NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
A child with cystic fibrosis is receiving gentamicin. Which of the following nursing actions is most important?
Correct Answer: A
Rationale: Monitoring intake and output is critical when administering gentamicin, an aminoglycoside, to detect early signs of nephrotoxicity, a common adverse effect.
Question 2 of 5
After teaching the parents of a neonate diagnosed with a tracheoesophageal fistula (TEF) about this anomaly, the nurse determines that the teaching was successful when the father describes the condition as which of the following?
Correct Answer: B
Rationale: TEF involves a blind esophageal pouch and a fistula connecting the esophagus to the trachea, as described.
Question 3 of 5
The mother asks the nurse about her 9-year-old child's apparent need for between-meal snacks, especially after school. When developing a sound nutritional plan for the child with the mother, the nurse should advise the mother:
Correct Answer: C
Rationale: Involving the child in snack preparation promotes healthy choices and responsibility.
Question 4 of 5
When developing the plan of care for a school-age child with a suspected diagnosis of appendicitis who is complaining of severe abdominal pain, which of the following measures should the nurse expect to include in the child's plan of care?
Correct Answer: C,D
Rationale: Ice and narcotics relieve pain without risking perforation, unlike heat or rectal tubes.
Question 5 of 5
When assessing the development of a 15-month-old child with cerebral palsy, which of the following milestones should the nurse expect a toddler of this age to have achieved?
Correct Answer: D
Rationale: A 15-month-old typically can put a block in a cup, a milestone achievable even with motor challenges from cerebral palsy, unlike the other options which require more advanced skills.