NCLEX - PEDIATRICS Day4

A 10-year-old weighs 99 lb (44.9 kg) and has a BMI of 24.8 kg/m2 (>95th percentile). What is the most important assessment for the nurse to make before initiating a weight loss plan?

• Child's pattern of daily physical activity
• Family's eating habits
• Family's financial resources for purchasing healthy foods
• Family's readiness for change
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The nurse is completing chemotherapy education with an adolescent client. The client says, “I’d rather continue to have cancer than lose all of my hair.” How should the nurse respond?

• Here are pictures of celebrities with shaved heads.
• How do you feel about meeting other teens receiving chemotherapy?
• Let me show you a magazine of trendy head scarves.
• Focus on the future, when your hair will grow back.
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A 1-year-old child recovering from otitis media attends day care. What is the most important nurse recommendation to prevent recurrence?

• Exclusive breastfeeding
• Not sending the child to day care
• Preventing water from entering the ear
• Smoking cessation by the parents
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The nurse is teaching the parent of a 10-year-old scheduled for an electroencephalogram in 48 hours. Which statement indicates understanding?

• I can give hot chocolate the morning of the procedure.
• I’ll wash my child’s hair the night before.
• My child will feel mild electric shocks during the procedure.
• My child won’t remember the procedure.
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The nurse is planning care for an 8-year-old client with mild cognitive impairment. Which interventions are appropriate? Select all that apply.

• Assign same nurse and UAP
• Explain procedures only to parent
• Use toys based on developmental level
• Reinforce parental limit-setting
• Use picture board for communication

A 9-year-old child has terminal cancer but is unaware of prognosis. The child asks questions about death. What should the nurse do?

• Encourage parents to discuss openly
• Notify HCP
• Reassure child everyone is trying to help
• Tell child to ask parents
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Which teaching point is most important for a 17-year-old with Marfan syndrome?

• Ensure contraception to avoid pregnancy
• Schedule annual eye exam
• Inform dentist about condition
• Get clearance before sports
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Which prescription should the nurse clarify?

• 0.45% NS for client with glomerulonephritis and sodium 147
• 0.9% NS bolus for DKA with BUN 28
• Dextrose 10% bolus for BG 50
• LR infusion for appendicitis with WBC 15,500
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The nurse is screening a 10-year-old for hearing loss. Which findings support suspected hearing deficit? Select all that apply.

• Withdrawn behavior
• Intelligible speech at 12 months
• Monotone speech
• Attentive with nodding and smiling
• Loud voice

A parent reports red, swollen feet after child played in snow. What’s the best nurse response?

• Bring child to HCP immediately
• Give warm drink
• Massage feet gently
• Place feet in warm water
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