.

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  • 8. 

    The adolescent patient has symptoms of meningitis: nuchal rigidity. fever. vomiting. and lethargy. The nurse knows to prepare for the following test:

    • A.

      Blood culture

    • B.

      Throat and ear culture

    • C.

      CAT scan

    • D.

      Lumbar puncture

    Correct Answer
    D. Lumbar puncture
    Explanation
    The patient can lose vascular status without the nurse being aware if left for more than 4 hours. yet checks should not be so frequent that the patient becomes anxious. Vital signs are generally checked q4h. at which time the CSM checks can easily be performed.

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  • 9. 

    The nurse is drawing blood from the diabetic patient for a glycosylated hemoglobin test. She explains to the woman that the test is used to determine:

    • A.

      The highest glucose level in the past week

    • B.

      Her insulin level

    • C.

      Glucose levels over the past several months

    • D.

      Her usual fasting glucose level

    Correct Answer
    C. Glucose levels over the past several months
    Explanation
    Bronchodilators can produce the side effects listed in answer choice (A) for a short time after the patient begins using them.

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  • 10. 

    The twelve-year-old boy has fractured his arm because of a fall from his bike. After the injury has been casted. the nurse knows it is most important to perform all of the following assessments on the area distal to the injury except:

    • A.

      Capillary refill

    • B.

      Radial and ulnar pulse

    • C.

      Finger movement

    • D.

      Skin integrity

    Correct Answer
    D. Skin integrity
    Explanation
    Meningitis is an infection of the meninges. the outer membrane of the brain. Since it is surrounded by cerebrospinal fluid. a lumbar puncture will help to identify the organism involved.

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  • Current Version
  • Aug 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 11, 2017
    Quiz Created by
    Santepro
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