Published - Fri, 03 Mar 2023

NCLEX-RN Exam Questions - Part 36

1. A mother brings her 3-year-old child who is unconscious but breathing to the ER with an apparent drug overdose. The mother found an empty bottle of aspirin next to her child in the bathroom. Which nursing action is the most appropriate?

A) Put in a nasogastric tube and lavage the child - s stomach.
B) Monitor muscular status.
C) Teach mother poison prevention techniques.
D) Place child on respiratory assistance.

2. A parent told the public health nurse that her 6-year-old son has been taking tetracycline for a chronic skin condition. The parent asked if this could cause any problems for the child. What should the nurse explain to the parent?

A) Giving tetracycline to a child younger than 8 years may cause permanent staining of his teeth.
B) If you give tetracycline with milk, it may be absorbed readily.
C) The medication should be given to adults, not children.
D) Secondary infections of chronic skin disorders do not respond to antibiotics.

3. A 6-month-old infant has developmental delays. His weight falls below the 5th percentile when plotted on a growth chart. A diagnosis of failure to thrive is made.What behaviors might indicate the possibility of maternal deprivation?

A) Responsive to touch, wants to be held
B) Uncomforted by touch, refuses bottle
C) Maintains eye-to-eye contact
D) Finicky eater, easily pacified, cuddly

4. A mother continues to breast-feed her 3-month-old infant. She tells the nurse that over the past 3 days she has not been producing enough milk to satisfy the infant. The nurse advises the mother to do which of the following?

A) 'Start the child on solid food.'
B) 'Nurse the child more frequently during this growth spurt.'
C) 'Provide supplements for the child between breastfeeding so you will have enough milk.'
D) 'Wait 4 hours between feedings so that your breasts will fill up.'

5. An 8-week-old infant has been diagnosed with gastroesophageal reflux. The nurse is teaching the infant - s mother to care for the infant at home. Which one of the following statements by the nurse is appropriate regarding the infant - s home care?

A) 'Lay the infant flat on her left side after feeding.'
B) 'Feed the infant every 4 hours with half-strength formula.'
C) 'Antacids need to be given an hour before feeding.'
D) 'Play activities should be carried out before instead of after feedings.'

1. Right Answer: A
Explanation: (A) The immediate treatment for drug overdose is removal of the drug from the stomach by either forced emesis or gastric lavage. The childs unconscious state prohibits forced emesis. (B) Toxic amounts of salicylates directly affect the respiratory system, which could lead to respiratory failure. (C) The mothers anxiety is probably so high that preventive guidance will be ineffective. (D) Respiratory assistance is not needed if the childs respiratory function is unaltered.

2. Right Answer: A
Explanation: (A) Tetracycline should be avoided during tooth development because it interferes with enamel formation and dental pigmentation. (B) Milk interferes with the absorption of tetracyclines. (C) Children older than 9 years or past the tooth development stage may be given tetracycline. (D) Secondary infections of chronic skin disorders may respond to antibiotics such as penicillin or tetracyclines.

3. Right Answer: B
Explanation: (A) Normal infant attachment behaviors include responding to touch and wanting to be held. (B) Maternal deprivation behaviors include poor feeding, stiffening and refusal to eat, and inconsistencies in responsiveness. (C) Attachment behavior includes maintaining eye contact. (D) Maternal deprivation behaviors include displeasure with touch and physical contact.

4. Right Answer: B
Explanation: (A) Solid foods introduced before 46 months of age are not compatible with the abilities of the GI tract and the nutritional needs of the infant. (B) Production of milk is supply and demand. A common growth spurt occurs at 3 months of age, and more frequent nursing will increase the milk supply to satisfy the infant. (C)Supplementation will decrease the infants appetite and in turn decrease the milk supply. When the infant nurses less often or with less vigor, the amount of milk produced decreases. (D) Rigid feeding schedules lead to a decreased milk supply, whereas frequent nursing signals the mothers body to produce a correspondingly increased amount of milk.

5. Right Answer: D
Explanation: (A) Elevating the childs head to a 30-degree angle is the recommended position for gastroesophageal reflux. The supine position predisposes the child to aspiration. (B) Small, frequent feedings with thickened formula are recommended to minimize vomiting. (C) Antacids should be given at the same time as the feeding to improve their buffering action. (D) The infant should be kept still after feedings to reduce the risk of vomiting and aspiration. Vigorous activities should be carried out before feedings.

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