NCLEX - PEDIATRICS Day1

The nurse is planning age-appropriate diversional activities for a 14-year-old client who had surgery and will be hospitalized for several weeks. Which of the following would be the most appropriate diversional activity to suggest for the client?

• watching age-appropriate television shows
• keeping up with schoolwork
• reading age-appropriate magazines
• visiting with friends

A 12-month-old client has a high blood lead level of 18 mcg/dL (0.87 µmol/L). The nurse educates the parents about lead poisoning. Which statements made by the parent indicate that teaching is successful? Select all that apply.

• I should get our home inspected for the source of the lead.
• I will vacuum our hard-surface floors daily.
• I will wash my child's hands often, especially before eating.
• We should use hot tap water for cooking.
• We will have to return for a follow-up lead level.

The nurse just administered routine immunizations to a healthy 15-month-old. What information should the nurse provide to the caregivers before they leave the clinic?

• Call the office if the toddler's temperature reaches 100°F (37.7°C)
• Fussiness and anorexia are common for 1 week after immunizations
• Redness at the injection sites and a mild fever are common
• The toddler's activity level should be restricted for 24 hours

The nurse is talking about nutrition with the parent of a 1-year-old client. Which of the following statements by the parent would require follow-up?

• I should give my child small pieces of banana rather than juice.
• I will let my child keep a bottle of milk in the crib during the night.
• I will wait 1 week between each new food I introduce to my child.
• I should make sure my child drinks plenty of water between meals.

The nurse is assessing an 18-month-old client during a well-child visit. Which of the following would be expected age-related findings? Select all that apply.

• Balances and hops on one foot
• Copies a circle
• Follows one-step commands
• Stacks two blocks
• Walks independently

The nurse is talking about puberty with a group of parents. What should the nurse include as the first sign of puberty in clients of the male sex?

• increased height
• greater muscle mass
• testicular enlargement
• increased length of the penis

The nurse is planning diversional activities for a 14-year-old hospitalized client. What would be most appropriate?

• board games
• block stacking
• picture books
• guided journaling

Which infant CPR teaching point is appropriate for graduate nurses? Select all that apply.

• Single rescuer should perform 2 minutes of CPR before retrieving a defibrillator
• Depth of compressions should be half the chest diameter
• Heel of one hand should be used on sternum
• Ratio of compressions to breaths by single rescuer is 15:2
• Brachial pulse should be assessed for no more than 10 seconds

Which socioeconomic indicators are risk factors for failure to thrive (FTT) in a 2-month-old infant? Select all that apply.

• Both caregivers work outside the home
• Infant lives only with mother, who is unemployed
• Caregiver has cognitive disabilities
• Parents are socially and emotionally isolated
• Parents live together but are unmarried

Before initiating a weight loss plan for a 10-year-old with BMI in the >95th percentile, which assessment is most important?

• Child’s pattern of physical activity
• Family’s eating habits
• Family’s financial resources
• Readiness for change