NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
A nurse administers ranitidine (Zantac) instead of cetirizine (Zyrtec) to an 8-year-old with asthma. The client has suffered no adverse effects. The nurse tells the charge nurse of the incident but fears disciplinary action. The charge nurse should tell the nurse:
Correct Answer: B
Rationale: Reporting the error helps identify system problems to improve client safety, promoting a culture of transparency and quality improvement.
Question 2 of 5
When assessing an infant with suspected inguinal hernia, which of the following findings would be most significant?
Correct Answer: B
Rationale: Irritability and a thickened spermatic cord suggest a hernia, indicating possible incarceration.
Question 3 of 5
The nurse is teaching the parents of an infant with pyloric stenosis about postoperative care. Which instruction should be included?
Correct Answer: B
Rationale: Monitoring for projectile vomiting ensures early detection of surgical complications.
Question 4 of 5
An infant diagnosed with Hirschsprung's disease is scheduled to receive a temporary colostomy. When initially discussing the diagnosis and treatment with the parents, which of the following would be most appropriate?
Correct Answer: C
Rationale: Encouraging questions promotes understanding and engagement with the treatment plan.
Question 5 of 5
An 8-year-old with diabetes is placed on neutral and immune Hagedorn (NPH) and regular insulin before breakfast and before dinner. She will receive a snack of milk and cereal at bedtime. The snack will:
Correct Answer: C
Rationale: A bedtime snack with NPH insulin prevents late-night hypoglycemia by providing carbohydrates during peak insulin action. It is not primarily for weight gain, immediate use, or diet adherence.