NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
A nurse is teaching the family of an 8-year-old boy with acute lymphocytic leukemia about appropriate activities. Which of the following activities should the nurse recommend?
Correct Answer: D
Rationale: Normal activities promote psychological well-being in leukemia, with precautions for infection and bleeding risks.
Question 2 of 5
The nurse is assessing a child with sickle cell disease during a routine clinic visit. Which finding requires immediate follow-up by the nurse?
Correct Answer: A
Rationale: Pallor of nail beds and mucous membranes indicates anemia or poor perfusion, a serious concern in sickle cell disease requiring immediate follow-up.
Question 3 of 5
The nurse is teaching the parents of a child with leukemia about infection prevention. Which instruction should the nurse include?
Correct Answer: A
Rationale: Frequent handwashing is critical to prevent infections in leukemia, as the child is immunocompromised. Crowded events, live vaccines, and raw produce increase infection risk.
Question 4 of 5
The parent of an infant with a cleft lip and palate asks the nurse when the infant's cleft palate will be repaired. The nurse should respond that the first repair of a cleft palate is usually done at which of the following times?
Correct Answer: C
Rationale: Cleft palate repair is typically performed before speech development (around 12-18 months) to optimize speech outcomes.
Question 5 of 5
The nurse is administering gastrostomy feedings to an infant after surgery to correct a tracheoesophageal fistula (TEF). To prevent air from entering the stomach once the syringe barrel is attached to the gastrostomy tube the nurse should:
Correct Answer: D
Rationale: Allowing small amounts of formula to enter before adding more prevents air from being trapped in the tube.