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WorksheetsNCLEX - PEDIATRICS Day3
Total questions: 11
Worksheet time: 11mins
Name
Class
Date
1.
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)
A low-phenylalanine diet is required
b)
Meat and dairy products should not be introduced into the diet
c)
Phenylketonuria is self-limiting and dietary modifications are temporary
d)
Specially prepared infant formula is necessary
e)
Tyrosine should be removed from the diet
2.
The nurse is caring for a client with suspected tracheoesophageal fistula and esophageal atresia. The nurse is most likely to observe
a)
choking and cyanosis during feeding
b)
concave abdomen
c)
diminished lung sounds
d)
projectile vomiting after feeding
3.
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?
a)
My child may develop difficulty swallowing and be at risk for choking.
b)
I should provide my child with a low-calcium diet.
c)
My child should perform stretching and strengthening exercises daily.
d)
I will remove the scatter rugs from our home.
4.
Which finding is consistent with developmental dysplasia of the hip (DDH) in a 3-week-old client?
a)
Leg on affected side longer
b)
Narrow perineum
c)
Extra gluteal folds on affected side
d)
Pelvic tilt with lordosis
5.
Parent of 21-day-old says infant vomits frequently. Which actions should the nurse take? Select all that apply.
a)
Ask about projectile vomiting
b)
Observe feeding technique
c)
Assess bilirubin history
d)
Compare current vs birth weight
e)
Ask about gluten intolerance
6.
A 7-year-old admitted for suspected appendicitis says “My stomach doesn’t hurt anymore.” What should the nurse do first?
a)
Note tired appearance
b)
Offer food
c)
Follow up on pain resolution
d)
Request discharge
7.
What dental care strategies should be taught to children to prevent caries? Select all that apply.
a)
Chew sugar-free gum
b)
Drink juices instead of soda
c)
Include dairy in diet
d)
Limit sticky sweets
e)
Rinse after meals if brushing isn’t possible
8.
A 6-month-old with 4 days of vomiting and diarrhea arrives at the ED. Which prescription takes priority?
a)
0.9% NS 20 mL/kg bolus over 1 hr
b)
Acetaminophen 80 mg IV q6h
c)
Ampicillin 240 mg IV q12h
d)
Ondansetron 2 mg IV q8h
9.
Which info should the nurse include when teaching parents of a child with functional constipation and encopresis? Select all that apply.
a)
Use foot stool during toileting
b)
Schedule toilet sitting after meals
c)
Track BMs and soiling episodes
d)
Only reward successful movements
e)
Taper stool softeners gradually
10.
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.
a)
Ask if vomiting is projectile
b)
Observe feeding technique
c)
Assess bilirubin history
d)
Compare current vs birth weight
e)
Ask about gluten intolerance
11.
A 7-year-old with suspected appendicitis says “My stomach doesn’t hurt anymore.” What should the nurse do?
a)
Note fatigue
b)
Offer food
c)
Follow up on pain resolution
d)
Request discharge
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