NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
An 11-year-old is admitted for treatment of an asthma attack. Which of the following indicates immediate intervention is needed?
Correct Answer: C
Rationale: Intercostal retractions indicate significant respiratory distress in an asthma attack, as they reflect increased effort to breathe due to airway obstruction. This requires immediate intervention to prevent further deterioration.
Question 2 of 5
A 7-year-old child with a history of asthma controlled without medications is referred to the school nurse by the teacher because of persistent coughing. Which of the following should the nurse do first?
Correct Answer: C
Rationale: Calling a parent to obtain more information is the first step to clarify the child's asthma history, recent symptoms, and any prescribed medications, ensuring appropriate management of the persistent coughing.
Question 3 of 5
A child with cystic fibrosis is receiving gentamicin. Which of the following nursing actions is most important?
Correct Answer: A
Rationale: Monitoring intake and output is critical when administering gentamicin, an aminoglycoside, to detect early signs of nephrotoxicity, a common adverse effect.
Question 4 of 5
A school-age child with cystic fibrosis asks the nurse what sports she can become involved in as she becomes older. Which of the following activities would be appropriate for the nurse to suggest?
Correct Answer: A
Rationale: Swimming is appropriate for a child with cystic fibrosis, as the humid environment minimizes airway irritation, and the activity promotes respiratory muscle strength without excessive strain.
Question 5 of 5
On finding a child who is not breathing, which of the following should the nurse do first?
Correct Answer: A
Rationale: Clearing the airway is the first step in CPR to ensure no obstructions prevent effective ventilation.