NCLEX-RN
Free NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
After teaching the parents of an infant with clubfoot about the condition and its management, which of the following statements by a parent indicates a need for additional teaching?
Correct Answer: D
Rationale: Parents should not adjust the cast themselves, as this could disrupt treatment; they should contact a healthcare provider if the cast seems too tight.
Question 2 of 5
A client's diagnosis of cystic fibrosis was made 13 years ago, and he has since been hospitalized several times. On the latest admission, the client has labored respirations, fatigue, malnutrition, and failure to thrive. Which nursing actions are most important initially?
Correct Answer: C
Rationale: Applying an oximeter to assess oxygen saturation and initiating respiratory therapy are critical initial actions to address labored respirations and support respiratory function in a cystic fibrosis patient with acute symptoms.
Question 3 of 5
A 10-year-old child who is 5'4' (138 cm) tall with a history of asthma uses an inhaled bronchodilator only when needed. He takes no other medications routinely. His best peak expiratory flow rate is 270 L/minute. The child's current peak flow reading is 180 L/minute. The nurse interprets this reading as indicating which of the following?
Correct Answer: B
Rationale: A peak flow reading of 180 L/minute is 66.7% of the child's best (270 L/minute), placing it in the yellow zone (50-80% of personal best), indicating an asthma exacerbation. A short-acting inhaled beta-agonist is needed to relieve symptoms.
Question 4 of 5
The mother of a 6-month-old states that she started her infant on 2% milk. The nurse should first ask the mother:
Correct Answer: C
Rationale: Understanding the reason for the switch helps address misconceptions and provide education.
Question 5 of 5
The nurse is assessing the infant shown in the figure. On observing the infant from this angle, the nurse should document that this infant has which of the following?
Correct Answer: D
Rationale: Asymmetric gluteal folds are a clinical sign of developmental dysplasia of the hip, indicating possible hip dislocation or asymmetry.