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NCLEX-RN Exam Questions - Part 150
1. A 4 year old has an imaginary playmate, which concerns the mother. The nurse - s best response would be:
A) 'I understand your concern and will assist you with a referral.'
B) 'Try not to worry because you will just upset your child.'
C) 'Just ignore the behavior and it should disappear by age 8.'
D) 'This is appropriate behavior for a preschooler and should not be a concern.'
2. When assessing a female child for Turner - s syndrome, the nurse observes for which of the following symptoms?
A) Tall stature
B) Amenorrhea
C) Secondary sex characteristics
D) Gynecomastia
3. The mother of a client is apprehensive about taking home her 2 year old who was diagnosed with asthma after being admitted to the emergency room with difficulty breathing and cyanosis. She asks the nurse what symptoms she should look for so that this problem will not happen again. The nurse instructs her to watch for the following early symptoms:
A) Fever, runny nose, and hyperactivity
B) Changes in breathing pattern, moodiness, fatigue, and edema of eyes
C) Fatigue, dark circles under the eyes, changes in breathing pattern, glassy eyes, and moodiness
D) Fever, cough, paleness, and wheezing
4. A 3-year-old female client is brought into the pediatric clinic because she limps. She has not been to the clinic since she was 9 months old. The nurse practitioner describes the limp as a 'Trendelenburg gait.' This gait is characteristic of:
A) Scoliosis
B) Dislocated hip
C) Fractured femur
D) Fractured pelvis
5. A child has a nursing diagnosis of fluid volume excess related to compromised regulatory mechanisms. Which of the following nursing interventions is the most accurate measure to include in his care?
A) Weigh the child twice daily on the same scale.
B) Monitor intake and output.
C) Check urine specific gravity of each voiding.
D) Observe for edema.
A) 'I understand your concern and will assist you with a referral.'
B) 'Try not to worry because you will just upset your child.'
C) 'Just ignore the behavior and it should disappear by age 8.'
D) 'This is appropriate behavior for a preschooler and should not be a concern.'
2. When assessing a female child for Turner - s syndrome, the nurse observes for which of the following symptoms?
A) Tall stature
B) Amenorrhea
C) Secondary sex characteristics
D) Gynecomastia
3. The mother of a client is apprehensive about taking home her 2 year old who was diagnosed with asthma after being admitted to the emergency room with difficulty breathing and cyanosis. She asks the nurse what symptoms she should look for so that this problem will not happen again. The nurse instructs her to watch for the following early symptoms:
A) Fever, runny nose, and hyperactivity
B) Changes in breathing pattern, moodiness, fatigue, and edema of eyes
C) Fatigue, dark circles under the eyes, changes in breathing pattern, glassy eyes, and moodiness
D) Fever, cough, paleness, and wheezing
4. A 3-year-old female client is brought into the pediatric clinic because she limps. She has not been to the clinic since she was 9 months old. The nurse practitioner describes the limp as a 'Trendelenburg gait.' This gait is characteristic of:
A) Scoliosis
B) Dislocated hip
C) Fractured femur
D) Fractured pelvis
5. A child has a nursing diagnosis of fluid volume excess related to compromised regulatory mechanisms. Which of the following nursing interventions is the most accurate measure to include in his care?
A) Weigh the child twice daily on the same scale.
B) Monitor intake and output.
C) Check urine specific gravity of each voiding.
D) Observe for edema.
1. Right Answer: D
Explanation: (A) This is normal for a preschooler, and a referral is not appropriate. (B) Telling a parent not to worry is unhelpful. This response does not address the mothers concern. (C) This response is incorrect. The behavior is normal and will usually disappear by the time the child enters school. (D) This behavior is normal development for a preschooler.
2. Right Answer: B
Explanation: (A) This syndrome is caused by absence of one of the X chromosomes. These children are short in stature. (B) Amenorrhea is a symptom of Turners syndrome, which appears at puberty. (C) Sexual infantilism is characteristic of this syndrome. (D) Gynecomastia is a symptom in Klinefelters syndrome.
3. Right Answer: C
Explanation: (A) The child with asthma may not have fever unless there is an underlying infection. (B) Edema of the eyes will not be present because the child with asthma is more likely to have dehydration related to excessive water loss during the work of breathing. (C) All of these symptoms indicate decreased oxygenation and are early symptoms of asthma. (D) Coughing and wheezing are not early signs of difficulty.
4. Right Answer: B
Explanation: (A, C, D) A Trendelenburg gait is not characteristic of any of these disorders. (B) The downward slant of one hip is a positive sign of dislocation in the weight- bearing hip. If one hip is dislocated, the child walks with a characteristic limp known as the Trendelenburg gait.
5. Right Answer: A
Explanation: (A) Although all of these interventions are important aspects of care, weight is the most sensitive indicator of fluid balance. (B) Although monitoring intake and output is important, weight is a more accurate indicator of fluid status. (C) Urine specific gravity does not necessarily indicatefluid volume excess. (D) Edema may not be apparent, yet the client may have fluid volume excess.
Explanation: (A) This is normal for a preschooler, and a referral is not appropriate. (B) Telling a parent not to worry is unhelpful. This response does not address the mothers concern. (C) This response is incorrect. The behavior is normal and will usually disappear by the time the child enters school. (D) This behavior is normal development for a preschooler.
2. Right Answer: B
Explanation: (A) This syndrome is caused by absence of one of the X chromosomes. These children are short in stature. (B) Amenorrhea is a symptom of Turners syndrome, which appears at puberty. (C) Sexual infantilism is characteristic of this syndrome. (D) Gynecomastia is a symptom in Klinefelters syndrome.
3. Right Answer: C
Explanation: (A) The child with asthma may not have fever unless there is an underlying infection. (B) Edema of the eyes will not be present because the child with asthma is more likely to have dehydration related to excessive water loss during the work of breathing. (C) All of these symptoms indicate decreased oxygenation and are early symptoms of asthma. (D) Coughing and wheezing are not early signs of difficulty.
4. Right Answer: B
Explanation: (A, C, D) A Trendelenburg gait is not characteristic of any of these disorders. (B) The downward slant of one hip is a positive sign of dislocation in the weight- bearing hip. If one hip is dislocated, the child walks with a characteristic limp known as the Trendelenburg gait.
5. Right Answer: A
Explanation: (A) Although all of these interventions are important aspects of care, weight is the most sensitive indicator of fluid balance. (B) Although monitoring intake and output is important, weight is a more accurate indicator of fluid status. (C) Urine specific gravity does not necessarily indicatefluid volume excess. (D) Edema may not be apparent, yet the client may have fluid volume excess.
80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
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