Newborn NCLEX Questions (11-15)

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11. A home care nurse visits a 3-year old child with chickenpox. The child's mother tells the nurse that the child keeps scratching the skin at night and asks the nurse what to do. The nurse tells the mother to:

a) place soft cotton gloves on the child's hands at night
b) apply generous amounts of cortisone cream to prevent itching
c) give the child a glass of warm milk at bedtime to help the child to sleep
d) keep the child in a warm room at night so the covers will not cause the child to scratch

12. A nurse is caring for a child with intussusception. During care, the child passes a normal brown stool. The appropriate nursing action is to:

a) note the child's physical symptoms
b) prepare the child for hydrostatic reduction
c) prepare the child and parents for the possibility of surgery
d) report the passage of a normal brown stool to the physician

13. A nurse in the day care center is told that a child with autism will be attending the center. The nurse collaborates with the staff of the day care center and plans activities that will meet the child's needs. The priority consideration in planning activities for the child is to ensure:

a) safety with activities
b) the activities provide verbal stimulation
c) social interactions with other children in the same age group
d) familiarity with all activities and providing orientation throughout the activities

14. A registered nurse is reviewing a plan of care developed by a nursing student for a child who is being admitted to the pediatric unit with a diagnosis of seizures. The registered nurse determines that the student nurse needs to revise the plan of care if which incorrect interventions is documented?

a) maintain the bed in a low position
b) restrain the child if seizure occurs
c) pad the side rails of the bed with blankets
d) place the child in a side-lying lateral position if a seizure occurs

15. The nurse in a well baby clinic is providing safety instructions to the mother of a 1-month old infant. Which safety instruction is most appropriate at this age?

a) lock up all poisons
b) cover electrical outlets
c) never shake the infant's head
d) remove hazardous objects from low places

Newborn NCLEX Questions
Answers and Rationale

11) A
- Gloves will keep the child from scratching the open lesions from chickenpox. Generous amounts of any topical cream can lead to drug toxicity. A warm room will increase the child's skin temperature and make itching worse. Warm milk will have no effect on itching.

12) D
- Passage of a normal brown stool usually indicates that the intussusception has reduced itself. This is immediately reported to the physician, who may choose to alter the diagnostic or therapeutic plan of care. Hydrostatic reduction and surgery may not be necessary. Although the nurse would note the child's physical symptoms, based on the data in the question, option 4 is the appropriate action.

13) A
- Safety with activities is a priority in planning activities with the child. The child with autism is unable to anticipate danger, has a tendency for self-mutilation, and has sensory perceptual deficits. Although social interactions, verbal communications, and providing familiarity and orientation are also appropriate interventions, the priority is safety.

14) B
- Restraints are not to be applied to a child with a seizure because they could cause injury to the child. The side rails of the bed are padded with blankets, and the bed is maintained in low position to provide safety in the event that the child has a seizure. Positioning the child on his or her side will prevent aspiration as the saliva drains out of the child's mouth during the seizure.

15) C
- The age-appropriate instruction that is most important is to instruct the mother not to shake or vigorously jiggle the baby's head. Options A, B, and D are most important instructions to provide to the mother as the child reaches the age of 6 months and begins to explore the environment.

After you reviewed your answers through its rationale, you can also go back to the first page to start from the beginning:

Newborn NCLEX Questions (1-5)

 Or proceed to the next set of questions:

Newborn NCLEX Questions (16-20)