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WorksheetsNCLEX - PEDIATRICS Day1
Total questions: 24
Worksheet time: 24mins
Name
Class
Date
1.
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?
a)
watching age-appropriate television shows
b)
keeping up with schoolwork
c)
reading age-appropriate magazines
d)
visiting with friends
2.
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.
a)
I should get our home inspected for the source of the lead.
b)
I will vacuum our hard-surface floors daily.
c)
I will wash my child's hands often, especially before eating.
d)
We should use hot tap water for cooking.
e)
We will have to return for a follow-up lead level.
3.
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?
a)
Call the office if the toddler's temperature reaches 100°F (37.7°C)
b)
Fussiness and anorexia are common for 1 week after immunizations
c)
Redness at the injection sites and a mild fever are common
d)
The toddler's activity level should be restricted for 24 hours
4.
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?
a)
I should give my child small pieces of banana rather than juice.
b)
I will let my child keep a bottle of milk in the crib during the night.
c)
I will wait 1 week between each new food I introduce to my child.
d)
I should make sure my child drinks plenty of water between meals.
5.
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.
a)
Balances and hops on one foot
b)
Copies a circle
c)
Follows one-step commands
d)
Stacks two blocks
e)
Walks independently
6.
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?
a)
increased height
b)
greater muscle mass
c)
testicular enlargement
d)
increased length of the penis
7.
The nurse is planning diversional activities for a 14-year-old hospitalized client. What would be most appropriate?
a)
board games
b)
block stacking
c)
picture books
d)
guided journaling
8.
Which infant CPR teaching point is appropriate for graduate nurses? Select all that apply.
a)
Single rescuer should perform 2 minutes of CPR before retrieving a defibrillator
b)
Depth of compressions should be half the chest diameter
c)
Heel of one hand should be used on sternum
d)
Ratio of compressions to breaths by single rescuer is 15:2
e)
Brachial pulse should be assessed for no more than 10 seconds
9.
Which socioeconomic indicators are risk factors for failure to thrive (FTT) in a 2-month-old infant? Select all that apply.
a)
Both caregivers work outside the home
b)
Infant lives only with mother, who is unemployed
c)
Caregiver has cognitive disabilities
d)
Parents are socially and emotionally isolated
e)
Parents live together but are unmarried
10.
Before initiating a weight loss plan for a 10-year-old with BMI in the >95th percentile, which assessment is most important?
a)
Child’s pattern of physical activity
b)
Family’s eating habits
c)
Family’s financial resources
d)
Readiness for change
11.
What play behavior is expected from 4-year-olds?
a)
Play independently with toys
b)
Dress-up with imaginary friends
c)
Play soccer as group
d)
Stack blocks side-by-side
12.
A 4-year-old on strict bed rest needs diversional activity. What toy is most appropriate?
a)
Card game
b)
Board game
c)
Soap bubbles
d)
Plastic medical kit
13.
The nurse is caring for a 4-year-old who was hospitalized with influenza. Which nursing action would be most effective to maintain psychosocial integrity?
a)
Encourage use of puzzles for play
b)
Offer stacking blocks for diversion
c)
Provide crayons to draw noses on facemasks
d)
Suggest playmates visit child
14.
The nurse is caring for a 9-year-old awaiting surgery. Which intervention is developmentally appropriate?
a)
Use diagrams with correct anatomical terms
b)
Explore how surgery helps future goals
c)
Focus on appearance of surgical scar
d)
Educate immediately before surgery
15.
The nurse caring for a 2-year-old client should expect the child to do which actions? Select all that apply.
a)
Draw a square
b)
Hop on one foot
c)
Kick a large ball
d)
Use 2-word phrases
e)
Walk without help
16.
The nurse is talking with the parent of a 5-year-old on morphine. Which statement requires follow-up?
a)
My child may act aggressively when in pain.
b)
My child thinks the pain is punishment.
c)
We’ll use the FACES pain scale.
d)
My child is playing so doesn’t need medicine.
17.
Which milestone would require follow-up in a 3-year-old?
a)
Catches ball 50% of time
b)
Copies square
c)
Eats with spoon
d)
Hops on one foot
18.
Which finding in a 30-month-old requires follow-up?
a)
Has 20 primary teeth
b)
Fontanels fused
c)
No nighttime bladder control
d)
Weight is 6× birth weight
19.
Which caregiver statement shows understanding of parallel play in a 2-year-old?
a)
Set out dress-up clothes.
b)
Read rhyming books together.
c)
Set out toy cars when other kids visit.
d)
Enroll in soccer team.
20.
Which milestone would require follow-up in a 3-year-old?
a)
Catches ball 50% of time
b)
Copies square
c)
Eats with spoon
d)
Hops on one foot
21.
The nurse is observing a group of 4-year-olds playing. What behavior is expected?
a)
Playing independently
b)
Dress-up with imaginary friends
c)
Playing soccer together
d)
Stacking blocks side-by-side
22.
Which toy is most appropriate for a 4-year-old on long-term bed rest?
a)
Card game
b)
Board game
c)
Soap bubbles
d)
Plastic medical kit
23.
Which intervention is appropriate for a 9-year-old awaiting surgery?
a)
Use diagrams with correct terms
b)
Discuss future benefits of surgery
c)
Focus on scar appearance
d)
Educate right before procedure
24.
Which actions are expected for a 2-year-old? Select all that apply.
a)
Draw a square
b)
Hop on one foot
c)
Kick a ball
d)
Use 2-word phrases
e)
Walk independently
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