NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
After teaching a group of parents about temper tantrums, the nurse knows the teaching has been effective when one of the parents states which of the following?
Correct Answer: A
Rationale: Ignoring temper tantrums reduces attention-seeking behavior and is an effective strategy.
Question 2 of 5
A child is admitted to the pediatric unit with the diagnosis of severe gastroenteritis. To prevent spread of the disease the nurse should?
Correct Answer: A
Rationale: Standard precautions prevent the spread of infectious gastroenteritis.
Question 3 of 5
The parent of a 17-year-old boy, who is hospitalized for complications related to type I diabetes, requests to review the adolescent's medical record. The client reported receiving mental health counseling during the admission history, but did not want his parent to know. The nurse, who is uncertain of how to protect the adolescent's privacy and accommodate the parent's request, should consult:
Correct Answer: C
Rationale: The privacy officer is trained to handle HIPAA and confidentiality issues, ensuring the adolescent's privacy (e.g., mental health records) is protected while addressing parental rights.
Question 4 of 5
The physician orders an intravenous infusion of 5% dextrose in 0.25 normal saline to be infused at 2 mL/kg/hour in an infant who weighs 9 lb. How many milliliters per hour of the solution should the nurse infuse? Round to one decimal.
Correct Answer: A
Rationale: 9 lb = 4.08 kg; 2 mL/kg/hour × 4.08 kg = 8.16 mL/hour, rounded to 8.2.
Question 5 of 5
A nurse is teaching the parents of a preschooler about the possibility of post-operative hemorrhage after a tonsillectomy and adenoidectomy. The nurse should explain that the risk is greatest at which of the following times?
Correct Answer: C
Rationale: The risk of post-operative hemorrhage after a tonsillectomy is greatest 7 to 10 days after surgery, as this is when the eschar (scab) typically sloughs off, potentially exposing blood vessels and leading to bleeding.