NCLEX - PEDIATRICS Day3

The nurse is reviewing recommended dietary modifications with the parents of a 6-month-old client with phenylketonuria. Which of the following information should the nurse include?

• A low-phenylalanine diet is required
• Meat and dairy products should not be introduced into the diet
• Phenylketonuria is self-limiting and dietary modifications are temporary
• Specially prepared infant formula is necessary
• Tyrosine should be removed from the diet

The nurse is caring for a client with suspected tracheoesophageal fistula and esophageal atresia. The nurse is most likely to observe

• choking and cyanosis during feeding
• concave abdomen
• diminished lung sounds
• projectile vomiting after feeding

The nurse has taught the parent of a pediatric client who has Duchenne muscular dystrophy. Which of the following statements by the parent would require follow-up?

• My child may develop difficulty swallowing and be at risk for choking.
• I should provide my child with a low-calcium diet.
• My child should perform stretching and strengthening exercises daily.
• I will remove the scatter rugs from our home.

Which finding is consistent with developmental dysplasia of the hip (DDH) in a 3-week-old client?

• Leg on affected side longer
• Narrow perineum
• Extra gluteal folds on affected side
• Pelvic tilt with lordosis

Parent of 21-day-old says infant vomits frequently. Which actions should the nurse take? Select all that apply.

• Ask about projectile vomiting
• Observe feeding technique
• Assess bilirubin history
• Compare current vs birth weight
• Ask about gluten intolerance

A 7-year-old admitted for suspected appendicitis says “My stomach doesn’t hurt anymore.” What should the nurse do first?

• Note tired appearance
• Offer food
• Follow up on pain resolution
• Request discharge

What dental care strategies should be taught to children to prevent caries? Select all that apply.

• Chew sugar-free gum
• Drink juices instead of soda
• Include dairy in diet
• Limit sticky sweets
• Rinse after meals if brushing isn’t possible

A 6-month-old with 4 days of vomiting and diarrhea arrives at the ED. Which prescription takes priority?

• 0.9% NS 20 mL/kg bolus over 1 hr
• Acetaminophen 80 mg IV q6h
• Ampicillin 240 mg IV q12h
• Ondansetron 2 mg IV q8h

Which info should the nurse include when teaching parents of a child with functional constipation and encopresis? Select all that apply.

• Use foot stool during toileting
• Schedule toilet sitting after meals
• Track BMs and soiling episodes
• Only reward successful movements
• Taper stool softeners gradually

The nurse is talking with the parent of a 21-day-old infant who frequently vomits after feedings. Which actions should the nurse take? Select all that apply.

• Ask if vomiting is projectile
• Observe feeding technique
• Assess bilirubin history
• Compare current vs birth weight
• Ask about gluten intolerance