NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
A child is admitted with a fracture of the femur and placed in skeletal traction. What should the nurse assess first?
Correct Answer: C
Rationale: Assessing pin sites for infection is the priority, as infection can lead to serious complications in skeletal traction.
Question 2 of 5
A child who limps and has pain has been found to have Legg-Calvé-Perthes disease. What should the nurse expect to include in the child's plan of care?
Correct Answer: A
Rationale: Pain control is essential in Legg-Calvé-Perthes disease, as pain is a common symptom, especially at night, due to inflammation and muscle spasms.
Question 3 of 5
A 6-month-old child is discharged with a urinary stent after a procedure to repair a hypospadias. The nurse should tell the parents to:
Correct Answer: A
Rationale: Avoiding tub baths prevents infection.
Question 4 of 5
A child who was intubated after a craniotomy now shows signs of decreased level of consciousness. The physician orders manual hyperventilation to keep the PaCO2 between 25 and 29 mm Hg and the PaO2 between 80 and 100 mm Hg. The nurse interprets this order based on the understanding that this action will accomplish which of the following?
Correct Answer: A
Rationale: Hyperventilation lowers PaCO2, causing vasoconstriction and reducing intracranial pressure in brain tumor patients.
Question 5 of 5
Which of the following should the nurse include when completing discharge instructions for the parents of a 12-month-old child diagnosed with Kawasaki disease (KD) and being discharged to home?
Correct Answer: B
Rationale: Monitoring temperature daily helps detect persistent fever, a sign of ongoing inflammation in Kawasaki disease. Other options are less critical or impractical at home.