NCLEX-RN
Free NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 4
A 10-year-old has just spilled hot liquid on his arm, and a 4-inch area on his forearm is severely burned. His mother calls the emergency department. What should the nurse advise the mother to do?
Correct Answer: C
Rationale: Applying cool (not cold) water for 10-15 minutes reduces burn depth and pain. Keeping the child warm is secondary, antibiotic cream is not immediate, and 911 is unnecessary for a localized burn unless systemic symptoms appear.
Question 2 of 4
An adolescent is to receive radioactive iodine for Graves' diseases. Which statement by the client reflects the need for more teaching?
Correct Answer: C
Rationale: Radioactive iodine often leads to hypothyroidism, requiring lifelong thyroid hormone replacement. Options A, B, and D reflect correct understanding of radiation precautions and fertility.
Question 3 of 4
An 8-year-old with newly diagnosed diabetes is in the hospital for regulation of diet and medications. The child is using an exchange method for the diet. The nurse should instruct the client that the American Diabetes Association's (ADA's) exchange method for dietary regulation includes:
Correct Answer: C
Rationale: The ADA exchange method groups foods by protein, fat, and carbohydrate content to balance macronutrients. It does not require weighing all food or exclusive carbohydrate counting, though lists are used.
Question 4 of 4
An adolescent with insulin-dependent diabetes is being taught the importance of rotating the sites of insulin injections. The nurse should judge that the teaching was successful when the adolescent identifies which of the following as a result of using the same site?
Correct Answer: A
Rationale: Repeated injections at the same site cause lipodystrophy, leading to poor insulin absorption. Nerve damage, rapid uptake, or insulin resistance are not primary consequences.
Question 5 of 4
The nurse is giving care to an infant with a brain tumor. The nurse observes the infant arch the back (see figure). The nurse should:
Correct Answer: A
Rationale: The infant has opisthotonos, an indication of brain stem herniation; the nurse should notify the physician immediately and have resuscitation equipment ready. Stroking the back will not relieve the herniation or release the arching. Although the infant may also have a seizure, and padded side rails will prevent injury, the fi rst action is to notify the physician. Placing the child in a prone position will not relieve the herniation or release the arching.