NCLEX-RN
RN Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
A mother tells the nurse that one of her children has chickenpox and asks what she should do to care for that child. When teaching the mother, the nurse should instruct the mother to help her child prevent:
Correct Answer: C
Rationale: Scratching chickenpox lesions can lead to bacterial skin infections, which should be prevented.
Question 2 of 5
A parent asks why it is recommended that the second dose of the measles, mumps, and rubella (MMR) vaccine be given at 4 to 6 years of age? The nurse should explain to the parent that the second dose is given at this age for what reason?
Correct Answer:
Rationale: The second MMR dose ensures long-term immunity, as some children may not respond fully to the first dose.
Question 3 of 5
After a tonsillectomy and adenoidectomy, which of the following findings should alert the nurse to suspect early hemorrhage in a 5-year-old child?
Correct Answer: A
Rationale: Drooling of bright red secretions indicates active bleeding, a sign of early hemorrhage post-tonsillectomy. A pulse rate of 95 bpm is within normal range for a 5-year-old, and vomiting dark brown emesis suggests older blood, not active bleeding. Blood pressure of 95/56 mm Hg is low but not specific to hemorrhage without other signs.
Question 4 of 5
After teaching the parents of a toddler about commonly aspirated foods, which of the following foods, if identified by the parents as easily aspirated, would indicate the need for additional teaching?
Correct Answer: D
Rationale: Popcorn, raw vegetables, and round candy are commonly aspirated due to their size, shape, or texture, posing a choking risk. Crackers, while a potential choking hazard, are less commonly associated with aspiration compared to the others, indicating the parents may need further clarification on specific risks.
Question 5 of 5
Which assessment findings should lead the nurse to suspect that a toddler is experiencing respiratory distress? Select all that apply.
Correct Answer: B,D,F
Rationale: A respiratory rate of 35 breaths/minute (elevated for a toddler), restlessness, and diaphoresis indicate respiratory distress, reflecting increased work of breathing and stress. Coughing may be present but is less specific, while a heart rate of 95 bpm and malaise are not directly indicative of acute respiratory distress.