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Details: Category: NCLEX CAT; Last Updated: May 01 2023

1. A parent and 4-year-old child who recently emigrated from Colombia arrive at the pediatric clinic. The child has a temperature of 102° F, is irritable, and has a runny nose. Inspection reveals a rash and several small, red, irregularly shaped spots with blue-white centers in the mouth. What illness does the nurse suspect the child has?

Measles
Chickenpox
Fifth disease
Scarlet fever

2. A school nurse is teaching parents of school-age children about the importance of immunizations for the childhood communicable diseases. What preventable disease may cause the complication of encephalitis?

Varicella
Scarlet fever
Poliomyelitis
Whooping cough

3. A parent calls the outpatient clinic requesting information about the appropriate dose of acetaminophen for a 16-month-old child who has signs of an upper respiratory tract infection and fever. The directions on the bottle of acetaminophen elixir are 120 mg every 4 hours when needed. At the toddler’s 15-month visit, the health care provider prescribed 150 mg. What is the nurse’s best response to the parent?

“The dose is close enough, and it doesn’t really matter which one is given.”
“From your description, the medications are not necessary. They should be avoided at this age.”
“It is appropriate to use dosages based on age. Children typically have weights consistent for their age groups.”
“The prescribed dose of the drug was based on weight, and this is a more accurate way of determining a therapeutic dose.”

4. A 13-year-old girl tells the nurse at the pediatric clinic that she took a pregnancy test and it was positive. She adds that her grandfather, with whom she, her younger sisters, and her mother live, has repeatedly molested her for the past 3 years. When the nurse asks the girl if she has told this to anyone, she replies, “Yes, but my mother doesn’t believe me.” Legally, who should the nurse notify?

Police concerning a possible sex crime
Health care provider to confirm the pregnancy
Child Protective Services for immediate intervention
Girl’s mother about the pregnancy test’s positive result

5. During a nap, a 3-year-old hospitalized child wets the bed. How should the nurse respond?

Ask the child to help with remaking the bed.
Put clean sheets on the bed over a rubber sheet.
Change the child’s clothes without discussing the incident.
Explain that children should call the nurse when they need to go to the bathroom.

Details: Category: NCLEX CAT; Last Updated: May 01 2023

1. An infant has a plaster cast applied for clubfoot correction. What nursing intervention will hasten drying of the cast?

Using a blow dryer
Opening the window
Exposing the casted extremity
Covering the cast with a light sheet

2. What should a nurse teach the parents of a toddler newly diagnosed with cystic fibrosis about the administration of vitamins A, D, E, and K?

Offer them in a water-miscible form.
Give them during meals and snack time.
Calibrate them based on height and weight.
Present them with fruit juice rather than milk.

3. The parents of a 4-year-old child are concerned about the effects of hospitalization on their child. Which behavior should the nurse expect the child to exhibit?

Refuse to cooperate with the nurses when the parents are absent
Demonstrate despair if the parents do not visit at least once a day
Cry when the parents leave and return but not during their absence
Be unable to relate to children in the playroom if other parents are present

4. When is the most appropriate time for the nurse to plan for chest percussion and postural drainage for a toddler with cystic fibrosis?

After suctioning
Before aerosol therapy
One hour before meals
Fifteen minutes after meals

5. A nurse is obtaining a health history from the parents of a child with celiac disease. What characteristic does the nurse expect when the parents describe their child’s stools?

Small, pale, mucoid
Large, frothy, green
Large, pale, foul-smelling
Moderate, green, foul-smelling

2. When planning discharge teaching for the parents of a child with asthma, what information should the nurse include?

Avoid foods high in fat.
Stay at home for two weeks.
Increase the protein and calorie intake.
Minimize exertion and exposure to cold.

3. A 10-year-old child is diagnosed with lymphocytic thyroid itis (Hashimoto disease). What should the nurse explain to the parents and child about this condition?

It is chronic.
Treatment is difficult.
It is an inherited disorder.
Regression occurs spontaneously.

4. The nurse observes that a 4-year-old child is having difficulty relating with some of the children in the playroom. What does the nurse identify is the reason that this problem is not unexpected with preschoolers?

At this age they engage only in parallel play.
At this age they are extremely dependent on their parents.
Fierce temper tantrums and negativism are typical behaviors.
Exaggerating and boasting to impress others are typical behaviors.

5. An 8-year-old child who has been receiving chemotherapy will soon return to school after a prolonged absence. Classmates are aware that the child is being treated for cancer. How should the school nurse prepare the class for the child’s return to school?

Encourage the students to think about how they feel toward their classmate.
Explain to the students why it is important to tolerate those who are different.
Ask the students not to make fun of their classmate because of lost weight and having no hair.
Initiate a discussion with the students about cancer treatments and the side effects of chemotherapy.

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