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NCLEX RN· RN Pediatrics · RN Pediatric NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The parents of a neonate born with congenital clubfoot express feelings of helplessness and guilt, exhibiting anxiety about how the neonate will be treated. Which of the following actions by the nurse would be most appropriate initially?

A. Ask them to share these concerns with the physician.

B. Arrange a meeting with other parents whose infants have clubfoot to discuss their feelings.

C. Suggest that they make an appointment to talk things over with a counselor.

D. Encourage the parents to express their feelings and listen attentively.

Expert Explanatory Rationale

Correct Answer: Encourage the parents to express their feelings and listen attentively.

Question 2 of 5

When performing cardiopulmonary resuscitation (CPR), which of the following indicates that external chest compressions are effective?

A. Mottling of the skin.

B. Pupillary dilation.

C. Palpable pulse.

D. Cool, dry skin.

Expert Explanatory Rationale

Correct Answer: Palpable pulse.

Question 3 of 5

When developing a recreational therapy plan of care for a 3-year-old child hospitalized with pneumonia and cystic fibrosis, which of the following toys would be appropriate?

A. 100-piece jigsaw puzzle.

B. Child's favorite doll.

C. Fuzzy stuffed animal.

D. Scissors, paper, and paste.

Expert Explanatory Rationale

Correct Answer: Child's favorite doll.

Question 4 of 5

The nurse is inserting a nasogastric (NG) tube in a child admitted with head trauma. The nurse should explain to the parents that the NG tube will be used to:

A. Administer medications.

B. Decompress the stomach.

C. Obtain gastric specimens for analysis.

D. Provide adequate nutrition.

Expert Explanatory Rationale

Correct Answer: Decompress the stomach.

Question 5 of 5

A 2-year-old always puts his teddy bear at the head of his bed before he goes to sleep. The parents ask if this behavior is normal. The nurse should explain to the parents that toddlers use ritualistic patterns to:

A. Establish a sense of identity.

B. Establish control over adults in their environment.

C. Establish sequenced patterns of learning behavior.

D. Establish a sense of security.

Expert Explanatory Rationale

Correct Answer: Establish a sense of security.

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