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WorksheetsNCLEX - PEDIATRICS Day2
Total questions: 21
Worksheet time: 21mins
Name
Class
Date
1.
The nurse is caring for a 7-month-old client who has suspected bacterial meningitis. The nurse should first assess the client's
a)
bilateral hearing
b)
anterior fontanel
c)
pulse pressure
d)
Babinski reflex
2.
The nurse is assessing a 4-year-old boy in a pediatric clinic. Which behaviors by the client would concern the nurse for possible Duchenne muscular dystrophy? Select all that apply.
a)
Frequently trips and falls at home
b)
Has painful knees and elbows in the morning
c)
Places hands on the thighs to push up to stand
d)
Suddenly rigidly extends the arms and legs
e)
Walks on tiptoes and has disproportionately large calves
3.
The nurse is assessing a 6-year-old client who is experiencing diarrhea caused by Escherichia coli infection. Which of the following findings would be a priority to follow up?
a)
petechiae noted on the trunk
b)
multiple blood-streaked stools
c)
client has resumed a normal diet
d)
client is requesting a glass of fruit juice
4.
A parent calls the nurse telehealth triage line with concerns about an allergic reaction to something a child ate. Which symptoms should the nurse instruct the parent to assess for to determine if the child is having an anaphylactic reaction? Select all that apply.
a)
Dyspnea
b)
Fever
c)
Lightheadedness
d)
Skin rash (hives)
e)
Wheezing
5.
The nurse is teaching the parents of a 4-month-old who has developed positional plagiocephaly (flat head syndrome). Which statement by the parents indicates a need for further teaching?
a)
I should alternate head positions when the infant is supine.
b)
I should place the infant in the prone position during naps.
c)
I will minimize the amount of time the infant is in a car seat.
d)
I will place interesting toys opposite the affected side.
6.
The nurse is reviewing discharge teaching with the parent of a pediatric client who has a new tracheostomy. Which of the following statements by the parent would indicate a correct understanding of the teaching?
a)
I will immediately change the tracheostomy tube if my child has difficulty breathing.
b)
I will provide deep suctioning frequently to prevent any airway obstruction.
c)
I will remove the humidifier if my child develops more secretions.
d)
I will travel with two tracheostomy tubes, one of the same size and one a size smaller.
7.
Which statement by the parent of a 6-year-old with cystic fibrosis requires follow-up regarding pancreatic enzyme usage?
a)
My child may develop difficulty swallowing and risk choking.
b)
I should provide a low-calcium diet.
c)
Stretching and strengthening exercises daily are good.
d)
I’ll remove scatter rugs from our home.
8.
The nurse is reviewing discharge teaching with the parent of a pediatric client with a new tracheostomy. Which statement indicates correct understanding?
a)
I’ll change the tube immediately if there’s trouble breathing.
b)
I’ll suction deeply often to prevent blockage.
c)
I’ll remove the humidifier if secretions increase.
d)
I’ll travel with two trach tubes, same and smaller size.
9.
A parent of a 10-year-old scheduled for electroencephalogram says, "I’ll allow hot chocolate before the procedure." What response indicates understanding?
a)
I can allow my child to drink hot chocolate.
b)
I will wash my child's hair the night before the procedure.
c)
My child will feel electric shocks during the procedure.
d)
My child won't remember the procedure.
10.
The nurse is educating graduate nurses about infant CPR. Which statements are appropriate? Select all that apply.
a)
Perform 2 minutes of CPR before retrieving a defibrillator
b)
Compress to half the chest’s depth
c)
Use heel of one hand on sternum
d)
Use 15:2 compression-to-breath ratio with single rescuer
e)
Assess brachial pulse for no more than 10 seconds
11.
A 6-year-old with cystic fibrosis has a pancreatic enzyme prescription. Which parent statement requires follow-up?
a)
My child may develop trouble swallowing and choking.
b)
I should provide a low-calcium diet.
c)
Stretching and strengthening exercises are good.
d)
I’ll remove scatter rugs from our home.
12.
A pediatric client has a new tracheostomy. Which discharge teaching statement by the parent is correct?
a)
Change the trach immediately if breathing is hard.
b)
Do deep suctioning often to prevent obstruction.
c)
Remove humidifier if secretions increase.
d)
Travel with two trach tubes: one same size, one smaller.
13.
A nurse finds a trach-dependent 6-year-old unresponsive and pulseless at home with no caregivers nearby. What’s the priority action?
a)
Deliver 30 compressions
b)
Activate emergency response system
c)
Find AED
d)
Deliver breaths via bag-valve connected to trach
14.
The school nurse assesses a 10-year-old with mild cough and asthma history. What action should be done first?
a)
Notify parent
b)
Review asthma triggers
c)
Check peak expiratory flow
d)
Exclude from PE class
15.
An 8-month-old with congenital pulmonic stenosis is scheduled for catheterization. What finding could delay the procedure?
a)
Loud murmur
b)
NPO for 4 hours
c)
Severe diaper rash
d)
Cyanotic nail beds
16.
The nurse is examining a 30-month-old client. Which finding requires follow-up?
a)
Has 20 erupted primary teeth
b)
Both fontanels fused
c)
No nighttime bladder control
d)
Weight is 6× birth weight
17.
A newborn with suspected Down syndrome has a loud murmur. What should the nurse do next?
a)
Call HCP immediately
b)
Document finding
c)
Place in knee-chest position
d)
Provide oxygen
18.
Which complications should the nurse consider when planning care for an adolescent with cystic fibrosis? Select all that apply.
a)
Chronic hypoxemia
b)
Diabetes insipidus
c)
Frequent respiratory infections
d)
Obesity
e)
Vitamin deficiencies
19.
What is the priority nursing action for a newborn with a large myelomeningocele?
a)
Check anal tone
b)
Cover sac with moist sterile dressing
c)
Measure head circumference
d)
Place in supine position
20.
A 3-month-old client has seizures and facial edema. Parents diluted formula to save money. What’s the likely cause?
a)
Hypokalemia
b)
Hypernatremia
c)
Hyponatremia
d)
Hypoglycemia
21.
Which activity supports psychosocial integrity for a 4-year-old with influenza?
a)
Use puzzles
b)
Stack blocks
c)
Draw noses on facemasks
d)
Invite playmates
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