NCLEX-RN
NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
A nurse is assessing an infant with failure to thrive. Which finding requires immediate intervention?
Correct Answer: B
Rationale: A heart rate of 180 bpm suggests distress (e.g., dehydration, sepsis), requiring urgent evaluation. Low weight, poor feeding, and dry membranes are concerning but less acute.
Question 2 of 5
A father brings his 4-week-old son to the clinic for a checkup, stating that he believes his son's testicle is missing. Which of the following explanations would be most appropriate?
Correct Answer: B
Rationale: Testes often descend by 6 months of age; however, if they haven't, surgical intervention may be necessary.
Question 3 of 5
Which of the following nursing diagnoses would be appropriate for the nurse to identify as a priority diagnosis for an infant just admitted to the hospital with a diagnosis of gastroenteritis?
Correct Answer: B
Rationale: Fluid loss from diarrhea is the most urgent concern in gastroenteritis.
Question 4 of 5
The parent of a 9-month-old infant is concerned that the infant's front soft spot is still open. The nurse should tell the parent:
Correct Answer: D
Rationale: The anterior fontanelle typically closes between 12-18 months, so this is normal.
Question 5 of 5
The physician orders intravenous fluid replacement therapy with potassium chloride to be added for a child with severe gastroenteritis. Before adding the potassium chloride to the intravenous fluid, which of the following assessments would be most important?
Correct Answer: A
Rationale: Ensuring the ability to void confirms renal function before administering potassium.