NCLEX Unit 5

Heart Rate Ranges

HR Range (bpm) Average HR (bpm) Age 100-170 120 Newborns 80-130 110 Infants- 2 years 70-120 100 2-6 years 60-110 90 6-10 years 60-100 80 10-16 years

Which relaxation strategy would be effective for a school-age child to use during a painful procedure? 1. Having the child keep his eyes shut at all times 2. Having the child hold his breath and not yell 3. Having the child take a deep breath and blow it out until told to stop 4. Being honest with the child and telling him the procedure will hurt a lot

Having the child take a deep breath and blow it out until told to stop

A mother is discontinuing breast-feeding after 5 months. What should the nurse advise the mother to include in her infant's diet? 1. Iron-rich formula and baby food 2. Whole milk and baby food 3. Skim milk and baby food 4. Iron-rich formula alone

Iron-rich formula alone

A child is admitted to the pediatric unit with a diagnosis of coarctation of the aorta (COA). The health care provider prescribes that the child's blood pressure be taken every 4 hours in the legs and arms. The nurse should expect which blood pressure readings in the child's legs and arms? 1. Increased in the arms and the legs 2. Decreased in the arms and the legs 3. Decreased in the legs and increased in the arms 4. Increased in the legs and decreased in the arms

Decreased in the legs and increased in the arms

List six meds that should be reviewed by 2 profession nurses before administration to infant/child

*digoxin *chemotherapeutic agents *insulin *epinephrine *opoids *sedatives

When assessing a child for impetigo, the nurse expects which assessment findings? 1. Small, brown, benign lesions 2. Honey-colored, crusted lesions 3. Linear, threadlike burrows 4. Circular lesions that clear centrally

Honey-colored, crusted lesions

Respiratory rate ranges

Resp Rate per Min. Age 30-55 Newborn 25-40 1 year 20-30 3 years 16-22 6 years 16-20 10 years 12-18 17 years

The nurse reinforces home-care instructions to the parents of a 3-year-old child who has been hospitalized with hemophilia. Which statement by a parent indicates the need for further teaching? 1. "I will supervise my child closely." 2. "I will pad the corners of the furniture." 3. "I will remove household items that can easily fall over." 4."I will avoid immunizations and dental hygiene treatments for my child."

."I will avoid immunizations and dental hygiene treatments for my child."

A nurse is teaching an adolescent with inflammatory bowel disease about treatment with corticosteroids. Which adverse effects are concerns for this client? Select all that apply. 1. Acne 2. Hirsutism 3. Mood swings 4. Osteoporosis 5. Growth spurts 6. Adrenal suppression

1. Acne 2. Hirsutism 3. Mood swings 4. Osteoporosis 6. Adrenal suppression

The nurse is reviewing a health care provider's prescription for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. Which prescriptions documented in the child's record should the nurse question? Select all that apply. 1. Restrict fluid intake. 2.Position for comfort. 3.Avoid strain on painful joints. 4.Apply nasal oxygen at 2 L per minute. 5.Provide a high-calorie, high-protein diet. 6.Administer meperidine (Demerol) 25 mg for pain.

Restrict fluid intake Administer meperidine (Demerol) 25 mg for pain