NCLEX-RN
NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
A parent brings a 4-month-old to the clinic for a regular well visit and expresses concern that the infant is not developing appropriately. Which findings in the infant would indicate the need for further developmental screening?
Correct Answer: D
Rationale: Head lag at 4 months suggests delayed motor development, requiring further evaluation.
Question 2 of 5
Twelve hours after cardiac surgery, the nurse is assessing a 3-year-old who weighs 15 kg. The nurse should notify the surgeon about which of the following clinical finding?
Correct Answer: A
Rationale: urine output of 60 mL in 4 hours is adequate (1 mL/kg/hr for a 15-kg child is 15 mL/hr, or 60 mL in 4 hours). No other findings are provided, so no notification is needed.
Question 3 of 5
When interacting with the mother of a child who has Duchenne's muscular dystrophy, the nurse observes behavior indicating that the mother may feel guilty about her child's condition. The nurse interprets this behavior as guilt stemming from which of the following?
Correct Answer: C
Rationale: The genetic mode of transmission (X-linked recessive) often leads to maternal guilt, as the mother may feel responsible for passing the gene.
Question 4 of 5
When explaining to the parents of a child with a hydrocele about the possible cause of the condition, the nurse bases this explanation on the interpretation that a hydrocele is most likely the result of which condition?
Correct Answer: C
Rationale: Patent processus vaginalis leads to fluid collection.
Question 5 of 5
A child with hemophilia presents with a burning sensation in the knee and reluctance to move the body part. The nurse collaborates with the care team to provide the treatment and
Correct Answer: B
Rationale: RICE reduces swelling and bleeding in hemophilic joint bleeds. Aspirin worsens bleeding, active motion is harmful, and traction is inappropriate.