NCLEX Practice Questions Interventions Nursing PrepU, Verified And Correct Answers

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NCLEX Practice Questions Intervention PrepU Question 1 See full question1m 12s Report this Question A parent is playing with an infant, who's sitting securely alone on the floor of the clinic. The... parent hides a toy behind the back and the infant looks for it. What age should the nurse estimate the infant to be? You Selected: 10 months Correct response: 10 months Explanation: Add a Note Bookmark this Question What's this? Question 2 See full question53s Report this Question The caregiver of a hospitalized 3-year-old client expresses concern because the client is wetting the bed. What should the nurse say? You Selected: "It's common for a child to exhibit regressive behavior when anxious or stressed." Correct response: "It's common for a child to exhibit regressive behavior when anxious or stressed." Explanation: Add a Note Bookmark this Question What's this? Question 3 See full question24s Report this Question When teaching a caregiver of a 17-month-old about toilet training, which instruction would initially be most appropriate? You Selected: Be sure the toddler is ready before starting to toilet train. Correct response: Be sure the toddler is ready before starting to toilet train. Explanation: Add a Note Bookmark this Question What's this? Question 4 See full question4m 57s Report this Question A 6-year-old child was admitted to the pediatric unit after sustaining a broken leg in a motor vehicle accident. Which specialist would be most important to involve in this child's care during hospitalization? You Selected: social worker Correct response: social worker Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 5 See full question57s Report this Question A nurse is caring for a 16-year-old girl who isn't sexually active. The girl asks if she needs a Papanicolaou (Pap) test. How should the nurse respond? You Selected: "No, it isn't necessary because you aren't sexually active." Correct response: "No, it isn't necessary because you aren't sexually active." Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 6 See full question2m 42s Report this Question A school-age client is admitted to the hospital with the diagnosis of acute rheumatic fever. Which laboratory blood finding confirms that the child has had a streptococcal infection? You Selected: elevated antibody concentration Correct response: elevated antibody concentration Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 7 See full question26s Report this Question The nurse assesses a 7-month-old infant's growth and development. Which behavior should the nurse consider unusual? You Selected: drinking from a cup and spilling little of the liquid Correct response: drinking from a cup and spilling little of the liquid Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 8 See full question26s Report this Question The mother of a 7-month-old child born 6 weeks early asks the nurse what play activities and toys are appropriate for her child. What should the nurse suggest? You Selected: rattle Correct response: rattle Explanation: Add a Note Bookmark this Question What's this? Question 9 See full question5m 36s Report this Question The nurse should assess a child with newly diagnosed hyperthyroidism for which signs or symptoms? Select all that apply. You Selected: dry skin heat intolerance Correct response: rapid pulse heat intolerance Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 10 See full question1m 31s Report this Question A parent brings a 4-month-old to the clinic for a regular well visit and expresses concern that the infant is not developing appropriately. Which finding in the infant would indicate the need for further developmental screening? You Selected: does not babble Correct response: does not babble Explanation: Add a Note Bookmark this Question What's this? Question 11 See full question59s Report this Question After teaching a group of parents of preschoolers attending a well-child clinic about oral hygiene and tooth brushing, the nurse determines that the teaching has been successful when the parents state that children can begin to brush their teeth without help at which age? You Selected: 7 years Correct response: 7 years Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 12 See full question48s Report this Question A 7-year-old child with a history of asthma controlled without medications is referred to the school nurse by the teacher because of persistent coughing. What should the nurse do first? You Selected: Call a parent to obtain more information. Correct response: Call a parent to obtain more information. Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 13 See full question1m 16s Report this Question A child is admitted with constipation and a diagnosis of possible appendicitis. The child is in acute pain. Which nursing interventions would be appropriate prior to surgery to decrease pain? Select all that apply. You Selected: Assume a position of comfort. Limit the child's activity. Offer an ice pack. Correct response: Offer an ice pack. Assume a position of comfort. Limit the child's activity. Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 14 See full question56s Report this Question A recent history of which problem should alert the nurse to gather additional information about the possibility of a urinary tract infection in a toddler who is exhibiting fever and fussiness? You Selected: abdominal pain Correct response: abdominal pain Explanation: Add a Note Bookmark this Question What's this? Question 15 See full question58s Report this Question After surgical repair of a myelomeningocele, which position should the nurse use to prevent musculoskeletal deformity in the infant? You Selected: Allow the hips to be abducted. Correct response: Allow the hips to be abducted. Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 16 See full question1m 54s Report this Question The nurse is admitting a toddler with the diagnosis of near-drowning in a neighbor's heated swimming pool to the emergency department. The nurse should assess the child for which complication? You Selected: hypoxia Correct response: hypoxia Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 17 See full question36s Report this Question A child who limps and has pain has been found to have Legg-Calvé-Perthes disease. What should the nurse expect to include in the child's plan of care? You Selected: avoidance of weight bearing on the head of the affected femur Correct response: avoidance of weight bearing on the head of the affected femur Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 18 See full question2m 18s Report this Question A pediatric client is given morphine for postoperative pain following a fracture repair. As the nurse is assessing the client for pain 4 hours later, his parent leaves the room, and the child begins to cry. What assessment does the nurse make about the child’s pain? You Selected: not in pain because the crying began after the parent leaves Correct response: less tolerant of pain because he is upset Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 19 See full question38s Report this Question A child is admitted with a fracture of the femur and placed in skeletal traction. What should the nurse assess first? You Selected: the pull of traction on the pin Correct response: the pull of traction on the pin Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 20 See full question29s Report this Question When completing an assessment of a healthy adolescent client, which measure would be most appropriate? You Selected: Gather information from the parents and adolescent; then assess the adolescent in private. Correct response: Gather information from the parents and adolescent; then assess the adolescent in private. Explanation: Add a Note Bookmark this Question What's this? Question 21 See full question3m 52s Report this Question What initial nursing intervention should the nurse implement for a child admitted to the hospital with a diagnosis of meningitis due to Haemophilus influenza? You Selected: Place the child on airborne precautions. Correct response: Maintain a quiet, cool environment. Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 22 See full question1m 17s Report this Question When planning counseling sessions with adolescents, the nurse must incorporate measures to consider which abilities? You Selected: capacity to deal with abstract possibilities Correct response: capacity to deal with abstract possibilities Explanation: Add a Note Bookmark this Question What's this? Question 23 See full question26s Report this Question Which night clothes would the nurse recommend for an infant with atopic dermatitis? You Selected: one-piece cotton pajamas with long sleeves Correct response: one-piece cotton pajamas with long sleeves Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 24 See full question1m 31s Report this Question A parent brings in an 18-month-old to the clinic because the child “eats ashes, crayons, and paper.” Which information about the toddler should the nurse assess first? You Selected: amount of attention from the parent Correct response: any changes in the home environment Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 25 See full question26s Report this Question Which of the following should the nurse use to determine achievement of the expected outcome for an infant with severe diarrhea and a nursing diagnosis of Deficient fluid volume related to passage of profuse amounts of watery diarrhea? You Selected: Moist mucous membranes. Correct response: Moist mucous membranes. Explanation: Add a Note Bookmark this Question What's this? Question 26 See full question30s Report this Question When providing intermittent nasogastric feedings to an infant with failure to thrive, which method is preferred to confirm tube placement before each feeding? You Selected: verifying that the gastric pH is less than 5.5 Correct response: verifying that the gastric pH is less than 5.5 Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 27 See full question38s Report this Question A preschooler with a history of repaired lumbar myelomeningocele is in the emergency department with wheezing and skin rash. Which question should the nurse ask the parent first? You Selected: "Is your child allergic to bananas or any other food?" Correct response: "Is your child allergic to bananas or any other food?" Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 28 See full question23s Report this Question A 3-year-old is recovering from a concussion. The persistence of which finding would the nurse consider as being a normal finding for a 3-year old? You Selected: inability to hop Correct response: inability to hop Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 29 See full question1m 2s Report this Question An adolescent has been diagnosed with polycystic ovarian syndrome (PCOS). Which statement by the adolescent indicates the need for more teaching? You Selected: "High levels of male hormones contribute to my PCOS." Correct response: "Untreated PCOS will make getting pregnant impossible." Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 30 See full question3m 49s Report this Question An adolescent client with polycystic ovarian syndrome (PCOS) has been placed on metformin. The nurse determines the client needs more teaching about metformin if she states the medication helps achieve which outcome? You Selected: increased insulin levels Correct response: increased insulin levels Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 31 See full question25s Report this Question The mother of a child with newly diagnosed Duchenne’s muscular dystrophy asks how her child developed the disease. The nurse gives a response incorporating which statement about its transmission? You Selected: "It’s a disorder usually carried by females and transmitted to male children." Correct response: "It’s a disorder usually carried by females and transmitted to male children." Explanation: Add a Note Bookmark this Question What's this? Question 32 See full question45s Report this Question The nurse is caring for a 5-year-old child who is cognitively challenged. The parents ask the nurse how best to foster independence in the child. Which of the following teaching points should the nurse emphasize? Select all that apply. You Selected: Limit principles and abstract concepts in the teaching. Use repetition to reinforce learning. Use generous praise as a reward for learning. Teach one step at a time to facilitate short-term memory. Correct response: Teach one step at a time to facilitate short-term memory. Use generous praise as a reward for learning. Limit principles and abstract concepts in the teaching. Use repetition to reinforce learning. Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 33 See full question2m 58s Report this Question The nurse is assessing a 5-year-old child who was admitted to the emergency department after being struck by a motor vehicle. Which of the following assessments would be a priority for the nurse based on the type of injury? You Selected: pupil reaction Correct response: pupil reaction Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 34 See full question4m 12s Report this Question A nurse is caring for a 4-year-old child on complete bed rest. What would be a priority nursing diagnosis when caring for this child? You Selected: sleep pattern disturbance related to routines of hospitalization Correct response: diversionary activity deficit related to lack of appropriate toys and peers Explanation: Add a Note Bookmark this Question What's this? Question 35 See full question4m 10s Report this Question A pediatric nurse has just received a shift report on several children. Which of the following is the priority action for the nurse after receiving the report? You Selected: Confirm that allergy bands are on children who need them. Correct response: Confirm correct IV fluids and rates. Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 36 See full question1m 10s Report this Question While assessing a 2-month-old infant's airway, the nurse finds that the infant is not breathing. After two unsuccessful attempts to establish an airway, which should the nurse do next? You Selected: Administer five back blows. Correct response: Administer five back blows. Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 37 See full question42s Report this Question A healthy 2-month-old infant is being seen in the local clinic for a well-child checkup and initial immunizations. When analyzing the pediatric record, which immunizations would the nurse anticipate administering at this appointment? Select all that apply. You Selected: PCV (pneumococcal vaccine) DTaP (diphtheria, tetanus, and acellular pertussis) Hib (Haemophilus influenzae vaccine) IPV (inactivated polio vaccine) Correct response: DTaP (diphtheria, tetanus, and acellular pertussis) IPV (inactivated polio vaccine) Hib (Haemophilus influenzae vaccine) PCV (pneumococcal vaccine) Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 38 See full question44s Report this Question The nurse is caring for an adolescent with the above skin disorder. Which client statement indicates a need for further teaching? You Selected: “My breakouts are exacerbated by eating fatty foods.” Correct response: “My breakouts are exacerbated by eating fatty foods.” Explanation: Add a Note Bookmark this Question What's this? Question 39 See full question1m 11s Report this Question The nurse teaches appropriate care measures to the parents of a 5-year-old child who has been given trimethoprim/sulfamethoxazole for a urinary tract infection. What directives should be included in the teaching plan? Select all that apply. You Selected: Keep the child well hydrated. Use a sunscreen. Keep medication out of the sunlight. Correct response: Use a sunscreen. Report any rash. Keep medication out of the sunlight. Keep the child well hydrated. Explanation: Add a Note Bookmark this Question What's this? Question 40 See full question1m 3s Report this Question The nurse is caring for a 5-year-old boy who is taking prednisolone for nephrotic syndrome. The child is at the 75th percentile for height and has a blood pressure of 114/73 mm Hg. The nurse compares the reading to the blood pressure levels for boys age and height percentiles. (See accompanying chart.) The nurse determines that the blood pressure represents a change and notifies the health care provider (HCP) of which assessment? You Selected: prehypertension Correct response: hypertension Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 41 See full question3m 11s Report this Question The nurse is witnessing a surgical consent for an adolescent client who is deemed an emancipated minor. What are the nursing considerations for the client’s rights as an emancipated minor? Select all that apply. You Selected: The adolescent can be legally married and be considered an emancipated minor. The emancipated minor is often incapable to make healthcare decisions. The adolescent must be self-supporting as an emancipated minor. Correct response: Each state has laws defining an emancipated minor. The adolescent can be legally married and be considered an emancipated minor. The adolescent must be self-supporting as an emancipated minor. Explanation: Add a Note Bookmark this Question What's this? Question 42 See full question2m 58s Report this Question The nurse is instructing young parents of infants at a community health clinic. When instructing on mealtime activity, which activity is most recommended to prevent foreign body aspiration in children during meals? You Selected: Cut foods into bite size portions. Correct response: Insist that children are seated. Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 43 See full question17s Report this Question The nurse observes an 18-month-old who has been admitted with a respiratory tract infection who is drooling (see figure). What should the nurse do first? You Selected: Position the child supine. Correct response: Call the rapid response team. Explanation: Add a Note Bookmark this Question What's this? Question 44 See full question37s Report this Question A father of a child with a urinary tract infection calls the clinic and explains, “My wife and I are concerned because our child refuses to obey us concerning the preventions you told us about. Our child refuses to take the medication unless we buy a present. We do not want to use discipline because of the illness, but we are worried about the behavior.” Which response by the nurse is best? You Selected: “I understand it’s hard to discipline a child who is ill, but things need to be kept as normal as possible.” Correct response: “I sympathize with your difficulties, but just ignore the behavior for now.” Explanation: Add a Note Bookmark this Question What's this? Question 45 See full question25s Report this Question A toddler is hospitalized for treatment of injuries that the staff believes were caused by child abuse. A staff member states that the parents "shouldn't be allowed to visit because they caused the child's injuries." How should the nurse respond? You Selected: "The parents should be encouraged to visit and be welcomed by the staff." Correct response: "The parents should be encouraged to visit and be welcomed by the staff." Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 46 See full question2m 39s Report this Question The nurse is preparing to assess a toddler’s heart and lung sounds. Which of the following actions is most important for the nurse to take to obtain an accurate assessment? You Selected: Verify the correct size of the equipment. Correct response: Ensure that the child does not cry. Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 47 See full question1m 2s Report this Question A 2-year-old child is recovering from a moderate sedation procedure for sutures. The nurse conducts further assessment based on which abnormal assessment finding? You Selected: blood pressure of 95/55 mm Hg Correct response: respiratory rate of 16 breaths/minute Explanation: Add a Note Bookmark this Question What's this? Question 48 See full question3m 30s Report this Question The emergency department nurse is obtaining a history from the parents of a 4-year-old child. Multiple bruises and abrasions are noted. The nurse highly suspects child abuse based on which finding? You Selected: The stories about the accident or injury from the parents conflict. Correct response: The stories about the accident or injury from the parents conflict. Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 49 See full question3m 10s Report this Question An adolescent client with a history of muscular dystrophy is admitted with aspiration pneumonia. The nurse asks the parents if the adolescent has an advance directive. Which response by the parents indicates to the nurse that the parents need additional teaching? You Selected: "We know what our child desires but have not made it formal." Correct response: "We can make decisions about care as they are needed." Explanation: Remediation: Add a Note Bookmark this Question What's this? Question 50 See full question11m 34s Report this Question The nurse is interviewing an adolescent with a new onset of fatigue. What communication strategies will help the nurse establish a therapeutic relationship with the adolescent? You Selected: listening to the client asking open-ended questions Correct response: asking open-ended questions listening to the client Explanation: Remediation: Add a Note Bookmark this Question What's this? [Show More]

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