NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
An 18-month-old with a congenital heart defect is to receive digoxin twice a day. The nurse should instruct the parents about which of the following?
Correct Answer: A
Rationale: Digoxin improves heart function by increasing contractility and regulating rhythm.
Toxicity signs are correct but not the focus here, absorption is not meal-dependent, and repeating a vomited dose risks overdose.
Question 2 of 5
The nurse is caring for a child in Bryant's traction (see figure). The nurse should:
Correct Answer: B
Rationale: Frequent skin care is essential in Bryant's traction to prevent pressure ulcers due to prolonged immobility.
Question 3 of 5
When developing the plan of care for a child with early Duchenne's muscular dystrophy, which of the following nursing goals is the priority?
Correct Answer: C
Rationale: Maintaining function of unaffected muscles is the priority to prolong mobility and independence in early Duchenne's muscular dystrophy.
Question 4 of 5
Which of the following would be most appropriate for the nurse to teach the mother of a 6-month-old infant hospitalized with severe diarrhea to help her comfort her infant who is fussy?
Correct Answer: A
Rationale: A pacifier provides non-nutritive sucking, soothing a fussy infant.
Question 5 of 5
Which of the following behaviors exhibited by the parents of an infant with pyloric stenosis should the nurse correctly interpret as a positive indication of parental coping?
Correct Answer: B
Rationale: Realistic discussion of care indicates acceptance and engagement with the situation.