NCLEX-RN
Free NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
A male adolescent who underwent repair of an inguinal hernia earlier today and is getting ready to go home receives instructions about resuming physical activities. Which of the following statements would indicate that he has understood the instructions?
Correct Answer: B
Rationale: Avoiding strenuous activities like PE for 2 weeks prevents strain on the surgical site.
Question 2 of 5
A 4-week-old infant admitted with the diagnosis of hypertrophic pyloric stenosis presents with a history of vomiting. The nurse should anticipate that the infant's vomitus would contain gastric contents and which of the following?
Correct Answer: C
Rationale: Pyloric stenosis causes vomiting of gastric contents, mucus, and sometimes blood due to irritation, but not bile.
Question 3 of 5
A nurse is making an initial visit to a family with a 3-year-old child with early Duchenne's muscular dystrophy. Which of the following findings is expected with the missing child?
Correct Answer: B
Rationale: Enlarged calf muscles due to pseudohypertrophy are a hallmark of early Duchenne's muscular dystrophy, caused by fatty infiltration of muscle tissue.
Question 4 of 5
A child with a nut allergy is admitted with a severe reaction for the third time in three months. The parent says, 'I am having trouble with the food labels.' The nurse should first:
Correct Answer: B
Rationale: A dietician can provide expert guidance on reading labels to avoid allergens. Reading assessment, provider notification, or social services may follow but are not the priority.
Question 5 of 5
A child with a lead level of 20 mcg/dL is prescribed oral chelation therapy. The nurse should monitor for which side effect?
Correct Answer: B
Rationale: Oral chelators like succimer can cause renal toxicity, requiring monitoring of kidney function. Hypertension, hypoglycemia, and seizures are not common side effects.