FREE Pediatric Nursing NCLEX Questions and Answers
Nurse Menchie is aware that children of which age group are most likely to perceive illness as a punishment for wrongdoing while creating a plan of care for a hospitalized child?
Explanation:
Children in the preschool years are most likely to think of illness as a punishment for wrongdoing. Children in this age range may believe that getting
very ill is punishment for anything they did or thought about. They fail to comprehend how their parents were unable to shield them from this condition.
A 6-year-old female girl is brought in for a checkup at the medical facility. The nurse should inquire as follows to evaluate the child's vision:
Explanation:
A visual disturbance may be the cause of a child's low academic performance. Although most children do not acquire 20/20 vision until they are six
years old, visual acuity should be roughly equivalent in both eyes at any age. Up to date standards for visual acuity in children between the ages of
two and a half and six were provided by the Multi-Ethnic Pediatric Eye Disease Study.
Which of the following should Nurse Carmen consider when developing a lesson plan for the parents of Abby who has been identified as having pulmonic stenosis (PS)?
Explanation:
A right ventricular blood flow blockage is referred to as PS. A pulmonic valve defect known as pulmonic stenosis occurs when the valve stiffens,
obstructing flow. Typically congenital, benign, and treated with potentially curative medications, this condition affects children.
Thrisha is admitted to the pediatric unit with what is thought to be rheumatic fever. Which facts does the nurse prioritize when gathering the child's medical history?
Explanation:
The key element in making the diagnosis of rheumatic fever is a recent bout of pharyngitis. A pharyngeal infection triggers the innate immune
system to become active, which causes S to manifest. T and B cells respond to pyogenes antigens. The generation of specific IgG and IgM antibodies
by B cells follows the activation of CD4+ T cells (Cunningham, Pathogenesis of group A streptococcal infections, 2000).
Vicktoria, a 5-year-old girl, has lately been identified as having Kawasaki disease. In addition to the disease's known symptoms, which of the following is also a possibility for her to experience?
Explanation:
A rare condition that damages the blood vessels in children is called Kawasaki disease. If nothing is done, aneurysms can form in 20% to 25% of
youngsters. Depending on the severity of the condition, IV gamma globulin or aspirin is frequently used as an initial treatment. Sometimes
corticosteroids can decrease potential problems. The illness typically requires lifelong follow-up visits to monitor a child's heart health.
The nurse is aware of the following assessment finding as the most typical one in a child with ulcerative colitis:
Explanation:
Profound diarrhea is the most typical evaluation finding in a child with ulcerative colitis. Bloody diarrhea, whether it contains mucus or not, is the
predominant sign of ulcerative colitis. Blood in the toilet, on the toilet paper, or in the stool are examples of other signs. It is distinctive in that it only
affects the mucosa and submucosa of the colon. The disease typically begins in the rectum and progresses continuously inward.
Twelve-year-old Erithel is seven months pregnant. Which teaching method is least effective when teaching parenting skills to an adolescent, according to the nurse?
Explanation:
The least effective technique to teach parenting skills to an adolescent is to provide age-appropriate reading materials because adolescents absorb
less knowledge through reading. The Office of Adolescent Pregnancy Programs' (OAPP) Adolescent Family Life (AFL) demonstration projects
empower adolescent families by providing social support and medical attention.