NCLEX-RN Exam Questions - Part 148

1. In discussing the plan of care for a child with chronic nephrosis with the mother, the nurse identifies that the purpose of weighing the child is to:

A) Measure adequacy of nutritional management
B) Check the accuracy of the fluid intake record
C) Impress the child with the importance of eating well
D) Determine changes in the amount of edema



2. The parents of a 9-year-old child with acute lymphocytic leukemia expressed concern about his alopecia from cranial irradiation. The nurse explains that:

A) Alopecia is an unavoidable side effect.
B) There are several wig makers for children.
C) Most children select a favorite hat to protect their heads.
D) His hair will grow back in a few months.



3. Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care should be designed to:

A) Reinforce attempts to eat
B) Help the child gain weight
C) Increase his appetite
D) Make mealtimes pleasant



4. The mother of a child taking phenytoin will need to plan appropriate mouth care and gingival stimulation. When tooth-brushing is contraindicated, the next most effective cleansing and gingival stimulation technique would be:

A) Using a water pik
B) Rinsing with water
C) Rinsing with hydrogen peroxide
D) Rinsing with baking soda



5. During the active phase of rheumatic fever, the nurse teaches parents of a child with acute rheumatic fever to assist in minimizing joint pain and promoting healing by:

A) Putting all joints through full range-of-motion twice daily
B) Massaging the joints briskly with lotion or liniment after bath
C) Immobilizing the joints in functional position using splints, rolls, and pillows
D) Applying warm water bottle or heating pads over involved joints