NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
A school-age child who has received burns over 60% of his body is to receive 2,000 mL of I.V. fluid over the next 8 hours. At what rate (in milliliters per hour) should the nurse set the infusion pump?
Correct Answer: 250
Rationale: Dividing 2,000 mL by 8 hours yields 250 mL/hour. This ensures fluid resuscitation meets burn protocol (e.g., Parkland formula) to maintain hemodynamic stability.
Question 2 of 5
An infant diagnosed with Hirschsprung's disease is scheduled to receive a temporary colostomy. When initially discussing the diagnosis and treatment with the parents, which of the following would be most appropriate?
Correct Answer: C
Rationale: Encouraging questions promotes understanding and engagement with the treatment plan.
Question 3 of 5
A nurse is teaching an obese child about portion control. Which strategy should be included?
Correct Answer: B
Rationale: Smaller plates help control portion sizes visually. Prepackaged meals may be unhealthy, skipping breakfast can increase hunger, and soda adds empty calories.
Question 4 of 5
A nurse identifies a medication error in a pediatric unit. Which action should the nurse take first?
Correct Answer: C
Rationale: Completing an incident report ensures documentation and system improvement. Correcting the medication, notifying the physician, or informing parents follows after reporting.
Question 5 of 5
When developing the teaching plan for parents using the Pavlik harness with their child, what should be the nurse's initial step?
Correct Answer: B
Rationale: Determining the parents' knowledge about the Pavlik harness is the initial step to tailor teaching to their understanding and needs.