NCLEX-RN
RN Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
A 10-year-old with glomerulonephritis reports a headache and blurred vision. The nurse should immediately:
Correct Answer: B
Rationale: Symptoms may indicate hypertensive crisis.
Question 2 of 5
A mother tells the nurse that one of her children has chickenpox and asks what she should do to care for that child. When teaching the mother, the nurse should instruct the mother to help her child prevent:
Correct Answer: C
Rationale: Scratching chickenpox lesions can lead to bacterial skin infections, which should be prevented.
Question 3 of 5
A 12-year-old with rheumatic fever has a history of long-term aspirin use. Which statement by the client indicates that the nurse should notify the health care provider?
Correct Answer: A
Rationale: Ringing in the ears (tinnitus) is a sign of aspirin toxicity, requiring immediate notification. Stomach pain is common but less urgent, and other symptoms are unrelated.
Question 4 of 5
A 12-year-old child has had a traumatic head injury from playing in a football game. He is admitted to the emergency department and transferred to the pediatric intensive care unit. He has an I.V. of dextrose 5% in water at a 'keep-open' rate and nasal oxygen at 2 L/minute. The nurse is assessing the child at the beginning of the shift (11:00 p.m.) and reviews the Glasgow Coma Scale flow sheet. The nurse notes that the child responds to pain, is making incomprehensible sounds, and has abnormal flexion of the limbs. What should the nurse do first?
Correct Answer: A
Rationale: A Glasgow Coma Scale score indicating pain response, incomprehensible sounds, and abnormal flexion (approximately 6-8) suggests severe neurological impairment, warranting immediate physician notification.
Question 5 of 5
Which of the following should the nurse include in the discharge teaching for a parent of an infant with a repaired cleft lip to promote healing?
Correct Answer: A
Rationale: Avoiding pacifier use prevents stress on the suture line, promoting healing.