NCLEX-RN : Conditions and Treatments

Study concepts, example questions & explanations for NCLEX-RN

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Example Questions

Example Question #14 : Identifying Pediatric Conditions

Rubeola is caused by which of the following viruses? 

Possible Answers:

Coxsackievirus A16

Measles

Parvovirus B19

Human herpesvirus

Varicella zoster

Correct answer:

Measles

Explanation:

Rubeola is caused by the measles virus and is extremely contagious. Airborne precautions must be used when measles are suspected. Patients who are affected by measles may exhibit a high fever, cough, conjunctivitis and a rash among many other symptoms. Contraction of measles may be prevented by administration of MMR (Measles, Mumps, and Rubella) through vaccination. Human herpesvirus include a family of related viruses of which varicella/zoster virus (causes chicken pox and shingles) is a member. Parvovirus B19 may cause fifth disease, among other conditions. Coxsackievirus A16 causes hand food mouth disease.

Example Question #91 : Conditions And Treatments

Which of the following would be considered appropriate in the treatment of a child with Lyme disease? 

Possible Answers:

Contact precautions

Promotion of bed rest

Administration of antibiotics

Restricted fluid intake

A clear liquid diet

Correct answer:

Administration of antibiotics

Explanation:

Lyme disease is caused by the bacteria Borrelia burgdorferi. It is a vector-borne disease that is contracted secondary to the bite of an infected tick. Administration of antibiotics is crucial to recovery. Standard precautions are adequate. Restricting fluids, diet, or activity is not necessary. 

Example Question #16 : Identifying Pediatric Conditions

A mother calls the clinic because her son is 5 years of age and has been experiencing incontinence of diarrhea for three days. He has a past medical history of constipation. The physician has diagnosed the child with encopresis. The nurse may recommend the family try which of the following?

Possible Answers:

Encouraging a low-fiber diet

Restricting activity until the diarrhea goes away

Taking calcium carbonate tablets

Limiting sugary food consumption

Giving the child an enema

Correct answer:

Giving the child an enema

Explanation:

Constipation is a common complaint in children. Encopresis occurs when children are incontinent of fecal matter after toilet training. Often, a child will leak stool surrounding a large fecal mass that has hardened in the rectum. Giving a child an enema may help to clear the mass and restore bowel function. Constipation should be avoided through exercise, high-fiber diet, and adequate liquid ingestion.

Example Question #92 : Conditions And Treatments

A school nurse examines a 5-year-old child who comes into the office with belly pain. The nurse palpates McBurney's point and the child winces and pulls her knees to her chest. The school nurse phones the parents to tell them which of the following?

Possible Answers:

If the pain persists, make an appointment to see the physician later in the day

The child should be picked up and brought home

The child is likely constipated and will need to be seen in the office tomorrow

The child should be taken to the hospital immediately

The child may be experiencing reflux, spicy foods should be avoided

Correct answer:

The child should be taken to the hospital immediately

Explanation:

Tenderness over McBurney's point (one-third the distance from the anterior superior iliac spine to the navel) may indicate appendicitis. This should be treated as a surgical emergency and the child should be taken to the emergency room. Other symptoms of appendicitis include nausea, vomiting, fever, and frequent soft stools.

Example Question #15 : Pediatric Conditions

Rubella is a viral illness that commonly affects children. Which of the following is another name for rubella? 

Possible Answers:

Chicken pox

German measles

Measles

Hand, foot, and mouth disease

Fifth disease

Correct answer:

German measles

Explanation:

All of the above are viral illnesses commonly found in children. Rubella may be referred to as "german measles" and is spread through droplets. The disease is generally mild, presenting with a rash that typically lasts around three days. Maternal rubella may spread to the fetus and cause severe complications.

Rubeola, also known as measles, is highly contagious and is caused by the measles virus. Chicken pox is caused by the herpes zoster (varicella) virus. Hand foot mouth disease is a viral disease caused by coxsackievirus A16. Fifth disease is caused by parvovirus B19 and presents with bright red rashes on the cheeks and other parts of the body.

Example Question #16 : Pediatric Conditions

The nurse is caring for a one year old male client who has been brought to the emergency room because his parents state that he has been "more fussy than usual." He has currant-jelly stools and is vomiting. What may the nurse suspect? 

Possible Answers:

Inguinal hernia

Encopresis

Umbilical hernia

Pyloric stenosis

Intussusception

Correct answer:

Intussusception

Explanation:

Intussusception occurs when a portion of the bowel is pushed into another portion. It most commonly affects children under the age of two. Red currant jelly stools (stool mixed with blood and mucus) vomiting, and pain are common symptoms. Red currant jelly stools are a hallmark of intussusception. Pyloric stenosis generally causes reflux post feeding and encopresis affects children who have already been toilet trained. Hernias are rare in young patients. Encopresis refers to involuntary fecal soiling in children who are already toilet-trained, and does not involve abnormal stool, such as currant-jelly characterization.

Example Question #21 : Identifying Pediatric Conditions

Which of the following is a typical clinical sign of aortic insufficiency in a pediatric patient?

Possible Answers:

Exercise intolerance

Mania

Excessive sweating

Frequent epigastric pain

Correct answer:

Exercise intolerance

Explanation:

Exercise intolerance is a typical clinical finding in pediatric patients with aortic stenosis. This condition may present with any of the other symptoms but mania, excessive sweating, and epigastric pain are not directly associated with aortic insufficiency in this population.

Example Question #93 : Conditions And Treatments

Parvovirus B-19 causes which of the following conditions?

Possible Answers:

Scarlet fever

Fifth's disease

Roseola infantum

Rubeola

Correct answer:

Fifth's disease

Explanation:

Parvovirus B-19 causes fifth's disease, sometimes referred to as "slapped cheek syndrome," due to the bright-red cheeks that often present with the infection. Scarlet fever is caused by group A streptococcus infection. Roseola infantum is caused by either human herpesvirus 6 or human herpesvirus 7. Rubeola, or measles, is caused by the measles virus.

Example Question #99 : Conditions And Treatments

What is the incubation period for varicella (chickenpox)?

Possible Answers:

48-72 hours

10-21 days

2-7 days

14-28 days

Correct answer:

10-21 days

Explanation:

Varicella, caused by an infection with the varicella zoster virus, has an incubation period of 10-21 days. 

Example Question #23 : Identifying Pediatric Conditions

Which of the following infections is the most common cause of hand, foot, and mouth disease?

Possible Answers:

Coxsackievirus A16 

Enterovirus 71

Human herpesvirus 6

Parvovirus b19

Correct answer:

Coxsackievirus A16 

Explanation:

The most common cause of hand, foot, and mouth disease in the United States is coxsackievirus A16. Enterovirus 71 can also cause hand, foot, and mouth disease, though it is a less common etiology. Parvovirus b19 causes Fifth disease, sometimes referred to as "slapped cheek syndrome." Human herpesvirus 6 is one of two viruses that cause roseola infantum.

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