NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
A 5-year-old child with burns on the trunk and arms has no appetite. The nurse and mother develop a plan of care to stimulate the child's appetite. Which of the following suggestions made by the mother would indicate that she needs additional teaching?
Correct Answer: B
Rationale: Withholding desserts can create negative associations with eating, reducing appetite. Feeding assistance, finger foods, and smaller meals are appropriate to encourage intake in a burn patient with high metabolic needs.
Question 2 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 3 of 5
Which intervention should the nurse prioritize for an infant with failure to thrive?
Correct Answer: B
Rationale: A consistent feeding schedule addresses poor intake, promoting weight gain. IV fluids are for acute dehydration, developmental evaluation is secondary, and room temperature is less relevant.
Question 4 of 5
A child with a known seizure disorder is hospitalized for an appendectomy. While assisting the child back from the restroom, the child begins tonic-clonic movements. The nurse should take which actions in order of priority from first to last?
Order the Items
Source Container
Correct Answer: C,B,D,A
Rationale: Easing the child to the floor prevents injury, clearing objects and padding the head ensures safety, rolling to the side maintains airway, and noting the time tracks seizure duration.
Question 5 of 5
The physician has ordered intravenous mannitol (Osmitrol) for a child with a head injury. The best indicator that the drug has been effective is:
Correct Answer: C
Rationale: Mannitol reduces intracranial pressure by osmotic diuresis; decreased intracranial pressure is the primary indicator of its effectiveness.