NCLEX-RN
Free NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
A 7-year-old has had an appendectomy on November 12. He has had pain for the last 24 hours. There is an order to administer Tylenol with Codeine every 3 to 4 hours as needed. The nurse is beginning the shift and reviews the chart below for pain history. Based on the information in the chart, what should the nurse do next?
Correct Answer: A
Rationale: The FACES score of 4 at 7:00 am indicates pain, and it's been 6 hours since the last dose, warranting medication.
Question 2 of 5
After teaching the parents of a preschooler who has undergone a tonsillectomy and adenoidectomy about appropriate foods to give the child after discharge, which of the following, if stated by the parents as appropriate foods, indicates successful teaching?
Correct Answer: C
Rationale: Cream of chicken soup and orange sherbet are soft, non-irritating foods suitable for a child post-tonsillectomy, as they are easy to swallow and unlikely to irritate the surgical site. Meat loaf, uncooked carrots, pork, noodles, hot dogs, and potato chips are harder or crunchier foods that could irritate or cause discomfort.
Question 3 of 5
An 18-year-old high school senior wishes to obtain birth control through her parents' insurance but doesn't want this information disclosed. The nurse tells the client that under the Health Information Portability and Accountability Act (HIPAA) parents:
Correct Answer: C
Rationale: HIPAA protects the minor's privacy, but insurance billing may disclose the visit.
Question 4 of 5
Which of the following would be the best activity for the nurse to include in the plan of care for an infant experiencing severe diarrhea?
Correct Answer: B
Rationale: Daily weights provide an accurate measure of fluid loss in diarrhea.
Question 5 of 5
After a child undergoes a craniotomy for an infratentorial brain tumor, the nurse should place the child in which of the following positions to prevent undue strain on the sutures?
Correct Answer: C
Rationale: Side-lying position minimizes pressure on infratentorial sutures while maintaining airway and reducing intracranial pressure.