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NSG 2525 EXAM 2 PEDIATRIC NCLEX QUESTIONS questions fully solved & updated 2025
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NSG 2525 EXAM 2 PEDIATRIC NCLEX QUESTIONS questions fully solved & updated 2025
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NSG 2525 EXAM 2: PEDIATRICNCLEX QUESTIONS questions
fully solved & updated 2025
True or False: the appendix is found on the left lower side of the abdomen
and is connected to the cecum of the large intestine. - answer FALSE
Which of the following are not causes of appendicitis? SATA
A. Fecalith
B. Routine usage of NSAIDs
C. Infection due to Helicobacter pylori
D. Lymph node enlargemnent due to viral or bacterial infection
E. Diet low in fiber - answer B. Routine usage of NSAIDs
C. infection due to Helicobacter pylori
E. Diet low in fiber
A child is admitted with suspected appendicitis and states that he is
having pain around the umbilicus that extends into the lower part of his
abdomen. In addition, he says that the pain is worst on the right lower
quadrant. The patient points to his abdomen at a location which is about
1/3 distance between the anterior superior iliac spine and umbilicus. What
is this area called?
A. Rovsing's point
B. Hamman's point
C. McBurnery's point
D. Murphy's point - answer C. McBurney's point
Thinking back to the scenario in question 3, what other signs and
symptoms are associated with appendicitis. SATA.
A. Increased RBCs
,B. Patient has the desire to be positioned in the prone position to relieve
pain
C. Umbilical pain that extends in the right lower quadrant
D. Abdominal flaccidity
E. Abdominal rebound tenderness - answer C. Umbilical pain that extends
in the right lower quadrant
E. Abdominal rebound tenderness
A child is admitted with appendicitis. Which statement by the patient
requires immediate nursing intervention?
A. The pain hurts so much its making me nauseaus
B. I have no appetite
C. The pain seems to be gone now
D. If i position myself on my right side, it makes the pain less severe -
answer C. The pain seems to be gone now
You're providing education to a group of nursing students about the care
of a child with appendicitis. Which statement by a nursing student
requires re-education about your teaching?
A. After an appendectomy the patient may have a nasogastric tube to
remove stomach fluids and swallowed air
B. Non-pharmacologic techniques for a patient with appenditicitis include
application of heat to the abdomen and the side-lying position
C. The nurse should monitor the patient for signs and symptoms of
peritonitis which includes increased heart rate, respirations, temperature,
abdominal distention, and intense abdominal pain
D. It is normal for some patients to have shoulder pain after a
laparoscopic appendectomy - answer B. Non-pharmacologic techniques for
a patient with appenditicitis include application of heat to the abdomen
and the side-lying position
You patient is 4 days post op from an appendectomy. Which assessment
finding requires further evaluation?
A. The patient reports their last bowel movement was the day before
surgery
,B. The patient reports incisional pain
C. The patient coughs and deep breathes while splinting the abdominal
incision
D. Options A and C - answer A. The patient reports their last bowel
movement was the day before surgery
A patient is recovering after having an appendectomy. the patient is 48
hours post op from surgery and is tolerating full liquids. The physician
orders for the patient to try solid foods. What types of foods should the
patient incorporate in their diet?
A. Foods high in fiber
B. Foods low in fiber
C. Foods high in carbohyrdates
D. Foods low in protein - answer A. Foods high in fiber
A patient is scheduled for an appendectomy at noon. while performing
your morning assessment, you note that the patient has a fever of 103.8 F
and rates abdominal pain at a 9 out of 10. In addition, the abdomen is
distended and the patient claims that he was feeling better last night, but
it seems the pain has gotten worse. The patient is having tachycardia and
tachypnea. Based on the scenario, what do you suspect the patient is
experiencing?
A. Pulmonary embolism
B. Colon Fistulae
C. Peritonitis
D. Hemorrhage - answer C. Peritonitis
A 10-year-old is being evaluated for possible appendicitis and complains
of nausea and sharp abdominal pain in the right lower quadrant. An
abdominal ultrasound is scheduled, and a blood count has been obtained.
The child vomits, finds the pain relieved, and calls the nurse. Which should
be the nurse's next action?
1. Cancel the ultrasound, and obtain an order for oral Zofran
(ondansetron).
2. Cancel the ultrasound, and prepare to administer an intravenous bolus.
3. Prepare for the probable discharge of the patient.
, 4. Immediately notify the physician of the child's status. - answer 4. The
physician should be notified immediately, as a sudden change or loss of
pain often indicates a perforated appendix
The nurse is caring for a 3-year-old who had an appendectomy 2 days ago.
The child has a fever of 101.8°F (38.8°C) and breath sounds are slightly
diminished in the right lower lobe. Which action is most appropriate?
1. Teach the child how to use an incentive spirometer.
2. Encourage the child to blow bubbles.
3. Obtain an order for intravenous antibiotics.
4. Obtain an order for Tylenol (acetaminophen). - answer 2. Blowing
bubbles is a developmentally appropriate way to help the preschooler take
deep breaths and cough.
The nurse is caring for a 5-year-old who has just returned from having an
appendectomy. Which is the optimal way to manage pain?
1. Intravenous morphine as needed.
2. Liquid Tylenol (acetaminophen) with codeine as needed.
3. Morphine administered through a PCA pump.
4. Intramuscular morphine as needed. - answer 3. Morphine administered
through a PCA pump offers the child control over managing pain. The PCA
pump also has the benefit of offering a basal rate as well as an as-needed
rate for optimal pain management.
The nurse is providing discharge instructions to the parents of a child who
had an appendectomy for a ruptured appendix 5 days ago. The nurse
knows that further education is required when the parent states:
1. "We will wait a few days before allowing our child to return to school."
2. "We will wait 2 weeks before allowing our child to return to sports."
3. "We will call the pediatrician's office if we notice any drainage around
the wound."
4. "We will encourage our child to go for walks every day." - answer 4. "We
will encourage our child to go for walks every day."
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