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NCLEX RN· RN Pediatrics · NCLEX RN Pediatric Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A child who limps and has pain has been found to have Legg-Calvé-Perthes disease. What should the nurse expect to include in the child's plan of care?

A. Initiation of pain control measures, especially at night when acute.
B. Promotion of ambulation despite child's discomfort in the affected hip.
C. Prevention of flexion in the affected hip and knee.
D. Advance of weight bearing on the head of the affected femur.

Expert Explanatory Rationale

Correct Answer: Initiation of pain control measures, especially at night when acute.

Question 2 of 5

A mother of a toilet-trained 3-year-old expresses concern over her child's bedwetting while hospitalized. The nurse should tell the mother:

A. He was too immature to be toilet trained. In a few months he should be old enough.
B. Children are afraid in the hospital and frequently wet their bed.
C. It's very common for children to regress when they're in the hospital.
D. This is normal. He probably received too much fluid the night before.

Expert Explanatory Rationale

Correct Answer: It's very common for children to regress when they're in the hospital.

Question 3 of 5

The parent of a 17-year-old boy, who is hospitalized for complications related to type I diabetes, requests to review the adolescent's medical record. The client reported receiving mental health counseling during the admission history, but did not want his parent to know. The nurse, who is uncertain of how to protect the adolescent's privacy and accommodate the parent's request, should consult:

A. The unit nurse manager.
B. The primary care provider.
C. The organization's privacy officer.
D. The customer service representative.

Expert Explanatory Rationale

Correct Answer: The organization's privacy officer.

Question 4 of 5

The school nurse develops a plan with an adolescent to provide relief of dysmenorrhea to aid in her development of which of the following?

A. Positive peer relations.
B. Positive self-identity.
C. A sense of autonomy.
D. A sense of independence.

Expert Explanatory Rationale

Correct Answer: A sense of autonomy.

Question 5 of 5

Which of the following structures should be closed by the time the child is 2 months old?

A. A.
B. B.
C. C.
D. D.

Expert Explanatory Rationale

Correct Answer: C.

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