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NCLEX RN· RN Pediatrics · NCLEX RN Pediatrics

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

An 18-month-old with a congenital heart defect is to receive digoxin twice a day. The nurse should instruct the parents about which of the following?

A. Digoxin enables the heart to pump more effectively with a slower and more regular rhythm.

B. Signs of toxicity include loss of appetite, vomiting, increased pulse, and visual disturbances.

C. Digoxin is absorbed better if taken with meals.

D. If the child vomits within 15 minutes of administration, the dosage should be repeated.

Expert Explanatory Rationale

Correct Answer: Digoxin enables the heart to pump more effectively with a slower and more regular rhythm.

Question 2 of 5

The charge nurse on the pediatric floor has assigned a 6-year-old girl of Arab-American ethnicity with newly diagnosed type 1 diabetes and an 8-year-old girl recovering from ketoacidosis to the same semi-immune treatment. The 6-year-old's mother is upset because the parent staying with the other child is the father. The nurse should:

A. Explain to the parents that this room arrangement facilitates teaching.

B. Reassign the children to different rooms.

C. Offer the Arab-American parent another place to sleep.

D. Refer the parent to the customer service representative.

Expert Explanatory Rationale

Correct Answer: Reassign the children to different rooms.

Question 3 of 5

The nurse discusses the eating habits of school-age children with their parents, explaining that these habits are most influenced by:

A. Food preferences of their peers.

B. Smell and appearance of foods offered.

C. Examples provided by parents at mealtimes.

D. Parental encouragement to eat nutritious foods.

Expert Explanatory Rationale

Correct Answer: Examples provided by parents at mealtimes.

Question 4 of 5

The health care team determines that the family of an infant with failure to thrive who is to be discharged will need follow-up care. Which of the following would be the most effective method of follow-up?

A. Daily phone calls from the hospital nurse.

B. Enrollment in community parenting classes.

C. Twice-weekly clinic appointments.

D. Weekly visits by a community health nurse.

Expert Explanatory Rationale

Correct Answer: Weekly visits by a community health nurse.

Question 5 of 5

After teaching the family of a child with scoliosis who wears a Boston brace, which of the following activities, if stated by the child and family as occasions appropriate for removal of the brace, indicates successful teaching?

A. When bathing, for about 1 hour per day.

B. While eating, for a total of 3 hours a day.

C. During school, for about 8 hours a day.

D. When sleeping, for a total of 10 hours a day.

Expert Explanatory Rationale

Correct Answer: When bathing, for about 1 hour per day.

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