NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
After a child undergoes nephrectomy for a Wilms' tumor, the nurse should assess the child postoperatively for which early sign of a complication?
Correct Answer: A
Rationale: Distention suggests internal bleeding.
Question 2 of 5
Which dietary recommendation should the nurse include for a child with lead poisoning to enhance lead excretion?
Correct Answer: B
Rationale: Calcium-rich foods reduce lead absorption by competing for intestinal binding sites. Protein, fat, or fiber diets have less direct impact on lead excretion.
Question 3 of 5
The parents of a child with occasional generalized seizures want to send the child to summer camp. The parents contact the nurse for advice on planning for the camping experience. Which of the following activities should the nurse and family decide the child should avoid?
Correct Answer: C
Rationale: Swimming poses a drowning risk during a seizure; it should be avoided unless closely supervised.
Question 4 of 5
The nurse reads the new medications orders for a 4-year-old child with nephrotic syndrome on the chart below: Orders D/C prednisolone 40 mg PO Daily Prednisolone 30 mg PO QOD The nurse should:
Correct Answer: D
Rationale: Clarification ensures correct dosing.
Question 5 of 5
Which of the following findings should lead the nurse to decide that spinal shock was resolving in the adolescent with a spinal cord injury?
Correct Answer: C
Rationale: Hyperactive reflexes indicate the resolution of spinal shock, as the nervous system begins to recover from initial flaccidity.