NCLEX Question and Answer Edition 2 (Sub.Child Health)
NCLEX Question and Answer Edition 2 (Sub.Child Health)
Helo all, nclex-question.blogspot.com will give you 5 quiz exam about NCLEX RN, keep spirit for learning.
1. A nurse is evaluating the developmental level of a 2-year-old child.
Which of the following does the nurse expect to observe in this child?
A. Uses a fork to eat
B. Holds a cup in one hand
C. Uses a knife for cutting food
D. Pours own milk into a cup
Answer: B. Holds a cup in one hand
Rationale: By age 2 years, the child can hold a cup in one hand and uses a spoon well. By age 3 to 4 years, the child begins to use the fork. By the end of the preschool period, the child should begin to use a knife for cutting. Pouring liquids into a cup is a skill that requires fine-motor development.
Test-Taking Strategy: Use the process of elimination and note the age of the child. Option 3 can be easily eliminated because of the word “knife.” Think about the fine-motor skills that need to be developed in selecting the correct option from those remaining. With this in mind, eliminate options 1 and 4. If you had difficulty with this question, review the developmental skills of a 2-year-old child.
Level of Cognitive Ability: Comprehension
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Evaluation
Content Area: Child Health
Reference:
- Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, pp. 406-407.
2. A 4-year-old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization.
Which nursing intervention does the nurse suggest to alleviate the child’s fears?
A. Advise the family to visit only during the scheduled visiting hours
B Encourage play with other children of the same age
C. Provide a private room, allowing the child to bring their favorite toys from home
D. Encourage the child’s parents to stay with the child
Answer: D. Encourage the child’s parents to stay with the child
Rationale: Although the preschooler may already be spending some time away from parents at a day care center or preschool, illness adds a stressor that makes separation more difficult. The child may repeatedly ask when parents will be coming for a visit or may constantly want to call the parents. Options 1 and 3 will increase stress related to separation anxiety. Option 2 is unrelated to the issue of the question and, additionally, may not be appropriate for a child at risk for immunocompromise.
Test-Taking Strategy: Use the process of elimination. Note that the issue relates to the child’s fear. Options 1 and 3 will further increase anxiety and fear, and should be eliminated. Bearing the issue of the question in mind, and considering the child’s diagnosis, you should easily be directed to option 4 from the remaining options. Review the effects of hospitalization on a 4-year-old child if you had difficulty with this question.
Level of Cognitive Ability: Application
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Child Health
Reference:
- Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, p. 488.
3. A nurse prepares to administer digoxin (Lanoxin) to a 3-year-old child with a diagnosis of congestive heart failure and notes that the apical heart rate is 120 beats per minute.
Which nursing action is appropriate?
A. Administer the digoxin
B. Recheck the apical heart rate in 15 minutes
C. Notify the registered nurse
D. Hold the medication
Answer: . Administer the digoxin
Rationale: The normal apical rate for a 3 year old is 80 to 125 beats per minute. Because the apical rate is within normal range, options 2, 3, and 4 are inappropriate.
Test-Taking Strategy: Knowledge of the normal vital signs is needed to answer this question. Additionally, knowledge of the parameters related to the administration of digoxin will assist in directing you to option 1. If you had difficulty with this question, review these normal vital signs.
Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Child Health
Reference:
- Price, D., & Gwin, J. (2005). Thompson’s pediatric nursing (9th ed.). Philadelphia: W.B. Saunders, p. 29.
4. A nurse provides instructions to a parent of a toddler experiencing physiological anorexia.
The nurse determines the need for further instructions if the parent makes which statement?
A. “I should not force feed my child.”
B. “I should limit juice to 6 ounces per day.”
C. “I should feed my child if he or she will not eat.”
D. “I should limit snacks to 2 nutritious ones per day and give them only at my toddler’s request.”
Answer: C. “I should feed my child if he or she will not eat.”
Rationale: A toddler has the skills required to feed self. Children who can feed themselves should not be fed or forced fed. To increase nutritious intake, juice intake is limited to 6 ounces per day, and milk intake to 16 to 24 ounces per day. Additionally, the nurse instructs the mother to limit nutritious snacks to two per day and to give them only at the toddler’s request.
Test-Taking Strategy: Note the key words need for further instructions in the stem of the question. These words indicate a false response question and that you need to select the incorrect client statement. Bearing in mind that the goal is to provide a nutritious intake will assist in directing you to option 3. Review physiological anorexia 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. 175.
5. A nurse is caring for a 6-month-old infant.
Which of the following would the nurse expect to note in this infant?
A. Uses simple words such as “mama”
B. Single-consonant babbling
C. Waves bye-bye
D. Uses gestures to communicate
Answer: . Single-consonant babbling
Rationale: Using single-consonant babbling occurs between 6 and 8 months. Between 8 and 9 months, the infant begins to understand and obey simple commands such as “wave bye-bye.” Use of simple words such as “mama” and the use of gestures to communicate begin between 9 and 12 months.
Test-Taking Strategy: Knowledge of language and communication developmental milestones is needed to answer the question. Noting the age of the infant identified in the question should assist in directing you to option 2. Review these developmental milestones if you had difficulty with this question.
Level of Cognitive Ability: Comprehension
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. 119.
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