NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 9 of 35, with answer review and explanations.

Question 41

A 3-year-old child is hospitalized with burns covering her trunk and lower extremities. Which of the following would the nurse use to assess adequacy of fluid resuscitation in the burned child?

  1. Blood pressure
  2. Serum potassium level
  3. Urine output
  4. Pulse rate

Question 42

Proper positioning for the child who is in Bryant’s traction is:

  1. Both hips flexed at a 90-degree angle with the knees extended and the buttocks elevated off the bed
  2. Both legs extended, and the hips are not flexed
  3. The affected leg extended with slight hip flexion
  4. Both hips and knees maintained at a 90-degree flexion angle, and the back flat on the bed

Question 43

A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be alert for the signs of ischemia, which include:

  1. Bleeding, bruising, and hemorrhage
  2. Increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase
  3. Pain, pallor, pulselessness, paresthesia, and paralysis
  4. Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus

Question 44

When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin therapy is:

  1. Stephens-Johnson syndrome
  2. Folate deficiency
  3. Leukopenic aplastic anemia
  4. Granulocytosis and nephrosis

Question 45

A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that:

  1. Sustained temperature elevation over 103F is generally related to febrile seizures
  2. Febrile seizures do not usually recur
  3. There is little risk of neurological deficit and mental retardation as sequelae to febrile seizures
  4. Febrile seizures are associated with diseases of the central nervous system