NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
A 7-year-old has been diagnosed as mentally retarded. Which of the parents' expectations for their child is realistic?
Correct Answer: A,B,C
Rationale: Mental retardation involves difficulty learning, an IQ below 70, and deficits in adaptive behavior, which are realistic expectations for the child's capabilities.
Question 2 of 5
When obtaining the nursing history from the mother of an infant with suspected intussusception, which of the following questions would be most helpful?
Correct Answer: A
Rationale: Stool appearance (e.g., currant jelly stools) is a hallmark of intussusception, aiding diagnosis.
Question 3 of 5
After surgery to repair a tracheoesophageal fistula, an infant receives gastrostomy tube feedings. After feeding the infant by this method, the nurse positions the infant with the head elevated for approximately 30 minutes, primarily to help accomplish which of the following?
Correct Answer: B
Rationale: Head elevation reduces the risk of formula reflux, protecting the surgical site and airway.
Question 4 of 5
After 6 months of treatment with diet and exercise, a 12-year-old with type 2 diabetes still has a fasting blood glucose level of 140 mg/dL. The primary care provider has decided to begin metformin (Glucophage). The adolescent asks how the medication works. The nurse should tell the client that the medicine decreases the glucose production and:
Correct Answer: C
Rationale: Metformin reduces hepatic glucose production and increases insulin sensitivity in peripheral tissues, improving glucose uptake. It does not replace insulin, stimulate insulin production, or affect carbohydrate absorption.
Question 5 of 5
The nurse should refer the parents of an 8-month-old child to a health care provider if the child is unable to:
Correct Answer: D
Rationale: An 8-month-old should be able to sit without support; inability to do so warrants further evaluation.