NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
A 7-year-old child with a history of asthma controlled without medications is referred to the school nurse by the teacher because of persistent coughing. Which of the following should the nurse do first?
Correct Answer: C
Rationale: Calling a parent to obtain more information is the first step to clarify the child's asthma history, recent symptoms, and any prescribed medications, ensuring appropriate management of the persistent coughing.
Question 2 of 5
An 18-month-old with a congenital heart defect is to receive digoxin twice a day. The nurse should instruct the parents about which of the following?
Correct Answer: A
Rationale: Digoxin improves heart function by increasing contractility and regulating rhythm.
Toxicity signs are correct but not the focus here, absorption is not meal-dependent, and repeating a vomited dose risks overdose.
Question 3 of 5
The health care team determines that the family of an infant with failure to thrive who is to be discharged will need follow-up care. Which of the following would be the most effective method of follow-up?
Correct Answer: D
Rationale: Weekly in-home nurse visits provide direct monitoring and support for feeding and growth. Phone calls, classes, or clinic visits are less comprehensive.
Question 4 of 5
The parents of a child who requires skeletal traction are unable to visit their child for more than one hour a day because of their jobs. The nurse should:
Correct Answer: B
Rationale: Arranging companionship helps meet the child's emotional needs when parents are unavailable due to work constraints.
Question 5 of 5
A diagnosis of hemophilia A is confirmed in an infant. Which of the following instructions should the nurse provide the parents as the infant becomes more mobile and starts to crawl?
Correct Answer: B
Rationale: Padding protects joints from trauma, reducing bleeding risk in hemophilia. Aspirin increases bleeding, urine checks are unnecessary, and teething bleeding is minimal.