[App] SHRM-CP Offline Exam on All PC version 2025 - 1000 + Question
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NCLEX-RN Exam Questions - Part 151
1. The pediatric nurse charts that the parents of a 4-yearold child are very anxious. Which observation would indicate to the nurse unhealthy coping by these parents:
A) Discussing their needs with the nursing staff
B) Discussing their needs with other family members
C) Seeking support from their minister
D) Refusing to participate in the child - s care
2. A 9-week-old female infant has a diagnosis of bilateral cleft lip and cleft palate. She has been admitted to the pediatric unit after surgical repair of the cleft lip.Which of the following nursing interventions would be appropriate during the first 24 hours?
A) Position on side or abdomen.
B) Maintain elbow restraints in place unless she is being directly supervised.
C) Clean suture line every shift.
D) Offer pacifier when she cries.
3. A 6-month-old infant who was diagnosed at 4 weeks of age with a ventricular septal defect, was admitted today with a diagnosis of failure to thrive. His mother stated that he had not been eating well for the past month. A cardiac catheterization reveals congestive heart failure. All of the following nursing diagnoses are appropriate. Which nursing diagnosis should have priority?
A) Altered nutrition: less than body requirements related to inability to take in adequate calories
B) Altered growth and development related to decreased intake of food
C) Activity intolerance related to imbalance between oxygen supply and demand
D) Decreased cardiac output related to ineffective pumping action of the heart
4. A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some gasoline ignited and caused an explosion. His father was killed, and the child has split-thickness and full-thickness burns over 40% of his upper body, face, neck, and arms. All of the following nursing diagnoses are included on his care plan. Which of these nursing diagnoses should have top priority during the first 2448 hours postburn?
A) Pain related to tissue damage from burns
B) Potential for infection related to contamination of wounds
C) Fluid volume deficit related to increased capillary permeability
D) Potential for impaired gas exchange related to edema of respiratory tract
5. A female baby was born with talipes equinovarus. Her mother has requested that the nurse assigned to the baby come to her room to discuss the babys condition. The nurse knows that the pediatrician has discussed the babys condition with her mother and that an orthopedist has been consulted but has not yet seen the baby. What should the nurse do first?
A) Call the orthopedist and request that he come to see the baby now.
B) Question the mother and find out what the pediatrician has told her about the baby - s condition.
C) Tell the mother that this is not a serious condition.
D) Tell the mother that this condition has been successfully treated with exercises, casts, and/or braces.
A) Discussing their needs with the nursing staff
B) Discussing their needs with other family members
C) Seeking support from their minister
D) Refusing to participate in the child - s care
2. A 9-week-old female infant has a diagnosis of bilateral cleft lip and cleft palate. She has been admitted to the pediatric unit after surgical repair of the cleft lip.Which of the following nursing interventions would be appropriate during the first 24 hours?
A) Position on side or abdomen.
B) Maintain elbow restraints in place unless she is being directly supervised.
C) Clean suture line every shift.
D) Offer pacifier when she cries.
3. A 6-month-old infant who was diagnosed at 4 weeks of age with a ventricular septal defect, was admitted today with a diagnosis of failure to thrive. His mother stated that he had not been eating well for the past month. A cardiac catheterization reveals congestive heart failure. All of the following nursing diagnoses are appropriate. Which nursing diagnosis should have priority?
A) Altered nutrition: less than body requirements related to inability to take in adequate calories
B) Altered growth and development related to decreased intake of food
C) Activity intolerance related to imbalance between oxygen supply and demand
D) Decreased cardiac output related to ineffective pumping action of the heart
4. A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some gasoline ignited and caused an explosion. His father was killed, and the child has split-thickness and full-thickness burns over 40% of his upper body, face, neck, and arms. All of the following nursing diagnoses are included on his care plan. Which of these nursing diagnoses should have top priority during the first 2448 hours postburn?
A) Pain related to tissue damage from burns
B) Potential for infection related to contamination of wounds
C) Fluid volume deficit related to increased capillary permeability
D) Potential for impaired gas exchange related to edema of respiratory tract
5. A female baby was born with talipes equinovarus. Her mother has requested that the nurse assigned to the baby come to her room to discuss the babys condition. The nurse knows that the pediatrician has discussed the babys condition with her mother and that an orthopedist has been consulted but has not yet seen the baby. What should the nurse do first?
A) Call the orthopedist and request that he come to see the baby now.
B) Question the mother and find out what the pediatrician has told her about the baby - s condition.
C) Tell the mother that this is not a serious condition.
D) Tell the mother that this condition has been successfully treated with exercises, casts, and/or braces.
1. Right Answer: D
Explanation: (A, B, C) These methods are healthy ways of dealing with anxiety. (D) Participation minimizes feelings of helplessness and powerlessness. It is important that parents have accurate information and that they seek support from sources available to them.
2. Right Answer: B
Explanation: (A) Placing the infant on her abdomen may allow for injury to the suture line. (B) Elbow restraints prevent the infant from touching the suture line and yet leaves hands free. (C) The suture line is cleaned as often as every hour to prevent crusting and scarring. (D) Sucking of a bottle or pacifier places pressure on the suture line and may delay healing and cause scarring.
3. Right Answer: D
Explanation: (A) Altered nutrition occurs owing to the fatigue from decreased cardiac output associated with congestive heart failure. (B) The decreased intake occurs due to fatigue from the altered cardiac output. (C) Fatigue occurs due to the decreased cardiac output. (D) The ineffective action of the myocardium leads to inadequateO2 to the tissues, which produces activity intolerance, altered nutrition, and altered growth and development.
4. Right Answer: D
Explanation: (A, B, C) These answers are all correct; however, maintenance of airway is the top priority. (D) Persons burned about the face and neck during an explosion are also likely to suffer burns of the respiratory tract, which can lead to edema and respiratory arrest.
5. Right Answer: B
Explanation: (A) The nurse should call the orthopedist after assessing the mothers knowledge. (B) The nurse must first assess the knowledge of the parent before attempting any explanation. (C) The nurse should assess the mothers knowledge of the babys condition as the first priority. (D) This answer is correct, but the priority is B.
Explanation: (A, B, C) These methods are healthy ways of dealing with anxiety. (D) Participation minimizes feelings of helplessness and powerlessness. It is important that parents have accurate information and that they seek support from sources available to them.
2. Right Answer: B
Explanation: (A) Placing the infant on her abdomen may allow for injury to the suture line. (B) Elbow restraints prevent the infant from touching the suture line and yet leaves hands free. (C) The suture line is cleaned as often as every hour to prevent crusting and scarring. (D) Sucking of a bottle or pacifier places pressure on the suture line and may delay healing and cause scarring.
3. Right Answer: D
Explanation: (A) Altered nutrition occurs owing to the fatigue from decreased cardiac output associated with congestive heart failure. (B) The decreased intake occurs due to fatigue from the altered cardiac output. (C) Fatigue occurs due to the decreased cardiac output. (D) The ineffective action of the myocardium leads to inadequateO2 to the tissues, which produces activity intolerance, altered nutrition, and altered growth and development.
4. Right Answer: D
Explanation: (A, B, C) These answers are all correct; however, maintenance of airway is the top priority. (D) Persons burned about the face and neck during an explosion are also likely to suffer burns of the respiratory tract, which can lead to edema and respiratory arrest.
5. Right Answer: B
Explanation: (A) The nurse should call the orthopedist after assessing the mothers knowledge. (B) The nurse must first assess the knowledge of the parent before attempting any explanation. (C) The nurse should assess the mothers knowledge of the babys condition as the first priority. (D) This answer is correct, but the priority is B.
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