Blog about quiz / question and answer NCLEX (National Council Licensure Examination) For Nursing Student, Example Question NCLEX RN and NCLEX PN. Exam for Nurse
NCLEX Question and Answer With Rationale 5th Edition (Child Health)
1. Several children have contracted measles (rubeola) in a local school, and the nurse provides information to the mothers of the school children about this communicable disease. Which statement by a mother indicates a need for further information?
A. “Respiratory symptoms such as a profuse runny nose, cough, and fever occur before the development of a rash.”
B. “Small blue-white spots with a red base may appear in the mouth.”
C. “The rash usually begins behind the ears at the hairline.”
D. “The infectious period ranges from 10 days before symptoms start to 15 days after the rash appears.”
Answer: D. “The infectious period ranges from 10 days before symptoms start to 15 days after the rash appears.”
Rationale: The infectious period for rubeola ranges from 1 to 2 days before the onset of symptoms to 4 days after the rash appears. Options 1, 2, and 3 are accurate descriptions of rubeola. Option 4 describes the infectious period for rubella (German measles).
Test-Taking Strategy: Note the key words need for further information. These words indicate a false response question and that you need to select the incorrect client statement. Recalling that the infectious period ranges from 1 to 2 days before the onset of symptoms to 4 days after the rash appears will direct you to option 4. If you are unfamiliar with the clinical manifestations associated with rubeola, review this content.
Level of Cognitive Ability: Comprehension Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning Content Area: Child Health Reference:
Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, p. 743.
2. A nurse is caring for a hospitalized child with a diagnosis of rubella (German measles). The nurse reviews the physician’s progress notes and reads that the child has developed Forschheimer’s sign. Based on this documentation, which of the following would the nurse expect to note in the child?
A. Petechial spots located on the palate
B. Small blue-white spots noted on the buccal mucosa
C. A fiery red edematous rash on the cheeks
D. Swelling of the parotid gland
Answer: A. Petechial spots located on the palate Rationale: Forschheimer’s sign refers to petechial spots, which are reddish and pinpoint and are located on the soft palate. Small blue-white spots noted on the buccal mucosa are known as Koplik’s spots, seen in rubeola. A fiery red edematous rash on the cheeks, also called “slapped cheek,” is seen in erythema infectiosum. Swelling of the parotid gland is seen in mumps.
Test-Taking Strategy: Knowledge regarding the clinical manifestations in rubella is needed to answer this question. If you were familiar with the clinical manifestations of other communicable diseases, you would be able to eliminate options 2, 3, and 4. Remember, Forschheimer’s sign refers to petechial spots. If you are unfamiliar with Forschheimer’s sign, review this information.
Level of Cognitive Ability: Comprehension Client Needs: Physiological Integrity Integrated Process: Nursing Process/Data Collection Content Area: Child Health Reference:
McKinney, E., James, S., Murray, S., & Ashwill, J. (2005). Maternal-child nursing (2nd ed.). St. Louis: Elsevier, p. 1023.
3. A nurse assigned to care for a child with mumps is monitoring the child for the signs and symptoms associated with the most common complication of mumps. The nurse monitors for which of the following that is indicative of the most common complication?
A. A red, swollen testicle
B. Nuchal rigidity
C. Pain
D. Deafness
Answer: B. Nuchal rigidity
Rationale: The most common complication of mumps is aseptic meningitis with the virus being identified in the cerebrospinal fluid. Common signs include nuchal rigidity, lethargy, and vomiting. A red, swollen testicle may be indicative of orchitis. Although this complication appears to cause most concern among parents, it is not the most common complication. Although mumps is one of the leading causes of unilateral nerve deafness, is does not occur frequently. Muscular pain, parotid pain, or testicular pain may occur, but pain does not indicate a sign of a common complication.
Test-Taking Strategy: Knowledge that aseptic meningitis is the most common complication of mumps will direct you to option 2. If you had difficulty with this question, review the complications associated with mumps.
Level of Cognitive Ability: Application 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. 225.
4. A mother brings her 6-year-old child to the clinic because the child has developed a rash on the trunk and on the scalp. The mother reports that the child has had a low-grade temperature, has not felt like eating, and has been generally tired. The child is diagnosed with varicella (chickenpox). The mother inquires about the infectious period associated with chickenpox, and the nurse tells the mother that the infectious period:
A. Is unknown
B. Is 1 to 2 days before the onset of the rash to 5 days after the onset of lesions and the crusting of lesions
C. Is 10 days before the onset of symptoms to 15 days after the rash appears
D. Ranges from 2 weeks or less up to several months
Answer: B. Is 1 to 2 days before the onset of the rash to 5 days after the onset of lesions and the crusting of lesions
Rationale: The infectious period for varicella is 1 to 2 days before the onset of the rash to 5 days after the onset of lesions and the crusting of lesions. In roseola, the infectious period is unknown. Option 3 describes rubella. Option 4 describes diphtheria.
Test-Taking Strategy: Use the process of elimination. Option 1 can be easily eliminated first. Eliminate options 3 and 4 next because the time frames in these two options seem rather lengthy. If you had difficulty with this question, review the infectious period associated with varicella.
Level of Cognitive Ability: Application Client Needs: Safe, Effective Care Environment 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. 251.
5. A 6-month-old infant receives a diphtheria and tetanus toxoid and pertussis vaccine (DTP) immunization at the well-baby clinic. The mother returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. The appropriate suggestion to the mother would be to:
A. Apply a warm pack to the injection site
B. Bring the infant back to the clinic
C. Apply an ice pack to the injection site
D. Monitor the infant for a fever
Answer: C. Apply an ice pack to the injection site
Rationale: Occasionally, tenderness, redness, or swelling may occur at the site of the injection. This can be relieved with ice packs for the first 24 hours followed by warm compresses if the inflammation persists. It is not necessary to bring the infant back to the clinic. Option 4 may be an appropriate intervention but is not specific to the issue of the question.
Test-Taking Strategy: Use the process of elimination. Option 4 can be eliminated first because it does not relate specifically to the issue of the question. Eliminate option 2 next as an unnecessary intervention. From the remaining options, general principles related to the effects of heat and cold will direct you to option 3. Review the complications and associated interventions for immunizations if you had difficulty with this question.
Level of Cognitive Ability: Application Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process/Implementation Content Area: Child Health Reference:
McKinney, E., James, S., Murray, S., & Ashwill, J. (2005). Maternal-child nursing (2nd ed.). St. Louis: Elsevier, p. 71.
Thank you for your attention with reading our article NCLEX Question and Answer With Rationale 5th Edition (Child Health). Thanks for your participation, like and share if this is usefull.
Share this post
0 Response to "NCLEX Question and Answer With Rationale 5th Edition (Child Health)"
0 Response to "NCLEX Question and Answer With Rationale 5th Edition (Child Health)"
Post a Comment