PEDS NCLEX BOOK FINAL QUESTIONS

The mother of a 3 year old asks a clinic nurse about appriate and safe toys for the child. The nurse should tell the mother that the most appropriate toy for a 3-year-old is which? 1. a wagon 2. a golf set 3. a farm set 4. a jack set with marbles

1. a wagon, everything else may contain small choking hazards

The nurse assess the vital signs of a 12-month-old infant with a respiratory infection and notes that the respiratory rate is 35 breaths/minute. One the basis of this finding, which action is most appropriate? 1. Administer oxygen 2. Document the finding 3. Notify the health care provider 4. Reassess the respiratory rate in 15 mintues

2 respiratory rate in a 12 month old infant is 20-40 breaths a minute normal finding

Which car safety device should be used for a child who is 8 years old and is 4 feet tall? 1. Seat belt 2. Booster seat 3. Rear-facing convertible seat 4. Front-facing convertible seat

2 - booster seat

A 4-year old child is diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization. Which nursing intervention should be implemented to alleviate the child's fears? 1. Encourage the child's parents to stay with the child 2. Encourage play with other children of the same age 3. Advise the family to visit only during the scheduled visiting hours 4. Provide a private room, allowing the child to bring favorite toys from home

1 Illness adds a stressor that makes separation more diffucult

The mother of a 3 year old is concerned because her child still insisting on a bottle at nap time and at bed time. Which is the most appropriate suggestion to the mother? 1. allow the bottle if it contains juice 2. allow the bottle if it contains water 3. do not allow the child to have the bottle 4. allow the bottle during naps but not bed time

2 if a bottle is allowed at nap time or bed time it should only contain water

The nurse is evaluating the developmental level of a 2-year-old. Which does the nurse expect to observe in this child? 1. Uses a fork to eat 2. Uses a cup to drink 3. Pours own milk into a cup 4. Uses a knife for cutting food

2 - use a cup to drink by age 2 the child can use a cup and spoon by age 3 they can use forks

The nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing which is the most appropriate? 1. a radio 2. a sports video 3. large picture books 4. crayons and a coloring book

4 eliminate 1 and 2 knowing they are for adolescents LARGE gives you a clue it should be younger than 5 so this leaves you with 4

A 16 year old is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is most appropriate to facilitate normal growth and development postoperatively? 1. Encourage the client to rest and read 2. Encourage the parents to room in with the client 3. Allow the family to bring the client's favorite video games 4. Allow the client to interact with others in his or her (adolescent) age group.

4 the other options isolate the adolescent

A mother arrives at a clinic with her toddler and tells her nurse that she has a difficult time getting the child to go to bed at night. What is the most appropriate for the nurse to suggest to the mother? 1. Allow the child to set bedtime limits 2. Allow the child to have temper tantrums 3. Avoid letting the child nap during the day 4. Inform the child of bedtime a few minutes before it is time for bed

4 - toddlers often resist going to bed, make sure to inform them a few minutes prior