NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
A nurse is assessing the growth and development of a 10-year-old. What is the expected behavior of this child?
Correct Answer: D
Rationale: A 10-year-old typically develops a sense of fairness and justice in social interactions.
Question 2 of 5
The nurse is explaining the nature of the fracture to the parents of a 10-year-old who has a greenstick fracture. Which drawing should the nurse choose to explain the fracture to the parents?
Correct Answer: C
Rationale: A greenstick fracture involves an incomplete break, typically shown as a bend or partial break in the bone, common in children due to their flexible bones.
Question 3 of 5
A mother asks the nurse, 'How did my children get pinworms?' The nurse explains that pinworms are most commonly spread by which of the following when contaminated?
Correct Answer: B
Rationale: Pinworms are spread primarily through hand-to-mouth contact after touching contaminated surfaces.
Question 4 of 5
A 5-year-old child brought to the clinic with several superficial sores on the front of the left leg is diagnosed with impetigo. Which of the following instructions should the nurse give the parent?
Correct Answer: C
Rationale: Impetigo is contagious until treated for 24 hours with antibiotics, after which the child can return to school. Gentle washing is helpful but not the primary instruction, gauze may trap moisture, and follow-up timing depends on response.
Question 5 of 5
The nurse observes an 18 month old who has been admitted with a respiratory tract infection (see figure). The nurse should fi rst:
Correct Answer: D
Rationale: The child is in respiratory distress and is sitting in a position to relieve the airway obstruction; the nurse should provide a humidifi ed environment with a croup tent with cool mist to facilitate breathing and liquefy secretions. The child should remain sitting to facilitate breathing; the nurse should allow the child to determine the most comfortable position. After the child is breathing normally, the nurse can offer fl uids; the physician also may order intravenous fluids. The nurse can call the rapid response team if the respiratory distress is not relieved by using a croup tent or other vital signs changes indicate further distress.