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NCLEX-RN Exam Questions - Part 148
1. In discussing the plan of care for a child with chronic nephrosis with the mother, the nurse identifies that the purpose of weighing the child is to:
A) Measure adequacy of nutritional management
B) Check the accuracy of the fluid intake record
C) Impress the child with the importance of eating well
D) Determine changes in the amount of edema
2. The parents of a 9-year-old child with acute lymphocytic leukemia expressed concern about his alopecia from cranial irradiation. The nurse explains that:
A) Alopecia is an unavoidable side effect.
B) There are several wig makers for children.
C) Most children select a favorite hat to protect their heads.
D) His hair will grow back in a few months.
3. Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care should be designed to:
A) Reinforce attempts to eat
B) Help the child gain weight
C) Increase his appetite
D) Make mealtimes pleasant
4. The mother of a child taking phenytoin will need to plan appropriate mouth care and gingival stimulation. When tooth-brushing is contraindicated, the next most effective cleansing and gingival stimulation technique would be:
A) Using a water pik
B) Rinsing with water
C) Rinsing with hydrogen peroxide
D) Rinsing with baking soda
5. During the active phase of rheumatic fever, the nurse teaches parents of a child with acute rheumatic fever to assist in minimizing joint pain and promoting healing by:
A) Putting all joints through full range-of-motion twice daily
B) Massaging the joints briskly with lotion or liniment after bath
C) Immobilizing the joints in functional position using splints, rolls, and pillows
D) Applying warm water bottle or heating pads over involved joints
A) Measure adequacy of nutritional management
B) Check the accuracy of the fluid intake record
C) Impress the child with the importance of eating well
D) Determine changes in the amount of edema
2. The parents of a 9-year-old child with acute lymphocytic leukemia expressed concern about his alopecia from cranial irradiation. The nurse explains that:
A) Alopecia is an unavoidable side effect.
B) There are several wig makers for children.
C) Most children select a favorite hat to protect their heads.
D) His hair will grow back in a few months.
3. Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care should be designed to:
A) Reinforce attempts to eat
B) Help the child gain weight
C) Increase his appetite
D) Make mealtimes pleasant
4. The mother of a child taking phenytoin will need to plan appropriate mouth care and gingival stimulation. When tooth-brushing is contraindicated, the next most effective cleansing and gingival stimulation technique would be:
A) Using a water pik
B) Rinsing with water
C) Rinsing with hydrogen peroxide
D) Rinsing with baking soda
5. During the active phase of rheumatic fever, the nurse teaches parents of a child with acute rheumatic fever to assist in minimizing joint pain and promoting healing by:
A) Putting all joints through full range-of-motion twice daily
B) Massaging the joints briskly with lotion or liniment after bath
C) Immobilizing the joints in functional position using splints, rolls, and pillows
D) Applying warm water bottle or heating pads over involved joints
1. Right Answer: D
Explanation: (A) Weighing a child with nephrosis is to assess for edema, not nutrition. (B, C) This is not the purpose for weighing the child. (D) Weight and measurement are the primary ways of evaluating edema and fluid shifts.
2. Right Answer: D
Explanation: (A) Alopecia has occurred, and knowing it is a side effect does not address their concern. (B) Although true, it does not give them hope for the future. (C) Although true, it does not provide them with information of the temporary nature of the situation. (D) Knowing the hair will grow back provides comfort that the alopecia is temporary.
3. Right Answer: A
Explanation: (A) Ignoring refusals to eat and rewarding eating attempts are the most successful means of increasing intake. (B) This goal is not specific enough or related to the loss of appetite. (C) This goal is not possible at this time based on his illness. (D) This goal is helpful, but alone will not address his loss of appetite.
4. Right Answer: A
Explanation: (A) This technique provides effective rinsing and gingival stimulation. (B) This technique does not provide gingival stimulation. (C) This technique provides effective rinsing but not gingival stimulation. Using peroxide is not pleasant for the child. (D) This technique provides effective rinsing but not gingival stimulation.
5. Right Answer: C
Explanation: (A) Any movement of the joint causes severe pain. (B) Touching or moving the joint causes severe pain. (C) Immobilization in a functional position allows the joint to rest and heal. (D) Pressure from the warm water bottle or pads can cause severe pain or burning of the skin.
Explanation: (A) Weighing a child with nephrosis is to assess for edema, not nutrition. (B, C) This is not the purpose for weighing the child. (D) Weight and measurement are the primary ways of evaluating edema and fluid shifts.
2. Right Answer: D
Explanation: (A) Alopecia has occurred, and knowing it is a side effect does not address their concern. (B) Although true, it does not give them hope for the future. (C) Although true, it does not provide them with information of the temporary nature of the situation. (D) Knowing the hair will grow back provides comfort that the alopecia is temporary.
3. Right Answer: A
Explanation: (A) Ignoring refusals to eat and rewarding eating attempts are the most successful means of increasing intake. (B) This goal is not specific enough or related to the loss of appetite. (C) This goal is not possible at this time based on his illness. (D) This goal is helpful, but alone will not address his loss of appetite.
4. Right Answer: A
Explanation: (A) This technique provides effective rinsing and gingival stimulation. (B) This technique does not provide gingival stimulation. (C) This technique provides effective rinsing but not gingival stimulation. Using peroxide is not pleasant for the child. (D) This technique provides effective rinsing but not gingival stimulation.
5. Right Answer: C
Explanation: (A) Any movement of the joint causes severe pain. (B) Touching or moving the joint causes severe pain. (C) Immobilization in a functional position allows the joint to rest and heal. (D) Pressure from the warm water bottle or pads can cause severe pain or burning of the skin.
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