NCLEX-RN

NCLEX-RN Review Study Guide

178.Your pediatric patient comes to the ER with a head injury. She has some drainage from her ear that looks suspicious. You test it for glucose and it tests positive. What is this fluid? a. Cerebrospinal fluid and requires immediate physician notification b. Blood and requires further examination to determine severity c. Cerebrospinal fluid, but doesn’t require immediate physician notification unless there is a change in mental status. d. Blood and requires a cat scan 179.Why is aspirin not given to pediatric patients? a. The risk of liver failure b. The risk of Reye’s syndrome c. The risk of scarlet fever d. The risk of rubella 180.Which of the following analyses of CSF from a lumbar puncture would indicate bacterial meningitis? a. Cloudy, WBCs, and increased protein b. Cloudy, low glucose, and no protein c. Cloudy, high glucose, and increased protein d. None of the above 181.How is chlamydial conjunctivitis contracted? a. Airborne b. Direct contact c. Droplet d. None of the above

182.Which of the following are signs and symptoms of left sided congestive heart failure in a pediatric patient? a. Ascites, JVD weight gain, and peripheral edema b. Crackles, cough, dyspnea, and grunting c. Chest pain and exertional dyspnea d. Headache and weight loss 183.Which pediatric cardiac disorder might one suspect with upper extremity blood pressure higher than lower extremity pressure, weak femoral pulses, and cooler lower extremities? a. Tetralogy of fallot b. Pulmonary stenosis c. Coarctation of the aorta d. Tricuspid atresia 184.Kawasaki disease is a pediatric systemic inflammatory disease. While it can come with many symptoms, what is the most serious complication that can develop? a. Tracheal atresia b. Desquamation of the skin on the fingers and toes c. Cardiac involvement including aneurysms d. Lymph node enlargement 185.What is the most obvious sign of tracheoesophageal fistula? a. Circumoral cyanosis b. Coughing and regurgitation c. Weight loss d. JVD

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