- Details
- Category: NCLEX CAT
1. A child with acute lymphoid leukemia (ALL) is started on chemotherapy protocol that includes prednisone. What side effect of this medication does the nurse anticipate?
2. An adolescent sustains a sports-related fracture of the femur, and an open reduction and internal fixation with a rod insertion is performed. After the surgery, a nurse identifies that the adolescent is very upset. Considering the developmental level, what does the nurse conclude is the most likely explanation for this distress?
3. One principle to be followed for children with type 1 diabetes is to provide for the variability of the child’s activity. What should the nurse teach the child about how to compensate for increased physical activity?
4. The parent of a child with hemophilia asks the nurse, “If my son hurts himself, is it all right if I give him two baby aspirins?” How should the nurse respond?
5. When teaching an adolescent with type 1 diabetes about dietary management, what should the nurse include?
- Details
- Category: NCLEX CAT
1. A nurse is counseling a woman who was just diagnosed with a multiple gestation. Why does the nurse consider this pregnancy as high risk?
2. A client tells a nurse in the prenatal clinic that she has vaginal staining but no pain. Her history reveals amenorrhea for the last 2 months and pregnancy confirmation after her first missed period. She is admitted to the high-risk unit because she may be having a spontaneous abortion. What type of abortion is suspected?
3. Despite medication, a client’s preterm labor continues, her cervix dilates, and birth appears to be inevitable. Which medication does the nurse anticipate will be prescribed to increase the chance of the newborn’s survival?
4. A client at 9 weeks’ gestation asks the nurse in the prenatal clinic if she can have her chorionic villi sampling (CVS) done at this visit. At what week gestation should the nurse respond is the best time for this test?
5. A client tells a nurse that she does not want an episiotomy and would rather tear naturally. What information should be offered regarding each birthing method?
- Details
- Category: NCLEX CAT
1. A nurse in the prenatal clinic is caring for a client with heart disease who is in the second trimester. What hemodynamic of pregnancy may affect the client at this time?
2. A nurse is monitoring a client with severe preeclampsia for the onset of eclampsia. What clinical finding indicate an impending seizure?
3. The nurse is counseling a pregnant client with type 1 diabe tes about medication changes as pregnancy progresses. Which medication will be needed in increased dosages during the second half of her pregnancy?
4. A nurse in the birthing suite has just admitted four clients. Which client should the nurse anticipate will need to be prepared for a cesarean birth?
5. A newborn has small, whitish, pinpoint spots over the nose that are caused by retained sebaceous secretions. When documenting this observation, a nurse identifies them as:
- Details
- Category: NCLEX CAT
1. A nurse is caring for four clients who each have one of the following conditions. Which client should the nurse anticipate will be instructed not to breastfeed by the health care provider?
2. A woman learning about infant feedings asks a nurse how anyone who is breastfeeding gets anything done with a baby on demand feedings. Which is the best response by the nurse?
3. An infant develops purulent conjunctivitis on the fourth day of life and is brought to the emergency department. What is the priority nursing action?
4. A nurse is teaching a group of new mothers about breastfeeding. Which factor that influences the availability of milk in the lactating woman should the nurse include in the teaching?
5. A nurse teaches a group of postpartum clients that all their newborns will be screened for phenylketonuria (PKU) to:
- Details
- Category: NCLEX CAT
1. For how long should a nurse maintain isolation of a child with bacterial meningitis?
2. What should be included in the nursing care of an infant with increased intracranial pressure?
3. An additional defect is associated with exstrophy of the bladder. For what anomaly should the nurse assess the infant?
4. A 6-month-old infant is brought to the emergency department in severe respiratory distress. A diagnosis of respiratory syncytial virus (RSV) is made and the infant is admitted to the pediatric unit. What should be included in the nursing plan of care?
5. The parents of an infant who has had a surgical repair of a myelomeningocele express concern about skin care and ask what they can do to avoid problems. The nurse should teach the parents that their infant:
- Details
- Category: NCLEX CAT
1. A nurse is reviewing the laboratory report of a child with tetralogy of Fallot that indicates an elevated RBC count. What does the nurse identify as the cause of the polycythemia?
2. A 1-month-old infant is admitted to the pediatric unit with a tentative diagnosis of Hirschsprung disease (congenital aganglionic megacolon). What procedure does the nurse expect to be used to confirm the diagnosis?
3. What should nursing care for an infant after the surgical repair of a cleft lip include?
4. What should a nurse use to feed an infant born with a unilateral cleft lip and palate?
5. A nurse is caring for an infant with a tentative diagnosis of hypertrophic pyloric stenosis (HPS). What is most important for the nurse to assess?
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