NCLEX-RN
Free NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
A client's diagnosis of cystic fibrosis was made 13 years ago, and he has since been hospitalized several times. On the latest admission, the client has labored respirations, fatigue, malnutrition, and failure to thrive. Which nursing actions are most important initially?
Correct Answer: C
Rationale: Applying an oximeter to assess oxygen saturation and initiating respiratory therapy are critical initial actions to address labored respirations and support respiratory function in a cystic fibrosis patient with acute symptoms.
Question 2 of 5
A 1-year-old child is scheduled for surgery to correct hypospadias and chordee. The nurse explains to the parents that this is the preferred time for surgical repair based on which of the following?
Correct Answer: C
Rationale: Younger children may not remember the experience.
Question 3 of 5
Which of the following assessments should be the priority for an infant who has had surgery to correct an intussusception and is now at risk for development of a paralytic ileus postoperatively?
Correct Answer: B
Rationale: Auscultating bowel sounds monitors for paralytic ileus, a critical postoperative complication.
Question 4 of 5
A charge nurse is making assignments for a group of children on a pediatric unit. The nurse should avoid assigning the same nurse to care for a 2-year-old with respiratory syncytial virus (RSV) and:
Correct Answer: C
Rationale: Assigning the same nurse to a child with RSV and a 1-year-old with a heart defect should be avoided due to the risk of transmitting RSV, which can be particularly severe in children with cardiac conditions.
Question 5 of 5
While assessing a 3-year-old child who has had an injury to the leg, has pain, and refuses to walk, the nurse notes that the child's left thigh is swollen. What should the nurse do next?
Correct Answer: D
Rationale: Swelling, pain, and refusal to walk suggest a serious injury, possibly a fracture, requiring immediate physician notification.