NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
After teaching the parents of an 18-month-old who was treated for a foreign body obstruction about the three cardinal signs indicated for choking, the nurse determines that the teaching has been successful when the parents state that a child is choking when he or she cannot speak, turns blue, and does which of the following?
Correct Answer: D
Rationale: The three cardinal signs of choking are inability to speak, cyanosis (turning blue), and collapse. These indicate severe airway obstruction requiring immediate intervention.
Question 2 of 5
After doing well for a period of time, a child with leukemia develops an overwhelming infection. The child's death is imminent. Which of the following statements offers the nurse the best guide in making plans to assist the parents in dealing with their child's imminent death?
Correct Answer: B
Rationale: A rapid decline after improvement is particularly devastating, guiding the nurse to provide extra emotional support.
Question 3 of 5
Which of the following measures would be most effective in helping the infant with a cleft lip and palate to retain oral feedings?
Correct Answer: B
Rationale: Feeding small amounts at a time reduces the risk of aspiration and helps the infant manage feedings despite the cleft, promoting retention.
Question 4 of 5
A child who was intubated after a craniotomy now shows signs of decreased level of consciousness. The physician orders manual hyperventilation to keep the PaCO2 between 25 and 29 mm Hg and the PaO2 between 80 and 100 mm Hg. The nurse interprets this order based on the understanding that this action will accomplish which of the following?
Correct Answer: A
Rationale: Hyperventilation lowers PaCO2, causing vasoconstriction and reducing intracranial pressure in brain tumor patients.
Question 5 of 5
Which of the following should the nurse include when completing discharge instructions for the parents of a 12-month-old child diagnosed with Kawasaki disease (KD) and being discharged to home?
Correct Answer: B
Rationale: Monitoring temperature daily helps detect persistent fever, a sign of ongoing inflammation in Kawasaki disease. Other options are less critical or impractical at home.