NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
A 12-year-old with leukemia will be taking vincristine. The nurse should encourage the child to eat what kind of diet?
Correct Answer: D
Rationale: A high-calorie diet supports energy needs during leukemia treatment, especially with vincristine, which doesn't require dietary restrictions.
Question 2 of 5
The nurse is preparing to administer furosemide (Lasix) to a 3-year-old with a heart defect. The nurse verifies the child's identity by checking the arm band and:
Correct Answer: D
Rationale: Asking the parent is appropriate for a 3-year-old, who may not reliably state their name or birth date. Room numbers are not reliable identifiers.
Question 3 of 5
The nurse is planning care for a child with hemophilia who is scheduled for a dental procedure. Which precaution should the nurse include?
Correct Answer: C
Rationale: Factor replacement therapy before dental procedures prevents excessive bleeding in hemophilia. Ibuprofen and vigorous rinsing increase bleeding risk.
Question 4 of 5
When teaching the mother of an infant who has undergone surgical repair of a cleft lip how to care for the suture line, the nurse demonstrates how to remove formula and drainage. Which of the following solutions should the nurse use?
Correct Answer: D
Rationale: Half-strength hydrogen peroxide is gentle and effective for cleaning the suture line without irritating the delicate tissue.
Question 5 of 5
After teaching the parents of a neonate diagnosed with a tracheoesophageal fistula (TEF) about this anomaly, the nurse determines that the teaching was successful when the father describes the condition as which of the following?
Correct Answer: B
Rationale: TEF involves a blind esophageal pouch and a fistula connecting the esophagus to the trachea, as described.