Published - Thu, 23 Feb 2023
NCLEX-RN Exam Questions - Part 149
1. The initial focus when providing nursing care for a child with rheumatic fever during the acute phase of the illness should be to:
A) Maintain contact with her parents
B) Provide for physical and psychological rest
C) Provide a nutritious diet
D) Maintain her interest in school
2. During discharge planning, parents of a child with rheumatic fever should be able to identify which of the following as toxic symptoms of sodium salicylate?
A) Tinnitus and nausea
B) Dermatitis and blurred vision
C) Unconsciousness and acetone odor of the breath
D) Chills and an elevation of temperature
3. Parents of a child with rheumatic fever express concern that she will always be arthritic. The nurse discusses their concerns and tells them the joint pain usually:
A) Subsides in<3 weeks
B) Is relieved by aspirin
C) Is responsive to ibuprofen (Motrin)
D) Subsides in 3 - 6 days
4. In caring at home for a child who just ingested a caustic alkali, the nurse would immediately tell the mother to:
A) Give vinegar, lemon juice, or orange juice
B) Phone the doctor
C) Take the child to the emergency room
D) Induce vomiting
5. The most important goal in the care plan for a child who was hospitalized with an accidental overdose would be to:
A) Determine child - s activity pattern
B) Reduce mother - s sense of guilt
C) Instruct parents in use of ipecac
D) Teach parents appropriate safety precautions
A) Maintain contact with her parents
B) Provide for physical and psychological rest
C) Provide a nutritious diet
D) Maintain her interest in school
2. During discharge planning, parents of a child with rheumatic fever should be able to identify which of the following as toxic symptoms of sodium salicylate?
A) Tinnitus and nausea
B) Dermatitis and blurred vision
C) Unconsciousness and acetone odor of the breath
D) Chills and an elevation of temperature
3. Parents of a child with rheumatic fever express concern that she will always be arthritic. The nurse discusses their concerns and tells them the joint pain usually:
A) Subsides in<3 weeks
B) Is relieved by aspirin
C) Is responsive to ibuprofen (Motrin)
D) Subsides in 3 - 6 days
4. In caring at home for a child who just ingested a caustic alkali, the nurse would immediately tell the mother to:
A) Give vinegar, lemon juice, or orange juice
B) Phone the doctor
C) Take the child to the emergency room
D) Induce vomiting
5. The most important goal in the care plan for a child who was hospitalized with an accidental overdose would be to:
A) Determine child - s activity pattern
B) Reduce mother - s sense of guilt
C) Instruct parents in use of ipecac
D) Teach parents appropriate safety precautions
1. Right Answer: B
Explanation: (A) This goal is helpful, but rest is essential during the acute phase. (B) Rest is essential for healing to occur and for pain to be relieved. (C) This goal is important, but rest is essential. (D) This goal should be part of the plan of care, but it is not the priority during the acute phase.
2. Right Answer: A
Explanation: (A) These are toxic symptoms of sodium salicylate. (B, C, D) These are not symptoms associated with sodium salicylate.
3. Right Answer: A
Explanation: (A) Joints usually remain inflamed and tender until the disease runs its course in<3 weeks. (B) This response does not answer the question of whether she will always be arthritic. (C) This response does not answer the question asked. (D) The disease takes<3 weeks to run its course.
4. Right Answer: A
Explanation: (A) The immediate action is to neutralize the action of the chemical before further damage takes place. (B) This action should be done after neutralizing the chemical. (C) This action should be done after neutralizing the chemical. (D) Never induce vomiting with a strong alkali or acid. Additional damage will be done when the child vomits the chemical.
5. Right Answer: D
Explanation: (A) This goal is not the most important. (B) There is always some guilt when an accident occurs; however, the priority is to be sure future accidents are prevented.(C) Ipecac is not used for caustic alkali and acid ingestions. (D) Determining the parents knowledge about safety hazards and teaching appropriate preventive measures are likely to prevent recurrence of accidents.
Explanation: (A) This goal is helpful, but rest is essential during the acute phase. (B) Rest is essential for healing to occur and for pain to be relieved. (C) This goal is important, but rest is essential. (D) This goal should be part of the plan of care, but it is not the priority during the acute phase.
2. Right Answer: A
Explanation: (A) These are toxic symptoms of sodium salicylate. (B, C, D) These are not symptoms associated with sodium salicylate.
3. Right Answer: A
Explanation: (A) Joints usually remain inflamed and tender until the disease runs its course in<3 weeks. (B) This response does not answer the question of whether she will always be arthritic. (C) This response does not answer the question asked. (D) The disease takes<3 weeks to run its course.
4. Right Answer: A
Explanation: (A) The immediate action is to neutralize the action of the chemical before further damage takes place. (B) This action should be done after neutralizing the chemical. (C) This action should be done after neutralizing the chemical. (D) Never induce vomiting with a strong alkali or acid. Additional damage will be done when the child vomits the chemical.
5. Right Answer: D
Explanation: (A) This goal is not the most important. (B) There is always some guilt when an accident occurs; however, the priority is to be sure future accidents are prevented.(C) Ipecac is not used for caustic alkali and acid ingestions. (D) Determining the parents knowledge about safety hazards and teaching appropriate preventive measures are likely to prevent recurrence of accidents.
80% DISCOUNT: NCLEX-RN PRACTICE EXAMS
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