Child Health NCLEX-RN Practice Exam — Set 2

The nurse is planning care for a 4-year-old client admitted with confirmed varicella (chickenpox). Which infection control precautions should the nurse implement?

The nurse is reviewing the medical record of a 5-year-old client with a fever, irritability, and a petechial rash on the trunk and extremities. The client has a stiff neck and is photophobic. Which action should the nurse take first?

The nurse is caring for a 6-year-old client who has extensive burns covering the face and neck sustained 2 days ago. Which complication should the nurse most closely monitor for in this client?

The nurse is providing discharge teaching to the parent of a 4-year-old client diagnosed with tinea capitis (ringworm of the scalp). Which of the following statements indicates correct understanding?

The pediatric nurse is assessing a 5-year-old client in a long leg cast applied 6 hours ago for a femur fracture. The child is crying and reports severe pain in the leg that is not relieved by repositioning. The nurse notes pallor of the toes and the child cannot wiggle them. Which action should the nurse take first?

The nurse is providing education to the parents of a 2-month-old infant newly diagnosed with developmental dysplasia of the hip (DDH). Which of the following statements by the parents indicates effective teaching?

The nurse is caring for a 7-year-old client who is 24 hours post-craniotomy for removal of a posterior fossa brain tumor. Which assessment finding requires the nurse to immediately notify the healthcare provider?

The nurse is caring for a 3-year-old client with bacterial meningitis. Which of the following nursing interventions should be included in the plan of care? Select all that apply.

The nurse is caring for a 16-year-old female client who reports sudden onset of severe lower right quadrant abdominal pain, nausea, and vomiting. An ultrasound confirms ovarian torsion. Which action should the nurse prioritize?

The nurse is assessing a 2-year-old who suddenly began coughing and is now having difficulty breathing while playing with small toy pieces. Stridor is noted on assessment. Which action should the nurse take first?

The nurse is caring for a 5-year-old client with nephrotic syndrome who is receiving corticosteroid therapy. Which of the following assessments is most important for the nurse to perform?

The school nurse is screening students for visual impairment using the Snellen eye chart. A 7-year-old student has a visual acuity of 20/50 in the right eye and 20/20 in the left eye. Which action should the nurse take?

The nurse is caring for a 3-year-old client with a known history of atrial septal defect (ASD) who presents to the clinic for a routine visit. The parent reports the child tires easily and has difficulty keeping up with other children when playing. Which of the following explanations should the nurse provide to the parent?

A 13-year-old client is admitted with new-onset type 1 diabetes mellitus and diabetic ketoacidosis (DKA). The client's blood glucose is 485 mg/dL, pH is 7.22, and there are ketones in the urine. Which of the following interventions does the nurse anticipate? Select all that apply.

The nurse is caring for a 6-month-old infant diagnosed with gastroschisis who is being prepared for surgical repair. Which of the following nursing interventions is the priority prior to surgery?

The nurse is conducting a well-child visit for a 4-year-old. According to Erikson's theory of psychosocial development, which of the following nursing interventions best supports this child's developmental stage?

The nurse is providing discharge education to parents of a 4-year-old newly diagnosed with iron-deficiency anemia. Which of the following statements by the parent requires follow-up?

The nurse is educating a group of parents about Lyme disease prevention. A child was found with a tick attached for approximately 30 hours. Which of the following statements by the parent indicates correct understanding?

The pediatric clinic nurse is assessing a 10-year-old client who has extensive eczema (atopic dermatitis) flare-ups. Which of the following assessment questions is most important to ask the parent?

The nurse is providing discharge instructions to the parents of a 14-year-old diagnosed with Legg-Calvé-Perthes disease affecting the left hip. Which of the following statements should be included in the teaching?

The nurse is assessing a 6-month-old infant who was brought in by parents concerned about possible child abuse. The nurse notes bilateral retinal hemorrhages on fundoscopic exam and a bulging anterior fontanelle. No external head trauma is visible. Which condition does the nurse suspect?

The nurse is providing education to a 17-year-old female client who is 8 weeks pregnant and a current smoker. Which information should the nurse prioritize in the teaching?

The nurse is caring for a 3-month-old infant hospitalized with bronchiolitis caused by RSV. Which of the following nursing interventions is most appropriate?

The nurse is reviewing laboratory results for a 4-year-old client suspected of having a urinary tract infection (UTI). Which finding from the urinalysis most strongly supports this diagnosis?

The nurse is providing teaching to parents of an 18-month-old client who has been newly fitted with bilateral hearing aids for sensorineural hearing loss. Which of the following statements by the parent indicates understanding?

A 9-year-old client with a history of rheumatic fever is being evaluated. The nurse knows that which of the following is the most serious long-term complication of rheumatic fever?

The nurse is caring for a 9-year-old client with syndrome of inappropriate antidiuretic hormone (SIADH) following a head injury. Which laboratory finding does the nurse anticipate?

The nurse is caring for an 8-year-old client with Crohn's disease who is scheduled for discharge. Which of the following statements by the client's parent requires additional teaching?

The nurse is caring for a hospitalized 15-year-old client recovering from an appendectomy. Which of the following interventions best supports this adolescent's psychosocial development according to Erikson's theory?

The nurse is caring for a 5-year-old child with newly diagnosed immune thrombocytopenia (ITP). The parent is alarmed by pinpoint purple spots on the child's skin. How should the nurse respond?

The nurse is caring for a 7-year-old client suspected of having streptococcal pharyngitis. A rapid antigen detection test (RADT) is negative. Which action should the nurse anticipate?

The nurse is reviewing care instructions for a 3-year-old client with severe diaper dermatitis (diaper rash). Which of the following interventions should the nurse include in the teaching? Select all that apply.

The nurse is assessing a 13-year-old client who reports knee pain and swelling over the tibial tubercle that worsens with physical activity. Which condition does the nurse suspect?

The nurse is educating parents of a 10-year-old child with a new diagnosis of attention deficit hyperactivity disorder (ADHD) about methylphenidate therapy. Which of the following statements by the parent indicates understanding?

The nurse is caring for a 14-year-old female client who has not started menstruating. Physical examination reveals absence of a uterus, short vaginal length, and normal female external genitalia. Karyotype is 46,XY. Which condition does the nurse suspect?

The nurse is preparing to administer prescribed medications to a 4-year-old client with moderate persistent asthma. The client's current medication regimen includes fluticasone (inhaled corticosteroid) and albuterol (short-acting beta-2-agonist). Which teaching point is most important for the parent?

The nurse is providing teaching to the parent of a 6-year-old child diagnosed with vesicoureteral reflux (VUR) grade III. Which of the following information should be included?

The nurse is caring for a 5-year-old client with otitis media with effusion (OME). The parent asks why antibiotics were not prescribed. Which response by the nurse is most appropriate?

The nurse is caring for a 4-week-old infant with severe congestive heart failure (CHF) secondary to a large ventricular septal defect (VSD). Which of the following nursing interventions would reduce cardiac workload? Select all that apply.

The nurse is caring for a 7-year-old client with Turner syndrome. Which of the following clinical features does the nurse anticipate? Select all that apply.