NCLEX Q and A with Rationales – PEDIATRIC NURSING

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  • Published: 2015
  • ISBN-13: 8 pages
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PEDIATRIC NURSING

GROWTH AND DEVELOPMENT:

1. When does birth length double? = by 4 years

2. When does the child sit unsupported? = 8 months

3. When does a child achieve 50% of adult height? = 2 years

4. When does a child throw a ball overhand? = 18 months

5. When does a child speak 2-3 word sentences? = 2 years

6. When does a child use scissors? = 4 years

7. When does a child tie his/her shoes? = 5 years

CHILD HEALTH PROMOTION:

1. List 2 contraindications for live virus immunization.

– Immunocompromised child or a child in a household with an immunocompromised

individual.

2. List 3 classic signs and symptoms of measles.

– Photophobia, confluent rash that begins on the face and spreads dowward, and

Koplik’s spots on the buccal mucosa.

3. List the signs and symptoms of iron deficiency.

– Anemia, pale conjunctiva, pale skin color, atrophy of papillae on tongue,

brittle/ridged/spoon-shaped nails, and thyroid edema.

4. Identify food sources for Vitamin A.

– Liver, sweet potatoes, carrots, spinach, peaches, and apricots.

5. What disease occurs with vitamin C deficiency?

– Scurvy.

6. What measurements reflect present nutritional status?

– Weight, skinfold thickness, and arm circumference.

7. List the signs and symptoms of dehydration in an infant.

– Poor skin turgor, absence of tears, dry mucous membranes, weight loss, depressed

fontanel and decreased urinary output.

8. List the laboratory findings that can be expected in a dehydrated child.

– Loss of bicarbonate/decreased serum pH, losso f sodium (hyponatremia), loss of

potassium (hypokalemia), elevated Hct, and elevated BUN.

9. How should burns in children be assessed?

– Use the Lund-Browder chart, which takes into account the changing proportions of

the child’s body.

10. How can the nurse BEST evaluate the adequacy of fluid replacement in

children?

– Monitor urine output.

11. How should a parent be instructed to “child proof” a house?

– Lock all cabinets, safely store all toxic household items in locked cabinets, and

examine the house from the child’s point of view.

12. What interventions should the nurse do FIRST in caring for a child who has

ingested a poison?

– Assess the child’s respiratory, cardiac, and neurological status.

13. List 5 contraindications to administering syrup of ipecac.

– Coma, seizures, CNS depression, ingestion of petroleum-based products, and

ingestion of corrosives.

14. What instructions should be given by phone to a mother who knows her child

has ingested a bottle of medication?

– Administer syrup of ipecac if the child is conscious. Bring any emesis or stool to the

emergency room. Bring the container in which the medicine was stored to the

emergency room.

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