NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
A 13-year-old has been admitted with a diagnosis of rheumatic fever and is on bed rest. He complains of a sore throat. His joints are painful and swollen. He has a red rash on his trunk and is experiencing aimless movements of his extremities. Use the chart below to determine what the nurse should do first.
Correct Answer: A
Rationale: Rheumatic fever can cause carditis, and an elevated heart rate may indicate cardiac involvement, requiring immediate reporting. Other symptoms are managed after assessing cardiac status.
Question 2 of 5
A 12-year-old with asthma wants to exercise. Which of the following activities should the nurse suggest to improve her breathing?
Correct Answer: B
Rationale: Swimming is recommended for children with asthma because the warm, humid environment reduces airway irritation and bronchoconstriction. It also promotes controlled breathing, improving respiratory function.
Question 3 of 5
The mother of an 8-year-old with diabetes tells the nurse that she does not want the school to know about her daughter's condition. The nurse should reply:
Correct Answer: B
Rationale: Exploring concerns builds trust and allows the nurse to address fears while explaining the need for school awareness (e.g., for hypoglycemia management). Other responses dismiss or mandate without dialogue.
Question 4 of 5
The nurse teaches the mother of a young child with Duchenne's muscular dystrophy about the disease and its management. Which of the following statements by the mother indicates successful teaching?
Correct Answer: A
Rationale: Children with Duchenne's muscular dystrophy typically lose the ability to walk independently by ages 9 to 11 due to progressive muscle weakness.
Question 5 of 5
Which of the following beverages should the nurse plan to give a child with leukemia to relieve nausea?
Correct Answer: B
Rationale: Weak tea is gentle and soothing, helping relieve nausea without irritation. Other options may worsen nausea.