NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
A parent asks, 'Can I get head lice too?' The nurse indicates that adults can also be infested with head lice but that pediculosis is more common among school children, primarily for which of the following reasons?
Correct Answer: C
Rationale: Close contact in school settings facilitates lice transmission among children.
Question 2 of 5
When developing the plan of care for a school-age child with a suspected diagnosis of appendicitis who is complaining of severe abdominal pain, which of the following measures should the nurse expect to include in the child's plan of care?
Correct Answer: C,D
Rationale: Ice and narcotics relieve pain without risking perforation, unlike heat or rectal tubes.
Question 3 of 5
When developing the plan of care for a toddler who has taken an acetaminophen overdose, which of the following should the nurse expect to include as part of the initial treatment?
Correct Answer: A
Rationale: Frequent blood level monitoring guides acetylcysteine therapy. Gastric lavage is less effective than charcoal, and tracheostomy or ECG are not typically needed unless complications arise.
Question 4 of 5
After teaching the parents of a neonate diagnosed with a tracheoesophageal fistula (TEF) about this anomaly, the nurse determines that the teaching was successful when the father describes the condition as which of the following?
Correct Answer: B
Rationale: TEF involves a blind esophageal pouch and a fistula connecting the esophagus to the trachea, as described.
Question 5 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.