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WorksheetsNCLEX - PEDIATRICS Day4
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
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?
a)
Child's pattern of daily physical activity
b)
Family's eating habits
c)
Family's financial resources for purchasing healthy foods
d)
Family's readiness for change
e)
-
2.
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?
a)
Here are pictures of celebrities with shaved heads.
b)
How do you feel about meeting other teens receiving chemotherapy?
c)
Let me show you a magazine of trendy head scarves.
d)
Focus on the future, when your hair will grow back.
e)
-
3.
A 1-year-old child recovering from otitis media attends day care. What is the most important nurse recommendation to prevent recurrence?
a)
Exclusive breastfeeding
b)
Not sending the child to day care
c)
Preventing water from entering the ear
d)
Smoking cessation by the parents
e)
-
4.
The nurse is teaching the parent of a 10-year-old scheduled for an electroencephalogram in 48 hours. Which statement indicates understanding?
a)
I can give hot chocolate the morning of the procedure.
b)
I’ll wash my child’s hair the night before.
c)
My child will feel mild electric shocks during the procedure.
d)
My child won’t remember the procedure.
e)
-
5.
The nurse is planning care for an 8-year-old client with mild cognitive impairment. Which interventions are appropriate? Select all that apply.
a)
Assign same nurse and UAP
b)
Explain procedures only to parent
c)
Use toys based on developmental level
d)
Reinforce parental limit-setting
e)
Use picture board for communication
6.
A 9-year-old child has terminal cancer but is unaware of prognosis. The child asks questions about death. What should the nurse do?
a)
Encourage parents to discuss openly
b)
Notify HCP
c)
Reassure child everyone is trying to help
d)
Tell child to ask parents
e)
-
7.
Which teaching point is most important for a 17-year-old with Marfan syndrome?
a)
Ensure contraception to avoid pregnancy
b)
Schedule annual eye exam
c)
Inform dentist about condition
d)
Get clearance before sports
e)
-
8.
Which prescription should the nurse clarify?
a)
0.45% NS for client with glomerulonephritis and sodium 147
b)
0.9% NS bolus for DKA with BUN 28
c)
Dextrose 10% bolus for BG 50
d)
LR infusion for appendicitis with WBC 15,500
e)
-
9.
The nurse is screening a 10-year-old for hearing loss. Which findings support suspected hearing deficit? Select all that apply.
a)
Withdrawn behavior
b)
Intelligible speech at 12 months
c)
Monotone speech
d)
Attentive with nodding and smiling
e)
Loud voice
10.
A parent reports red, swollen feet after child played in snow. What’s the best nurse response?
a)
Bring child to HCP immediately
b)
Give warm drink
c)
Massage feet gently
d)
Place feet in warm water
e)
-
11.
Which finding is priority to monitor in a 7-year-old with acute glomerulonephritis?
a)
Blood pressure
b)
Hematuria
c)
Peripheral edema
d)
Serum lipids
e)
-
12.
A nurse is speaking with the parent of a toddler who suspects a hearing deficit. Which findings support this? Select all that apply.
a)
Withdrawn behavior
b)
Intelligible speech at 12 months
c)
Monotone speech
d)
Attentive with nodding and smiling
e)
Loud voice
13.
What topic is priority when teaching parents of a 17-year-old with Marfan syndrome?
a)
Ensure contraception
b)
Schedule annual eye exam
c)
Inform dentist of condition
d)
Get clearance before sports
e)
-
14.
Which prescription should the nurse clarify?
a)
0.45% NS for glomerulonephritis with sodium 147
b)
0.9% NS bolus for DKA with BUN 28
c)
Dextrose 10% bolus for BG 50
d)
LR infusion for appendicitis with WBC 15,500
e)
-
15.
What dental care recommendations should be taught to children? Select all that apply.
a)
Chew sugar-free gum
b)
Drink juice instead of soda
c)
Include dairy in diet
d)
Limit sticky sweets
e)
Rinse mouth after meals
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