Check this NCLEX Questions for Pedia.

1. A three-month-old infant is doing well after repair of a cleft lip. The nurse wants to provide her with appropriate stimulation. What is the best toy for the nurse to give her?
1. A colorful rattle. 2. A string of large beads.
3. A mobile with a music box. 4. A teddy bear with button eyes.

2. Which toys would be best for a five-month-old infant who also has infantile eczema?
1. Soft, washable toys. 2. Stuffed toys.
3. Puzzles and games. 4. Toy cars.

3. Which of the following diversions would be appropriate for an eight-month-old infant?
1. A colorful mobile. 2. Large blocks to stack.
3. A rattle and bell. 4. A game of peek-a-boo.

4. The mother of a two-year-old child asks the nurse how to cope with the child’s frequent temper tantrums when he does not get what he wants immediately. The best response for the nurse should include which information?
1. As long as the child is safe, ignore him during the tantrum.
2. If the child’s demands are reasonable give him part of what he wants.
3. Spank the child if the tantrum continues for more than five minutes.
4. Explain to the child why he cannot have what he wants and promise him a reward when he stops crying.

5. A three-year-old is admitted to the pediatric unit for diagnostic tests. His mother is discussing his hospitalization with the nurse. She is concerned about her other two children at home. Which nursing action will most help the child adjust to being in the hospital? Suggest to his mother that she
1. Not visit him until he is discharged to avoid upsetting him when she leaves.
2. Spend the night in the hospital.
3. Bring his teddy bear to him.
4. Buy him gifts so he won’t mind being in the hospital.

6. The parents of a three-year-old are leaving for the evening. Which behavior would be normal for a child of this age to exhibit?
1. Wave good-by to them. 2. Cry.
3. Hide her head under the covers. 4. Ask to go to the playroom.

7. A six-year-old is admitted for a tonsillectomy. Considering her age, which of the following would be the most important to include in a preoperative physical assessment?
1. Characteristics of tongue, gum or lip sores.
2. Any sign of tonsilar inflammation.
3. The number and location of any loose teeth.
4. The location and presence of tenderness in any swollen lymph nodes.

8. A six-year-old child is in the terminal stage of leukemia. He appears helpless and afraid. How could the nurse best help the child?
1. Allowing him to make the decisions for his care.
2. Making all decisions for him.
3. Discussing with him the usual fears of dying children.
4. Discussing with him the reasons for his fears.

9. The nurse is preparing a 6-year-old for cardiac surgery. Which would be the best preoperative teaching technique?
1. Have him practice procedures that will be performed postoperatively such as coughing and deep breathing.
2. Arrange for him to tour the operating room and ICU.
3. Encourage him to draw pictures illustrating his understanding of the operation.
4. Arrange for him to discuss heart surgery and postoperative events with a group of children who have undergone heart surgery.

10. A 10-year-old girl is being treated for rheumatic fever. Which of the following would be an appropriate activity while she is on bed rest?
1. Stringing large wooden beads. 2. Engaging in a pillow fight.
3. Making craft items from felt. 4. Watching television.

11. A 10-year-old who is immobilized in a cast following an accident has been squirting other children and the staff with a syringe filled with water. The nurse wants to provide other activities to help him express his aggression. Which activity would be most appropriate?
1. Cranking a wind up toy. 2. Pounding clay.
3. Putting charts together. 4. Writing a story

12. The nurse is planning care for an 11-year-old who has a fractured femur and is in traction. Which activity would be most appropriate?
1. Dramatizing with puppets.
2. Building with popsicle sticks.
3. Watching television.
4. Coloring with crayons or colored pencils.

13. The nurse explains cardiac catheterization to the parents of a child. The instructions should include the information that a cardiac catheterization will give information about
1. Oxygen levels in the chambers of the heart.
2. Pulmonary vascularization.
3. Presence of abdominal aortic aneurysm.
4. Activity tolerance.

14. The nurse is caring for a toddler who is 6 hours post cardiac catheterization. The nurse is administering antibiotics. The child’s mother asks why he needs to have antibiotics. The best answer is based on the nurse’s knowledge that the antibiotics will prevent
1. Urinary tract infection. 2. Pneumonia.
3. Otitis media. 4. Endocarditis

15. The nurse is caring for a toddler with a cardiac defect who has had several episodes of congestive heart failure in the past few months. Which of the following data would be the most useful to the nurse in assessing his current congestive heart failure?
1. The degree of clubbing of his fingers and toes.
2. Amount of fluid and food intake.
3. Recent fluctuations in weight.
4. The degree of sacral edema.

16. A child with a cyanotic heart defect has an elevated hematocrit. The nurse interprets this as being due to:
1. Chronic infection. 2. Recent dehydration.
3. Increased cardiac output. 4. Chronic oxygen deficiency.

17. The nurse is administering the daily digoxin dose of .035 mg to an 18-month-old child. Before administering the dose, the nurse takes his apical pulse and it is 85 and regular. Which of the following interpretations is most accurate?
1. He has just awakened and his heart action is slowest in the morning.
2. This is a normal rate for an 18-month-old child.
3. He may be going into heart block due to digoxin toxicity.
4. His potassium level needs to be evaluated.

18. The nurse is discussing dietary needs of a child with a serious heart defect. The child is being treated with digoxin and hydrochlorothiazide. The nurse should emphasize the importance of
1. Cheese and ice cream. 2. Finger foods such as hot dogs.
3. Apricots and bananas. 4. Four glasses of whole milk per day.

19. A child with a Tetralogy of Fallot has a hypoxic episode. What is the most appropriate action for the nurse to take?
1. Administer oxygen and position him in the squat position.
2. Position him on his side and give him the ordered morphine.
3. Ask the parents to leave and start oxygen.
4. Give oxygen and notify the physician.

20. The nurse discovers that a child who has had a serious heart condition since birth does not do the expected activities for his age. His mother says, “I worry constantly about him. I don’t let his sisters tease him or play with him very much. The nurse would interpret this to mean that
1. The child is physically incapable due to his cardiac defect.
2. His mother is over protective and allows the child few challenges to develop his skills.
3. The child is probably mentally retarded from the effects of continual hypoxia.
4. The child has regressed due to the effects of hospitalization.

21. The nurse is caring for a child who has had open heart surgery. When he returns to the unit he has oxygen, IV’s and closed chest drainage. How should the nurse position the chest drainage system?
1. Above the level of the bed. 2. At the level of the heart.
3. Below the level of the bed. 4. On a chair near the bed.

22. A four-year-old is pale, easily fatigued, and has a hemoglobin of 10 grams. He has been eating poorly in the hospital and is placed on liquid iron. The nurse would teach the mother to do which of the following?
1. Give the medication with a spoon.
2. Expect light colored stools.
3. Give the iron with orange juice.
4. Look for the appearance of petechiae.

23. A ten-year-old girl is admitted to the pediatric unit with a diagnosis of rheumatic fever. On admission Her temperature is 101oF and she complains of joint pains. The nurse is planning nursing care for her during the acute stage of her illness. Which of the following is of highest priority?
1. Maintaining contact with the child’s family and friends.
2. Physical and psychological rest.
3. Continuation of her schoolwork.
4. Eating nutritious well balanced meals.

24. Sodium salicylate is prescribed for a child with rheumatic fever. What should the nurse assess the child for because she is on this medication?
1. Tinnitus and nausea.
2. Dermatitis and blurred vision.
3. Unconsciousness and acetone odor of breath.
4. Chills and elevation of temperature.

25. The nurse makes an initial assessment of a four-year-old admitted with possible epiglottitis. Which assessment finding is most suggestive of epiglottitis?
1. Low grade fever. 2. Retching.
3. Excessive drooling. 4. Substernal retractions.

26. Which of the following nursing actions could be life threatening for a child with epiglottitis?
1. Examining his throat with a tongue blade.
2. Placing him in a semi-Fowler’s position.
3. Maintaining high humidity.
4. Obtaining a nasopharyngeal culture.

27. The nurse is caring for a child who has epiglottitis. The child would be most likely to assume which of the following positions?
1. Squatting
2. Sit upright and leaning forward supporting himself with his hands.
3. Crouching on hands and knees and rocking back and forth.
4. Knee-chest position.

28. The nurse is assessing a child who has epiglottitis and is having respiratory difficulty. Which of the following is the nurse most likely to assess in the child?
1. Flaring of the nares; cyanosis; lethargy.
2. Diminished breath sounds bilaterally; easily agitated.
3. Scattered rales throughout lung fields; anxious and frightened.
4. Mouth open with a protruding tongue; inspiratory stridor
29. Which of the following is the most important goal of nursing care in the management of a child with epiglottitis?
1. Preventing the spread of infection from the epiglottis throughout the respiratory tract.
2. Reduction of high fever and prevention of hyperthermia.
3. Maintaining a patent airway.
4. Maintaining him in an atmosphere of high humidity with oxygen.

30. A five-year-old is admitted with his first asthma attack. Which of the following would have been least likely to have precipitated his asthma attack?
1. A new puppy in the house.
2. A visit from his uncle who smokes cigars.
3. An unusually early snowstorm.
4. Eating fresh fruit salad.

31. During aminophylline infusion a child becomes restless, nauseated and his blood pressure drops. Which interpretation by the nurse is most justified?
1. The child is experiencing common side effects of the drug which will pass when the infusion is completed.
2. The nurse stops the infusion immediately and notifies the physician.
3. The symptoms are related to the child’s illness or another drug because they are not commonly associated with aminophylline.
4. The child is hypersensitive to intravenous bronchodilators. An oral preparation should be administered.

32. A 6-year-old has just returned from having a tonsillectomy. Her condition is stable but she remains quite drowsy. Which is the best position for this child?
1. On her back with head elevated 30 degrees. 2. High Fowler’s.
3. Semi-prone. 4. Trendelenburg.

33. The nurse is caring for a child who had a tonsillectomy this morning. She is observed to be swallowing continuously. What should the nurse do?
1. Administer acetaminophen for pain.
2. Place an ice collar around her throat.
3. Call the surgeon immediately.
4. Encourage her to suck on ice chips.

 

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