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NCLEX RN· RN Pediatrics · NCLEX RN Pediatric Practice Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is discharging a baby with clubfoot who has had a cast applied. The nurse should provide additional teaching to the parents if they state:

A. I should call if I see changes in the color of the toes under the cast.'

B. I should use a pillow to elevate my child's foot as he sleeps.'

C. My baby will need a series of casts to fix her foot.'

D. Having a cast should not prevent me from holding my baby.'

Expert Explanatory Rationale

Correct Answer: I should use a pillow to elevate my child's foot as he sleeps.'

Question 2 of 5

A 10-year-old with scoliosis has to wear a brace. The nurse should develop a teaching plan with the client to include which of the following instructions?

A. Wear the brace during waking hours.

B. Wear the brace only during sleep.

C. Wear a form-fitting, sleeveless T-shirt under the brace.

D. Bathe the skin under the brace once per week.

Expert Explanatory Rationale

Correct Answer:

Question 3 of 5

The mother tells the nurse she will be afraid to allow her child with hemophilia to participate in sports because of the danger of injury and bleeding. After explaining that physical fitness is important for children with hemophilia, which of the following activities should the nurse suggest as ideal?

A. Snow skiing.

B. Swimming.

C. Basketball.

D. Gymnastics.

Expert Explanatory Rationale

Correct Answer: Swimming.

Question 4 of 5

The parents of a 9-month-old bring the infant to the clinic for a regular checkup. The infant has received no immunizations. Which of the following would be appropriate for the nurse to administer at this visit?

A. Diphtheria, tetanus, and acellular pertussis (DTaP); Haemophilus influenzae type B (Hib); inactivated poliomyelitis vaccine (IPV); and purified protein derivative (PPD).

B. DTaP; Hib; oral polio vaccine (OPV); and measles, mumps, and rubella (MMR).

C. PPD, MMR, hepatitis B (hepB), and OPV.

D. HepB, IPV, Hib, and varicella.

Expert Explanatory Rationale

Correct Answer: Diphtheria, tetanus, and acellular pertussis (DTaP); Haemophilus influenzae type B (Hib); inactivated poliomyelitis vaccine (IPV); and purified protein derivative (PPD).

Question 5 of 5

Which of the following meals would be most appropriate for a 15-year-old with glomerulonephritis with severe hypertension?

A. Egg noodles, hamburger, canned peas, milk.

B. Baked ham, baked potato, pear, canned carrots, milk.

C. Baked chicken, rice, beans, orange juice.

D. Hot dog on a bun, corn chips, pickle, cookie, milk.

Expert Explanatory Rationale

Correct Answer: Baked chicken, rice, beans, orange juice.

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