NCLEX-RN
NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
A toddler diagnosed with nephrotic syndrome has a nursing diagnosis of Excess fluid volume related to fluid accumulation in the tissues. Which measure should the nurse anticipate including in the child's plan of care?
Correct Answer: D
Rationale: Daily weights monitor fluid balance.
Question 2 of 5
The nurse is assessing a child with leukemia who is receiving chemotherapy. Which finding indicates a potential complication requiring immediate action?
Correct Answer: A
Rationale: A fever of 100.4°F in a child on chemotherapy suggests possible infection, a life-threatening complication due to immunosuppression, requiring immediate action.
Question 3 of 5
The mother of a toddler hospitalized for episodes of diarrhea reports that when her toddler cannot have things the way she wants, she throws her legs and arms around, screams, and cries. The mother says, "I don't know what to do?" After teaching the mother about ways to manage this behavior, which of the following statements indicates that the nurse's teaching was successful?
Correct Answer: A
Rationale: Ignoring tantrums reinforces calm behavior without rewarding outbursts.
Question 4 of 5
An 8-year-old child does well after infratentorial tumor removal and is transferred back to the pediatric unit. Although she had been told about having her head shaved, she becomes upset. After exploring the child's feelings, which action should the nurse take?
Correct Answer: A
Rationale: Offering a hat empowers the child to cope with her appearance change, addressing her distress directly.
Question 5 of 5
The physician is able to reduce an infant's hernia and schedules the infant for a herniorrhaphy in 2 days. The mother asks the nurse why the surgery is not performed now. Which of the following responses indicates that the nurse understands the rationale for delaying the surgery?
Correct Answer: C
Rationale: Delaying surgery allows edema and inflammation to decrease, improving surgical outcomes.