Pediatric Success - NCLEX Practice Q's (2025)
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,3/3/25, 4:00 PM Pediatric Success - NCLEX Practice Q's (2025) comprehensive questions and verified detailed solutions ( MULTIPLE CHOICES…
Answer:
3. Immediately initiate droplet face-mask
precautions, and isolate the infant.
1.
The mother of a 3-week-
Rationale:
old tells the nurse she is
1. Weighing the child would be important but
residing in a homeless
not the priority when concerned about an
shelter and
infectious cause. Initiating droplet precau-
is concerned about his
tions to prevent infecting others would be a
mild cough, poor
priority, then weighing the infant.
appetite, low-grade
2. The symptoms are not suggestive of a cold
fever, weight loss, and
but something more serious. Infants do not
fussiness over the last 2
usually lose weight, nor are they irritable
weeks. Which nursing
with a simple cold.
intervention would be
3.
the nurse's
Children with tuberculosis may have a
highest priority?
history of living in a crowded home or
1. Weigh the baby to have
could be homeless. Other symptoms
an accurate weight using
may include a cough, cold symptoms,
standard precautions.
low-grade fever, irritability, poor
2. Reassure the mother
appetite, and exposure to a person
that the baby may only
with tuberculosis. Initiation of droplet
have a cold, which can
precautions and isolation of the infant
last a few
would be warranted in this situation.
weeks.
4. Taking the infant's temperature is important, but
3. Immediately initiate
initiating droplet precautions
droplet face-mask
would be the priority.
precautions, and isolate
the infant.
TEST-TAKING HINT:
4. Take a rectal
The test taker should be
temperature while
highly suspicious of tuberculosis given the family
completing the
and patient history. Health-care personnel need to
assessment using
be vigilant to contain and prevent further spread of
standard
communicable
precautions.
diseases. This child could have meningitis, which
would also require isolation and
respiratory precautions.
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, 3/3/25, 4:00 PM Pediatric Success - NCLEX Practice Q's (2025) comprehensive questions and verified detailed solutions ( MULTIPLE CHOICES…
Answer:
1. Continuous cardiovascular and oxygen-saturation
monitoring.
Rationale:
1. Cardiovascular manifestations of
Kawasaki disease are the major complications in
pediatric patients. Continuous cardiac monitoring is
2.
required to alert
Which would be the
the nurse of any cardiovascular complications.
priority nursing
Decreased oxygen saturation
intervention for a newly
and respiratory changes have been
admitted child with
shown to be early indicators of potential
Kawasaki disease?
complications.
1. Continuous
2. Vital signs would be taken every 1 to
cardiovascular and
2 hours until stable on a new admission
oxygen-saturation
with Kawasaki disease.
monitoring.
3. Strict intake and output is very important,
2. Vital signs every 4
but because the major complications with
hours until stable.
Kawasaki disease are cardiovascular, contin-
3. Strict intake and output
uous cardiac monitoring is the priority.
monitoring hourly.
4. High-dose aspirin therapy is begun and
4. Begin aspirin therapy
continued until the child has been afebrile
after fever has resolved.
for 48 to 72 hours; then the child is placed
on low-dose therapy.
TEST-TAKING HINT:
The test taker should
understand that cardiovascular manifesta-
tions of Kawasaki disease are the major
complications in pediatric patients.
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