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ATI LPN · Pediatrics Nursing · Pediatric Communicable Diseases NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The mother of 7-year old girl with acute strep throat calls to report that within 15 minutes after the first dose of oral penicillin you prescribed, she is complaining of itching and has developed hives. Which of the following should you recommend?

A. Give her oral antihistamines and call again if not improved within 30 minutes

B. Bring her to your office or the nearest emergency room

C. Substitute erythromycin for penicillin

D. Bring her to the nearest emergency room once difficulty of breathing is experienced

Expert Explanatory Rationale

Correct Answer: Bring her to your office or the nearest emergency room

Question 2 of 5

The child has more bowel movements than usual and the stools are loose and more watery than usual. The child may also have a fever, nausea, vomiting, pains in the stomach, cramps, blood and/or mucus in the stool, and may not want to eat.

A. Giardia

B. Diarrhea

C. Polio

D. Viral meningitis

Expert Explanatory Rationale

Correct Answer: Diarrhea

Question 3 of 5

Which of the following would the nurse perform to help alleviate a child's joint pain associated with rheumatic fever?

A. maintaining the joints in an extended position

B. applying gentle traction to the child's affected joints

C. supporting proper alignment with rolled pillows

D. using a bed cradle to avoid the weight of bed linens on the joints

Expert Explanatory Rationale

Correct Answer: using a bed cradle to avoid the weight of bed linens on the joints

Question 4 of 5

A mother of a 3-year old boy has just given birth to a new baby girl. The little boy asks the nurse, 'why is my baby sister eating my mommy's breast?' how should the nurse respond?

A. Remind him that his mother breastfed him too

B. Explain that newborns get milk from their mothers in this way

C. Reassure the older brother that it does not hurt his mother

D. Suggest that the baby can also drink from a bottle

Expert Explanatory Rationale

Correct Answer: Explain that newborns get milk from their mothers in this way

Question 5 of 5

You receive a phone call that a 3-year-old patient on long-term warfarin therapy for congenital heart disease has an international normalized ratio (INR) of 5.8... Which of the following interventions would be most reasonable in this clinical scenario?

A. Hold 1 to 2 doses of warfarin and recheck INR

B. Administer oral vitamin K therapy

C. Administer fresh frozen plasma (FFP)

D. Administer prothrombin complex concentrates (PCCs)

Expert Explanatory Rationale

Correct Answer: Hold 1 to 2 doses of warfarin and recheck INR

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