NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
A nurse is planning a diet for a client with cystic fibrosis. Which of the following foods should not be included in the meal plan?
Correct Answer: B
Rationale: Fried scallops are high in fat and difficult to digest for a client with cystic fibrosis due to pancreatic insufficiency. A high-calorie, high-protein diet with moderate fat and pancreatic enzyme supplements is more appropriate.
Question 2 of 5
The nurse should instruct the family of a child with newly diagnosed hyperthyroidism to:
Correct Answer: C
Rationale: Hyperthyroidism causes irritability and hyperactivity, so limiting social interactions to one friend reduces overstimulation. Warmer homes, excessive activity, and limited bathing are inappropriate.
Question 3 of 5
Which of the following should the nurse include when completing discharge instructions for the parents of a 12-month-old child diagnosed with Kawasaki disease (KD) and being discharged to home?
Correct Answer: B
Rationale: Monitoring temperature daily helps detect persistent fever, a sign of ongoing inflammation in Kawasaki disease. Other options are less critical or impractical at home.
Question 4 of 5
The nurse is assessing the infant shown in the figure. On observing the client from this angle, the nurse should document that this infant has which of the following?
Correct Answer: D
Rationale: This infant with congenital hip dysplasia has asymmetric gluteal folds. The Ortolani “click” occurs when the nurse feels the femur sliding into the acetabulum with a “click.” Limited abduction may be observed during an attempt to abduct the infant’s thighs. Galeazzi’s sign reveals femoral foreshortening and is observed by fl exing the thighs.
Question 5 of 5
Which dietary recommendation should the nurse include for a child with lead poisoning to enhance lead excretion?
Correct Answer: B
Rationale: Calcium-rich foods reduce lead absorption by competing for intestinal binding sites. Protein, fat, or fiber diets have less direct impact on lead excretion.