NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
A mother states that she thinks her 9-month-old 'is developing slowly.' When assessing the infant's development, the nurse is also concerned because the infant should be demonstrating which of the following characteristics?
Correct Answer: C
Rationale: Building a tower of two cubes is expected by 9 months; failure to do so suggests developmental delay.
Question 2 of 5
While the nurse is delivering abdominal thrusts to a 6-year old who is choking on a foreign body, the child begins to cry. Which of the following should the nurse do next?
Correct Answer: D
Rationale: If the child begins to cry, it indicates the airway is no longer obstructed, as crying requires airflow. The nurse should observe the child closely to ensure stability.
Question 3 of 5
An adolescent girl with a seizure disorder controlled with phenytoin (Dilantin) and carbamazepine (Tegretol) asks the nurse about getting married and having children. Which of the following responses by the nurse would be most appropriate?
Correct Answer: C
Rationale: Consulting a doctor about medication adjustments before pregnancy ensures safety for mother and fetus, addressing teratogenic risks.
Question 4 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 5 of 5
A nurse is teaching parents about soothing an infant with colic. Which strategy should be recommended?
Correct Answer: B
Rationale: A pacifier can soothe colic by satisfying sucking needs. Increased formula, noise, or infrequent feeds may worsen symptoms.