NCLEX-RN
NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
After placing an infant with myelomeningocele in an isolette shortly after birth, which indicator should the nurse use as the best way to determine the effectiveness of this intervention?
Correct Answer: B
Rationale: The isolette maintains a stable thermal environment. Monitoring axillary temperature ensures the infant is normothermic, indicating the isolette's effectiveness.
Question 2 of 5
A child with celiac disease is at risk for which complication if the diet is not followed?
Correct Answer: B
Rationale: Untreated celiac disease increases the risk of intestinal lymphoma due to chronic inflammation. Renal, pulmonary, or cardiac complications are not directly associated.
Question 3 of 5
During the initial assessment of a child admitted to the pediatric unit with osteomyelitis of the left tibia, when assessing the area over the tibia, which is a new needed finding?
Correct Answer: C
Rationale: Increased warmth is a key sign of osteomyelitis, indicating inflammation and possible infection in the affected bone.
Question 4 of 5
After teaching the mother of a neonate who has successfully undergone surgery to repair a low anorectal anomaly, the mother indicates that she understands her child's prognosis when she states which of the following?
Correct Answer: D
Rationale: Low anorectal anomalies often have a good prognosis for continence with proper management.
Question 5 of 5
Parents bring a 10-month-old boy born with myelomeningocele and hydrocephalus with a ventriculoperitoneal shunt to the emergency department. His symptoms include vomiting, poor feeding, lethargy, and irritability. What interventions by the nurse are appropriate? Select all that apply.
Correct Answer: C,D,E
Rationale: These symptoms suggest possible shunt malfunction or increased intracranial pressure. Palpating the anterior fontanel assesses for bulging, indicating increased pressure. Obtaining vital signs monitors for abnormalities like bradycardia or hypertension. Assessing the cry's pitch and quality can indicate neurological distress. Weighing and listening to bowel sounds are less critical in this acute context.