NCLEX-RN
NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
A 12-year-old client with asthma is receiving I.V. hydrocortisone, ampicillin, and theophylline. The client vomits after breakfast and lunch, is very irritable, and has a heart rate of 120 beats/minute. The nurse should:
Correct Answer: C
Rationale: Vomiting, irritability, and tachycardia (heart rate of 120 bpm) are signs of theophylline toxicity. The nurse should withhold further doses, inform the provider of the vomiting, and monitor for toxicity, as additional theophylline could worsen symptoms.
Question 2 of 5
After teaching the parents of a child with febrile seizures about methods to lower temperature other than using medication, which of the following statements indicates that further teaching is necessary?
Correct Answer: A,B,C,D
Rationale: All options are incorrect: blankets increase temperature, cold baths cause discomfort, and alcohol sponging is unsafe. Further teaching is needed.
Question 3 of 5
Which of the following nursing diagnoses would be appropriate for the nurse to identify as a priority diagnosis for an infant just admitted to the hospital with a diagnosis of gastroenteritis?
Correct Answer: B
Rationale: Fluid loss from diarrhea is the most urgent concern in gastroenteritis.
Question 4 of 5
A father brings his 4-week-old son to the clinic for a checkup, stating that he believes his son's testicle is missing. Which of the following explanations would be most appropriate?
Correct Answer: B
Rationale: Testes often descend by 6 months of age; however, if they haven't, surgical intervention may be necessary.
Question 5 of 5
A child with celiac disease is at risk for which complication if the diet is not followed?
Correct Answer: B
Rationale: Untreated celiac disease increases the risk of intestinal lymphoma due to chronic inflammation. Renal, pulmonary, or cardiac complications are not directly associated.