NCLEX-RN
RN Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
After a tonsillectomy and adenoidectomy, which of the following findings should alert the nurse to suspect early hemorrhage in a 5-year-old child?
Correct Answer: A
Rationale: Drooling of bright red secretions indicates active bleeding, a sign of early hemorrhage post-tonsillectomy. A pulse rate of 95 bpm is within normal range for a 5-year-old, and vomiting dark brown emesis suggests older blood, not active bleeding. Blood pressure of 95/56 mm Hg is low but not specific to hemorrhage without other signs.
Question 2 of 5
A child with Kawasaki disease is receiving low dose aspirin. The mother calls the clinic and states that the child has been exposed to influenza. Which recommendations should the nurse make?
Correct Answer: B,C,D
Rationale: Aspirin should be stopped due to the risk of Reye's syndrome with influenza. Keeping the child home and monitoring for fever help manage infection risk.
Question 3 of 5
A toddler is brought to the emergency room after ingesting an undetermined amount of drain cleaner. The nurse should expect to assist with which of the following first?
Correct Answer: C
Rationale: Gastric lavage is the priority to remove the corrosive substance from the stomach, preventing further damage. Emetics are contraindicated for corrosives as they can worsen injury. Tracheostomy may be needed later for airway issues, and a urinary catheter is not relevant initially.
Question 4 of 5
When observing the parent instilling prescribed ear drops ordered twice a day for a toddler, the nurse decides that the teaching about positioning of the pinna for instillation of the drops is effective when the parent pulls the toddler's pinna in which of the following directions?
Correct Answer: D
Rationale: In children under 3, the pinna is pulled down and back to straighten the ear canal.
Question 5 of 5
When teaching the parents of a child with a ventricular septal defect who is scheduled for a cardiac catheterization, the nurse explains that this procedure involves the use of which of the following?
Correct Answer: B
Rationale: Cardiac catheterization involves inserting a catheter, typically through the femoral vein, to assess heart structures. Ultra-high-frequency sound waves are used in echocardiography, a cutdown is not standard, and general anesthesia is not always required.