Example NCLEX RN Questions 6th Edition

Example NCLEX RN Questions 6th Edition (Child Health)

Have 5 question with answer aobut NCLEX (National Council Licensure Examination) RN (registerd Nurse)

1. A 5-year-old child is hospitalized with Rocky Mountain spotted fever (RMSF). The health record reveals documentation that the child was bitten by a tick 2 weeks ago.  The child presents with complaints of headache, fever, and anorexia, and the nurse notes a rash on the palms of the hands and soles of the feet.  The nurse reviews the physician’s orders and anticipates that which of the following will be prescribed?

A. Tetracycline (Achromycin)
B. Amphotericin B (Ketoconazole)
C. Ganciclovir (Foscarnet)
D. Amantadine (symmetrel)

Answer:  A. Tetracycline (Achromycin)

Rationale: The nursing care of a child with RMSF will include the administration of tetracycline. An alternative medication is chloramphenicol (Chloromycetin), a fluoroquinolone. Amphotericin B is used for fungal infections.  Ganciclovir is used to treat cytomegalovirus.  Amantadine is used to treat influenza A virus, Parkinson's disease, and drug-induced extrapyramidal reactions.
Test-Taking Strategy:  Knowledge regarding the treatment plan associated with RMSF is required to answer this question. If you are unfamiliar with this treatment plan or with the medications identified in the options, review this content.

Level of Cognitive Ability: Analysis
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Planning
Content Area: Child Health

Reference:

• Price, D., & Gwin, J. (2005). Thompson’s pediatric nursing (9th ed.). Philadelphia: W.B. Saunders, p. 256.

2. A nurse prepares to administer a measles, mumps, and rubella (MMR) vaccine to a 5-year-old child. The nurse plans to administer this vaccine:

A. Intramuscularly in the anterolateral aspect of the thigh
B. Intramuscularly in the deltoid muscle
C. Subcutaneously in the outer aspect of the upper arm
D. Subcutaneously in the gluteal muscle

Answer: A. Allergy to eggs

Rationale: MMR is administered subcutaneously in the outer aspect of the upper arm. Each child should receive two vaccinations, the first between 12 and 15 months of age and the second between 4 and 6 years or 11 and 12 years.
Test-Taking Strategy: Knowledge that MMR is administered subcutaneously will assist in eliminating options 1 and 2. From the remaining options, recalling that the gluteal muscle is most often used for intramuscular injections will assist in directing you to option 3. Review the procedures related to the administration of MMR if you had difficulty with this question.

Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Planning
Content Area: Child Health

Reference:

• Price, D., & Gwin, J. (2005). Thompson’s pediatric nursing (9th ed.). Philadelphia: W.B. Saunders, p. 123.

3. A client has been seen in the clinic and has been diagnosed with endometriosis. The client asks the nurse to describe this condition. The nurse tells the client that endometriosis is:

A. The presence of tissue outside the uterus that resembles the endometrium
B. Pain that occurs during ovulation
C. Also known as primary dysmenorrhea
D. The cause of cessation of menstruation

Answer: A. The presence of tissue outside the uterus that resembles the endometrium

Rationale: Endometriosis is defined as the presence of tissue outside the uterus that resembles the endometrium in both structure and function. The response of this tissue to the stimulation of estrogen and progesterone during the menstrual cycle is identical to that of the endometrium. Primary dysmenorrhea refers to menstrual pain without identified pathology.  Mittelschmerz refers to pelvic pain the occurs midway between menstrual periods, and amenorrhea is the cessation of menstruation for a period of at least 3 cycles or 6 months in a woman who has established a pattern of menstruation, and can be due to a variety of causes.
Test-Taking Strategy: Focus on the issue—endometriosis. Note the relation between this issue and the key words resembles the endometrium in option 1. If you had difficulty with this question and are unfamiliar with this disorder, review this content.

Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Fundamental Skills

Reference:

• Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, p. 292.

4. A nurse obtains a health history from a mother of a 15-month-old child before administering a measles, mumps, and rubella (MMR) vaccine. Which of the following information would be the priority before the administration of this vaccine?

A. Allergy to eggs
B. A recent cold
C. The presence of diarrhea
D. Any recent ear infections

Answer: A. Allergy to eggs

Rationale: Before the administration of MMR vaccine, a thorough health history needs to be obtained. MMR is used with caution in a child with a history of an allergy to gelatin, or eggs, because the live measles vaccine is produced by chick embryo cell culture. MMR also contains a small amount of the antibiotic neomycin. Options 2, 3, and 4 are not contraindications to administering immunizations.
Test-Taking Strategy: Use the process of elimination. Knowledge that options 2, 3, and 4 are not contraindications to administering immunizations will assist in answering this question. Additionally, the key word priority should assist in directing you to option 1. If you had difficulty with this question, review the nursing implications related to the administration of MMR.
Level of Cognitive Ability: Analysis
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Child Health

Reference:

• Price, D., & Gwin, J. (2005). Thompson’s pediatric nursing (9th ed.). Philadelphia: W.B. Saunders, p. 123.

5. A nursing student is asked to discuss human immunodeficiency virus (HIV) during a clinical conference. The nursing student includes which correct item in the discussion?

A. Most newborns of HIV positive women test positive for the HIV virus
B. HIV primarily attacks the hematological system
C. In HIV the B cells are depleted and cannot signal T4 cells to form protective antibodies
D. The HIV virus attacks the immune system by destroying T lymphocytes

Answer: D. The HIV virus attacks the immune system by destroying T lymphocytes

Rationale: Children born to HIV positive women test positive for HIV antibody, not HIV virus. This is actually a measure of maternal antibody and not indicative of true infection.  T4 cells are depleted in number and cannot signal B cells to form protective antibodies to fight off the invading virus. The virus attacks the immune system by destroying T lymphocytes.
Test-Taking Strategy: Use the process of elimination. Eliminate option 2 first knowing that HIV attacks the immune system. Eliminate option 1 next with the knowledge that newborns test positive for HIV antibody, but not the virus. Recalling that T4 cells (not B cells) are depleted will assist in eliminating option 3. Review the physiological occurrences in HIV if you had difficulty with this question.
Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Teaching/Learning
Content Area: Child Health

Reference:

• Price, D., & Gwin, J. (2005). Thompson’s pediatric nursing (9th ed.). Philadelphia: W.B. Saunders, p. 80.

Source : NCLEX example quiz and answer

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• NCLEX Question and Answer Edition 2 (Sub.Child Health)
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• NCLEX RN Questions and Answers Free Download 4th Edition

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