Test Prep for Nursing Exam about Pediatric Nursing (46-50)

CHEAP BUY ! ! !        
NCLEX E-Book with FREE Saunders and KAPLAN ($4)

46. The physician called the nurse and told her to prepare to give "enemas until clear" to an 18-month old child before surgery for Hirschprung's disease. What would the nurse anticipate the physician to order?

a) saline (300 ml)
b) tap water (120 ml)
c) oil retention (250 ml)
d) fleet solution (200 ml)

47. When a doctor has consent form signed for a surgical procedure on a child, the nurse knows that:

a) the person giving the consent must be at least 18 years of age
b) only a parent or legal guardian can sign the consent
c) the risk and benefits of procedures are part of the consent
d) the consent is valid for 72 hours

48. In which of the following situations should the charge nurse in the pediatric unit intervene in the staff nurse's action?

a) the nurse is going to do throat culture to a child who is drooling with saliva and sore throat
b) the nurse feeds the child with gastroesophageal reflux in an upright position
c) the nurse places the child with meningocele in prone position
d) the nurse gives popsicle to a child who had undergone tonsillectomy

49. A child is 8 months old. Which of the following assessment should the nurse find?

a) dancing reflex
b) palmar grasp reflex
c) dorsiflexion of the big toe when the sole of the foot is stroked from the heel upward
d) fencing reflex

50. A nurse receives a child with a cleft palate on the pediatric unit. Which action is best for the nurse to take?

a) to ask the nursing assistant to obtain necessary feeding equipment for the client while the nurse completes the admission assessment.
b) to ask the nursing assistant to take the child's vital signs while the nurse calls the physician
c) to ask the LPN/LVN to talk to the parents while the nurse administers a tube feeding to the child in the next room
d) to ask the parents to leave the room while the nurse completes the admission assessment



ANSWERS AND RATIONALE

46. A
- saline solution is isotonic and will prevent fluid-electrolyte losses.

47) B
- if the client is a child, the parent or legal guardian will sign the consent for procedures.

48) A
- a child who is having drooling with saliva and sore throat is experiencing epiglottitis. Stimulation of the throat like doing throat culture should be avoided to prevent airway spasm and obstruction.

49) C
- positive babinski reflex is normal up to one year of age. Other infantile reflexes will normally disappear by age 3 to 4 months.

50) A
- obtaining equipment is a task of the CNA. Performing nursing process including assessment is a task of RN.


Related Topics:

• Test Prep for Nursing Exam about Pediatric Nursing (51-55) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.