NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
After teaching the family of a child with scoliosis who wears a Boston brace, which of the following activities, if stated by the child and family as occasions appropriate for removal of the brace, indicates successful teaching?
Correct Answer: A
Rationale: The Boston brace can be removed for short periods, such as during bathing, typically limited to about 1 hour per day, to maintain treatment efficacy.
Question 2 of 5
A nurse identifies a medication error in a pediatric unit. Which action should the nurse take first?
Correct Answer: C
Rationale: Completing an incident report ensures documentation and system improvement. Correcting the medication, notifying the physician, or informing parents follows after reporting.
Question 3 of 5
The health care team determines that the family of an infant with failure to thrive who is to be discharged will need follow-up care. Which of the following would be the most effective method of follow-up?
Correct Answer: D
Rationale: Weekly in-home nurse visits provide direct monitoring and support for feeding and growth. Phone calls, classes, or clinic visits are less comprehensive.
Question 4 of 5
A 14-year-old girl with sickle cell disease has her fourth hospitalization for sickle cell crisis. Her family is planning a ski vacation in the mountains. What should the nurse tell the parents?
Correct Answer: D
Rationale: High altitudes reduce oxygen availability, increasing the risk of sickle cell crisis due to hypoxia. This is a critical consideration for the child's safety.
Question 5 of 5
A nurse is teaching an obese child about portion control. Which strategy should be included?
Correct Answer: B
Rationale: Smaller plates help control portion sizes visually. Prepackaged meals may be unhealthy, skipping breakfast can increase hunger, and soda adds empty calories.