NCLEX-RN
NCLEX RN Pediatric Questions
Question 1 of 5
An adolescent girl with a seizure disorder controlled with phenytoin (Dilantin) and carbamazepine (Tegretol) asks the nurse about getting married and having children. Which of the following responses by the nurse would be most appropriate?
Correct Answer: C
Rationale: Consulting a doctor about medication adjustments before pregnancy ensures safety for mother and fetus, addressing teratogenic risks.
Question 2 of 5
Which of the following is appropriate language development for an 8-month-old? The child should be:
Correct Answer: C
Rationale: At 8 months, infants typically say 'dada' and 'mama' nonspecifically, as specific use develops closer to 12 months.
Question 3 of 5
A 14-year-old has just had a plaster cast placed on his lower left leg. To provide safe cast care, the nurse should?
Correct Answer: C
Rationale: Using only the palms prevents indentations in the wet cast, which could cause pressure points or alter the cast's shape.
Question 4 of 5
A child with a known seizure disorder is hospitalized for an appendectomy. While assisting the child back from the restroom, the child begins tonic-clonic movements. The nurse should take which actions in order of priority from first to last?
Order the Items
Source Container
Correct Answer: C,B,D,A
Rationale: Easing the child to the floor prevents injury, clearing objects and padding the head ensures safety, rolling to the side maintains airway, and noting the time tracks seizure duration.
Question 5 of 5
An adolescent male client scheduled for an emergency appendectomy is to be transferred directly from the emergency room to the operating room. Which of the following statements by the client should the nurse interpret as most significant?
Correct Answer: C
Rationale: Worsening pain may indicate perforation, requiring urgent attention.