NCLEX-RN
RN Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
A 9-year-old is given morphine for postoperative pain. As the nurse is assessing the client for pain 4 hours later, his mother leaves the room and the child begins to cry. The nurse's initial assessment of the child's pain is that he is:
Correct Answer: B
Rationale: Emotional distress, such as the mother leaving, can lower pain tolerance, making the child more sensitive to existing pain.
Question 2 of 5
A 7-year-old child is experiencing pain after an appendectomy. Which data collection tool should the nurse use to assess the pain?
Correct Answer: C
Rationale: The FACES scale is age-appropriate for a 7-year-old to assess pain.
Question 3 of 5
A 15-year-old has been admitted to the hospital with the diagnosis of acute lymphocytic leukemia. Which of the following signs and symptoms require the most immediate nursing intervention?
Correct Answer: B
Rationale: Fever and petechiae indicate infection and bleeding risk, requiring urgent intervention in leukemia due to immunosuppression and low platelets.
Question 4 of 5
An adolescent sustains a T3 spinal cord injury. After insertion of an intravenous line, a nasogastric tube, and an indwelling urinary (Foley) catheter, the adolescent is admitted to the intensive care unit. What should the nurse do next when assessment reveals that the adolescent's feet and legs are cool to the touch?
Correct Answer: A
Rationale: Cool extremities indicate poor circulation, common in spinal cord injury; covering with blankets promotes warmth and comfort.
Question 5 of 5
The nurse is teaching an adolescent with asthma how to use an inhaler. In which order should the nurse instruct the client to follow the steps from first to last?
Order the Items
Source Container
Correct Answer: B,D,A,C
Rationale: Exhale, press canister, inhale, and hold breath ensures proper medication delivery.