Pediatric Nursing NCLEX Practice Exam (Quiz #8: 20 Questions)

A 30-year-old mother, Mrs. Clarke, presents to the pediatric clinic with her 7-month-old son, Jeremiah. Jeremiah has been following the recommended vaccination schedule and is currently up to date. Mrs. Clarke expresses concerns about the risk of chickenpox, having experienced a severe case during her childhood. She recalls painful rashes and a prolonged recovery period. Eager to prevent her son from undergoing the same ordeal, Mrs. Clarke inquires about the optimal time for Jeremiah to receive the varicella zoster vaccine. The nurse is asked to recommend the most appropriate age from the given choices. Which of the following ages would be most suitable for the nurse to advise Mrs. Clarke to have Jeremiah receive the varicella zoster vaccine?

In a 25-bed medical-surgical unit, the nurse manager, Mrs. Davis, is starting her day with the task of assigning her nursing staff to patients. One of the patients, Mr. Patterson, a 68-year-old gentleman, was admitted the previous night with herpes zoster. Considering the contagious nature of herpes zoster and the potential risks to staff members, Mrs. Davis needs to make an informed decision to ensure that the staff caring for Mr. Patterson are not at risk of contracting the virus. Given the following staff members available for assignments, which can be safely assigned to care for Mr. Patterson? Select all that apply.

At the Sunshine Pediatric Clinic, Nurse Alex is on duty and responsible for addressing phone consultations. Midway through the morning, the clinic’s phone rings, and Alex answers it. On the other end is Mrs. Hamilton, a distressed mother whose 10-year-old child, Sophia, is currently undergoing chemotherapy treatment for leukemia. Mrs. Hamilton informs Nurse Alex that Sophia’s younger sibling has just been diagnosed with chickenpox. Given Sophia’s compromised immune status, Mrs. Hamilton is deeply concerned about her daughter’s risk. Nurse Alex recalls the clinic’s protocols and considers the appropriate measures to ensure Sophia’s safety. Given the presented situation, which action should Nurse Alex anticipate taking next?

Dr. Aria Mitchell, a seasoned general practitioner, has been treating Mr. Jackson, a 35-year-old music teacher. Mr. Jackson initially presented with flu-like symptoms, and a distinct rash soon appeared, which quickly developed into fluid-filled vesicles, especially evident on his trunk. On examination, Dr. Mitchell diagnosed him with varicella (chickenpox). Given the client’s age and the potential for complications in adults with varicella, Dr. Mitchell is considering a treatment plan to manage his symptoms and speed recovery. She is thinking about which category of medication will be most pertinent to Mr. Jackson’s case. For a client diagnosed with varicella, which category of medication is most likely to be ordered?

At Hope Pediatric Center, Nurse Jordan is reviewing the case of 8-year-old Lily, who is currently being treated for leukemia. Lily’s medical journey has been filled with frequent hospital visits, intensive chemotherapy sessions, and consistent monitoring. Lily’s mother, Mrs. Williams, rushes into the clinic looking panicked and informs Nurse Jordan that Lily’s cousin, who visited their home two days ago, has just been diagnosed with chickenpox. Given Lily’s compromised immunity due to leukemia and chemotherapy, Mrs. Williams is gravely concerned about the potential repercussions of this exposure. Nurse Jordan recalls the center’s protocol for such situations and assesses the appropriate treatment measures for Lily. Given the circumstances, which treatment measure is most appropriate for Lily, who has leukemia and has been exposed to chickenpox?

Nurse Benjamin, who works at Little Stars Pediatric Hospital, has been assigned to care for 4-year-old Mia. Mia has been admitted for a corrective surgery related to her cleft palate. While reviewing Mia’s medical history, Nurse Benjamin observes that Mia has had multiple instances of otitis media in the past year. Remembering his pediatric nursing training and understanding the interrelation between cleft palate and otitis media, Nurse Benjamin anticipates the potential reasons behind Mia’s recurrent ear infections. He is preparing to discuss these with Mia’s parents, to help them understand the risks and possible preventative measures. When assessing a child like Mia with a cleft palate, the nurse understands that the child is at risk for more frequent episodes of otitis media due to which of the following reasons?

In the neonatal intensive care unit (NICU) of Tranquil Beginnings Hospital, Nurse Veronica is starting her shift. She’s handed over the care of baby Ethan, who was born 12 hours ago with a noticeable cleft lip. The new parents, first-timers, are understandably concerned and have a lot of questions. As part of her assessment and while preparing to guide and reassure the parents, Nurse Veronica pays particular attention to potential complications that might be directly related to baby Ethan’s cleft lip. While evaluating a newborn like Ethan with a cleft lip, which of the following aspects of his health should the nurse be particularly vigilant about, anticipating that it will most likely be compromised?

Nurse Clara, with over a decade of experience in pediatric post-surgical care, was on duty at the Pediatric Surgical Ward of St. Hope Children’s Hospital. Today, she was looking after 18-month-old Leo, who had just undergone a surgical repair for his cleft palate. Leo’s anxious parents, both first-timers in the surgical ward, watched their son with concern and sought guidance on the best way to position him to ensure his comfort and promote healing. Recalling the standard postoperative care for children who’ve undergone cleft palate surgery, Nurse Clara began her assessment and positioning of little Leo. After a cleft palate repair, in which position should Nurse Clara place Leo to ensure optimal postoperative recovery and safety?

At Joyful Steps Pediatric Center, Nurse Adrian is preparing for the post-operative care of little Isabelle, an 18-month-old who is soon to undergo surgery for her cleft palate repair. The child’s parents, both visibly anxious, have been asking multiple questions about the postoperative period. They express their concerns about ensuring Isabelle doesn’t hurt herself or disrupt the surgical site. Having assisted in many such surgeries, Nurse Adrian is familiar with the measures to ensure safety and minimize trauma to the operative site, including the use of certain restraints. He gathers the appropriate materials and is prepared to educate the parents on their application and purpose. Considering Isabelle’s upcoming cleft palate repair, which type of restraints are typically used post-operatively to ensure the safety and integrity of the surgical site?

Nurse Fiona, a seasoned home care nurse specializing in pediatrics, is visiting the home of Mrs. Patel, a new mother who recently gave birth to baby Aarav, diagnosed with a cleft palate. They’re sitting in the softly lit nursery, surrounded by toys and comforting baby sounds. Nurse Fiona knows the importance of proper feeding techniques for infants with a cleft palate to ensure they receive adequate nutrition and prevent complications. She has been explaining the techniques to Mrs. Patel, emphasizing specific strategies. As the instruction progresses, Nurse Fiona asks Mrs. Patel to summarize what she has learned to gauge her understanding. If Mrs. Patel makes which of the following statements, would Nurse Fiona recognize a need for further clarification and instruction?

In a complex pediatric clinical scenario, an assessment of maternal-infant attachment is crucial, especially in cases where the neonate has been diagnosed with a congenital condition requiring prolonged hospitalization. Given this context, which of the following maternal behaviors most accurately indicates that the mother is initiating a healthy bond with her infant?

In an intricate clinical scenario, a nurse receives a telephonic consultation request from a distressed mother. Her 5-month-old infant, who was previously diagnosed with colic during the last clinic visit, continues to exhibit persistent symptoms. The mother is seeking guidance on managing her infant’s condition at home. Which of the following instructions from the nurse would be appropriate for the mother to implement? Select all that apply.

In a nuanced neonatal clinical evaluation, a nurse is performing a postnatal assessment on a newborn who has just been delivered via vaginal birth. Amidst the myriad of physiological adaptations occurring in the transition from intrauterine to extrauterine life, which of the following clinical findings would be least expected in a healthy neonate?

In a complex pediatric oncology unit, a seasoned nurse is faced with the challenge of assessing and managing pain in a non-verbal 3-year-old child undergoing treatment for acute lymphoblastic leukemia. The child’s limited communicative ability due to developmental age and the distressing nature of the current clinical situation necessitate a highly nuanced approach to pain assessment. Given these parameters, which pain assessment tool would be most useful for the nurse to accurately gauge the young patient’s pain levels?

In a high-acuity pediatric intensive care unit, a skilled nurse is managing the care of a 6-year-old child who has sustained multiple fractures and contusions in a motor vehicle accident. The child, who is already receiving a carefully titrated regimen of opioid analgesics, exhibits signs of persistent discomfort and anxiety. The nurse, aiming to optimize pain management and enhance the child’s overall comfort, is considering the integration of noninvasive and non-pharmacologic pain-control measures into the existing pain management plan. Given the child’s complex clinical situation and the multidimensional nature of pain, which statement best encapsulates the rationale for incorporating noninvasive and non-pharmacologic pain-control measures alongside pharmacological interventions?

In a specialized pediatric unit, Nurse Archie is tasked with formulating a comprehensive and individualized care plan for Betty, a 9-year-old girl who has been recently diagnosed with cystic fibrosis (CF), a complex multisystem disorder. Given the intricate nature of CF and its wide-ranging impact on various bodily functions, which of the following considerations should Nurse Archie prioritize to ensure a holistic and effective approach to Betty’s care

In an acute pediatric pulmonology unit, a dedicated nurse is faced with the critical care management of a 16-year-old patient diagnosed with cystic fibrosis (CF), who is now admitted with exacerbated respiratory symptoms and a suspected case of pneumonia. Considering the complexity of CF and the heightened vulnerability of the patient’s respiratory status, which nursing intervention should be prioritized to effectively address the patient’s immediate needs and improve respiratory function?

In a busy pediatric clinic, a seasoned nurse encounters a concerned mother who reports that her child, diagnosed with cystic fibrosis (CF), frequently makes “snoring” sounds while breathing. The mother’s description prompts the nurse to consider various anatomical and pathological conditions that could account for the audible respiratory sounds in a child with CF. Which of the following conditions is the nurse aware that many children with cystic fibrosis commonly develop, potentially leading to the described “snoring” sounds?

In the bustling environment of a cystic fibrosis outpatient clinic, a proficient nurse is imparting education to a mother on the crucial technique of postural drainage for her child, diagnosed with cystic fibrosis (CF). This technique is instrumental in facilitating the mobilization and clearance of the tenacious pulmonary secretions characteristic of CF. The nurse emphasizes the correct method to ensure the efficacy and safety of the procedure. What advice should the nurse provide regarding the technique of postural drainage?

In the high-acuity setting of a respiratory intensive care unit, a vigilant nurse is closely monitoring a client who has been diagnosed with severe pneumonia leading to ineffective airway clearance. The client, who is receiving mechanical ventilation, is at risk of accumulating secretions that could obstruct the airway and compromise respiratory function. The nurse understands the critical importance of timely and appropriate suctioning to maintain airway patency. Which clinical indicator should the nurse prioritize to most accurately determine the immediate need for suctioning in this client?