NCLEX PREP: Pediatric Hemophilia & CF

Froggy Jumps

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Care basics for pediatric conditions.

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RNPRPEPBESTIE

United States

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NCLEX PREP: Pediatric Hemophilia & CF


Froggy Jumps NCLEX PREP: Pediatric Hemophilia & CFOnline version Care basics for pediatric conditions. by RNPRPEPBESTIE 1 A 6-year-old with hemophilia presents with sudden knee pain and swelling after recess. No external bleeding is noted. What is the nurse's priority action? a Reassure the child that bruising is common with activity b Apply heat and encourage gentle range of motion c Limit movement and treat the joint pain as internal bleeding until proven otherwise 2 A parent of a child with hemophilia asks why minor injuries cause so much concern. Which explanation by the nurse is most accurate? a The blood vessels are fragile and rupture easily b Bleeding lasts longer because clotting factors are missing, even when bleeding isn’t visible c Platelets are unable to stick together properly 3 A child with hemophilia is prescribed an IM vaccine. What action by the nurse is most appropriate? a Administer the vaccine quickly using a small-gauge needle b Question the route and discuss safer administration options with the provider c Apply firm pressure after injection for several minutes 4 A child recovering from influenza is given aspirin at home for fever. The parent reports vomiting and confusion. What complication is the nurse most concerned about? a Medication-induced gastritis b Viral meningitis caused by influenza c Acute liver dysfunction with increased intracranial pressure consistent with Reye’s syndrome 5 Which teaching is most important for parents to prevent Reye’s syndrome in children? a Avoid aspirin or salicylates during viral illnesses and use safer alternatives instead b Give aspirin only when fever exceeds 102°F c Limit aspirin use to low doses and short durations 6 A child with cystic fibrosis eats well but continues to lose weight and has bulky, greasy stools. What intervention best addresses the underlying problem? a Administer pancreatic enzymes with all meals and snacks b Restrict fat intake to reduce stool volume c Increase dietary fiber to improve digestion 7 A child with cystic fibrosis has a productive cough but is increasingly fatigued and skipping airway clearance treatments. What concern should guide the nurse’s action? a Skipping treatments temporarily will not affect long-term outcomes b Fatigue indicates overuse of respiratory muscles and needs rest only c Retained secretions will worsen lung function and increase infection risk 8 Which parent statement indicates correct understanding of daily care priorities for a child with cystic fibrosis? a “Clearing mucus and supporting nutrition are just as important as treating infections.” b “Antibiotics are the main way to control this condition.” c “Breathing treatments are only needed when symptoms worsen.” 9 A provider orders aspirin for pain in a child with cystic fibrosis during a viral illness. What is the nurse’s best action? a Give the medication with food to reduce stomach irritation b Administer the medication and monitor liver enzymes c Question the order due to the risk of Reye’s syndrome in children with viral infections 10 Which teaching best helps parents of a child with hemophilia reduce long-term complications? a Encourage injury prevention and prompt evaluation of joint pain or swelling b Limit physical activity to prevent bruising c Use over-the-counter pain relievers at the first sign of discomfort

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NCLEX PREP: Pediatric Hemophilia & CF

Froggy Jumps

About this activity

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NCLEX PREP: Pediatric Hemophilia & CFOnline version

by RNPRPEPBESTIE

A 6-year-old with hemophilia presents with sudden knee pain and swelling after recess. No external bleeding is noted. What is the nurse's priority action?

A parent of a child with hemophilia asks why minor injuries cause so much concern. Which explanation by the nurse is most accurate?

A child with hemophilia is prescribed an IM vaccine. What action by the nurse is most appropriate?

A child recovering from influenza is given aspirin at home for fever. The parent reports vomiting and confusion. What complication is the nurse most concerned about?

Which teaching is most important for parents to prevent Reye’s syndrome in children?

A child with cystic fibrosis eats well but continues to lose weight and has bulky, greasy stools. What intervention best addresses the underlying problem?

A child with cystic fibrosis has a productive cough but is increasingly fatigued and skipping airway clearance treatments. What concern should guide the nurse’s action?

Which parent statement indicates correct understanding of daily care priorities for a child with cystic fibrosis?

A provider orders aspirin for pain in a child with cystic fibrosis during a viral illness. What is the nurse’s best action?

Which teaching best helps parents of a child with hemophilia reduce long-term complications?