NCLEX-RN
Free NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
A 16-month-old child diagnosed with Kawasaki disease (KD) is very irritable, refuses to eat, and exhibits peeling skin on the hands and feet. The nurse should do which of the following first?
Correct Answer: C
Rationale: Irritability in Kawasaki disease is often due to discomfort and inflammation. A quiet environment reduces stimulation and promotes comfort, addressing the primary issue first.
Question 2 of 5
An adolescent with chronic renal failure is scheduled to go home with a peritoneal dialysis catheter in place. When developing the discharge teaching plan for the client and family focusing on psychosocial needs, which of the following areas should be a top priority to include?
Correct Answer: C
Rationale: Body image concerns are significant.
Question 3 of 5
A client's diagnosis of cystic fibrosis was made 13 years ago, and he has since been hospitalized several times. On the latest admission, the client has labored respirations, fatigue, malnutrition, and failure to thrive. Which nursing actions are most important initially?
Correct Answer: C
Rationale: Applying an oximeter to assess oxygen saturation and initiating respiratory therapy are critical initial actions to address labored respirations and support respiratory function in a cystic fibrosis patient with acute symptoms.
Question 4 of 5
A 1-year-old child is scheduled for surgery to correct hypospadias and chordee. The nurse explains to the parents that this is the preferred time for surgical repair based on which of the following?
Correct Answer: C
Rationale: Younger children may not remember the experience.
Question 5 of 5
When developing the plan of care for a child diagnosed with phenylketonuria (PKU), the nurse should establish which of the following goals?
Correct Answer: A
Rationale: The goal is to meet nutritional needs via a phenylalanine-restricted diet for growth while preventing neurological damage. The diet starts at diagnosis, not 3 weeks, and phenylalanine levels should be 2-6 mg/100 mL.