NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
A transfusion of packed red blood cells has been ordered for a 1-year-old with sickle cell anemia. The infant has a 25 gauge I.V. infusing dextrose with sodium and potassium. Using the Situation, Background, Assessment, Recommendation (SBAR) method of communication, the nurse contacts the physician and recommends:
Correct Answer: A
Rationale: A second I.V. with a larger 22-gauge catheter ensures safe blood transfusion, as dextrose is incompatible and a 25-gauge is too small.
Question 2 of 5
A 5-year-old child brought to the clinic with several superficial sores on the front of the left leg is diagnosed with impetigo. Which of the following instructions should the nurse give the parent?
Correct Answer: C
Rationale: Impetigo is contagious until treated for 24 hours with antibiotics, after which the child can return to school. Gentle washing is helpful but not the primary instruction, gauze may trap moisture, and follow-up timing depends on response.
Question 3 of 5
On the second postoperative day after repair of a cleft palate, which of the following should the nurse use to feed a toddler?
Correct Answer: C
Rationale: A rubber-tipped syringe allows controlled feeding, minimizing stress on the surgical site while ensuring adequate nutrition.
Question 4 of 5
Which of the following is a normal response from an adolescent who has just returned to her room after an appendectomy?
Correct Answer: B
Rationale: Concern about scar size is a typical adolescent response, reflecting body image concerns.
Question 5 of 5
The mother of a preschooler reports that her child creates a scene every night at bedtime. The nurse and the mother decide that the best course of action would be to do which of the following?
Correct Answer: B
Rationale: A consistent bedtime routine promotes healthy sleep habits.