NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
A child with a known seizure disorder is hospitalized for an appendectomy. While assisting the child back from the restroom, the child begins tonic-clonic movements. The nurse should take which actions in order of priority from first to last?
Correct Answer: C,B,D,A
Rationale: Easing the child to the floor prevents injury, clearing objects and padding the head ensures safety, rolling to the side maintains airway, and noting the time tracks seizure duration.
Question 2 of 5
A 14-year-old is being screened for scoliosis. Which of the following statements about scoliosis screening is true?
Correct Answer: C
Rationale: Assessing the girl standing and bending forward is the standard method to detect spinal asymmetry during scoliosis screening.
Question 3 of 5
The nurse has identified a priority nursing diagnosis of Anxiety related to surgery for a 4-yearold preparing for a tonsillectomy. The nurse should tell the child:
Correct Answer: D
Rationale: When preparing a child for a procedure the nurse should use neutral words, focus on sensory experiences, and emphasize the positive aspects at the end. Being reunited with parents and having an ice pop would be considered pleasurable events. Children this age fear bodily harm.
To reduce anxiety, avoid the word 'removed' to describe what is being done to the tonsils. Using the terms 'put to sleep' and 'I.V.' may be threatening. Additionally, directing a play experience to focus on I.V. insertion may be counterproductive as the child may have little recollection of this aspect of the procedure.
Question 4 of 5
The mother of a toddler with nephrotic syndrome asks the nurse what can be done about the child's swollen eyes. Which measure should the nurse suggest?
Correct Answer: B
Rationale: Elevation reduces swelling.
Question 5 of 5
Which of the following should the nurse use to determine achievement of the expected outcome for an infant with severe diarrhea and a nursing diagnosis of Deficient fluid volume related to passage of profuse amounts of watery diarrhea?
Correct Answer: A
Rationale: Moist mucous membranes indicate adequate hydration, the goal of treatment.