Pediatric NCLEX Questions (6-10)

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6. A nurse is closely monitoring a child with increased intracranial pressure who has been exhibiting decorticate posturing. The nurse notes that the child suddenly exhibits decerebrate posturing and interprets that this change in the child's condition indicates which of the following?

a) an insignificant finding
b) an improvement in condition
c) decreasing intracranial pressure
d) deteriorating neurological function

7. A nurse caring for hospitalized infant is monitoring for increased intracranial pressure (ICP) and notes that the anterior fontanel bulges when the infant cries. Based on this assessment finding, which action would the nurse take?

a)  document the findings
b) lower the ehad of the bed
c) place the infant on NPO status
d) notify the physician immediately

8. A nurse is assessing the vital signs of a 3-year old child hospitalized with a diagnosis of croup and notes that the respiratory rate is 28 breaths per minute. Based on this finding, which nursing action is appropriate?

a) administer oxygen
b) notify the physician
c) document the findings
d) reassess the respiratory rate in 15 minutes

9. Following the tonsillectomy, which of the following fluid or food items is appropriate to offer to the child?

a)  Jeel-O
b) cold ginger ale
c) vanilla pudding
d) cool cherry Kool-Aid

10. A nurse is checking postoperative orders and planning care for a 110-pound child after spinal fusion. Morphine sulfate, 8 mg subcutaneously every 4 hours prn for pain, is prescribed. The pediatric drug reference states that the safe dose is 0.1 to 0.2 mg/kg/dose every 2 to 4 hours. From this information, the nurse determines that:

a) the dose is too low
b) the dose is too high
c) the dose is within the safe dosage range
d) there is not enough information to determine the safe dose







Pediatric NCLEX Questions
Answers and Rationale

6) D
- The progression from decorticate to decerebrate posturing usually indicates deteriorating neurological function and warrants physician notification. Options A, B, and C are inaccurate interpretations.

7) A
- The anterior fontanel is diamond-shaped and located on the top of the head. It should be soft and flat in a normal infant, and it normally closes by 12 to 18 months of age. The posterior fontanel closes by 2 to 3 months of age. A bulging or tense fontanel may result from crying or increased ICP. Noting a bulging fontanel when the infant cries is a normal finding that should be documented and monitored. It is not necessary to notify the physician. Options B and C are inappropriate actions.

8) C
- The normal respiratory rate for a 3-year-old child is approximately 20 to 30 breaths per minute. Because the respiratory rate is normal, options A, B, and D are unnecessary actions. The nurse would document the findings.

9) A
- Following tonsillectomy, clear, cool liquids should be administered. Citrus, carbonated, and extremely hot or cold liquids need to be avoided because they may irritate the throat. Red liquids need to be avoided because they give the appearance of blood if the child vomits. Milk and milk products (pudding) are avoided because they coat the throat and cause the child to clear the throat, thus increasing the risk of bleeding.

10) C
- Use the formula to determine the dosage parameters. Convert pounds to kilograms by dividing weight by 2.2. Therefore, 110 lb. divided by 2.2 = 50 kg.Dosage parameters: 0.1 mg/kg/dose 50 kg = 5 mg0.2 mg/kg/dose 50 kg = 10 mgDosage is within the safe dosage range.



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Pediatric NCLEX Questions (11-15)


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Pediatric NCLEX Questions (1-5)

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