NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
After having a blood sample drawn, a 5-year-old child insists that the site be covered with a bandage. When the parent tries to remove the bandage before leaving the office, the child screams that all the blood will come out. The nurse encourages the parent to leave the bandage in place and tells the parent that the child:
Correct Answer: B
Rationale: Preschoolers may fear loss of body integrity, believing blood will leak out without a bandage.
Question 2 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.
Question 3 of 5
When preparing to deliver back slaps to an infant who is choking on a foreign body, in which of the following positions should the nurse position the infant?
Correct Answer: A
Rationale: Positioning the infant head down and lower than the trunk facilitates dislodgement of the foreign body by gravity during back slaps.
Question 4 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 5 of 5
The nurse is caring for a 5-year-old boy who is taking prednisolone for nephrotic syndrome. The child is at the 75th percentile for height and has a blood pressure of 114/73. The nurse compares the reading to the below blood pressure levels for boys age and height percentiles. The nurse determines that the blood pressure represents a change and notifies the primary care provider of the assessment of:
Correct Answer: C
Rationale: BP indicates hypertension.