NCLEX-RN
RN Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
After teaching the parents of a toddler about commonly aspirated foods, which of the following foods, if identified by the parents as easily aspirated, would indicate the need for additional teaching?
Correct Answer: D
Rationale: Popcorn, raw vegetables, and round candy are commonly aspirated due to their size, shape, or texture, posing a choking risk. Crackers, while a potential choking hazard, are less commonly associated with aspiration compared to the others, indicating the parents may need further clarification on specific risks.
Question 2 of 5
The nurse is evaluating a child's skills in self-administering insulin (see figure). The nurse should:
Correct Answer: D
Rationale: Rotating insulin injection sites prevents lipodystrophy and ensures consistent absorption. Both hands are typically used, a 90-degree angle is standard for children, and site location depends on rotation.
Question 3 of 5
Which assessment findings should lead the nurse to suspect that a toddler is experiencing respiratory distress? Select all that apply.
Correct Answer: B,D,F
Rationale: A respiratory rate of 35 breaths/minute (elevated for a toddler), restlessness, and diaphoresis indicate respiratory distress, reflecting increased work of breathing and stress. Coughing may be present but is less specific, while a heart rate of 95 bpm and malaise are not directly indicative of acute respiratory distress.
Question 4 of 5
A newborn who had a surgical repair of a tracheoesophageal fistula (TEF) is started on oral feedings. Which of the following should the nurse include in the teaching plan for the mother about oral feedings?
Correct Answer: D
Rationale: Observing the infant's behavior ensures feedings align with hunger cues, promoting tolerance.
Question 5 of 5
The nurse is admitting a toddler with the diagnosis of near-drowning in a neighbor's heated swimming pool to the emergency department. The nurse should assess the child for:
Correct Answer: B,C
Rationale: Near-drowning in a heated pool risks hypoxia from oxygen deprivation and fluid aspiration into the lungs, which are critical to assess.