NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
An adolescent female is prescribed amoxicillin for an ear infection. The nurse should teach the adolescent about the risks associated with her concurrent use of:
Correct Answer: B
Rationale: Amoxicillin can reduce the effectiveness of oral contraceptives, increasing the risk of unintended pregnancy. The nurse should educate the adolescent about this interaction and suggest additional contraceptive measures during antibiotic therapy.
Question 2 of 5
The parents of an infant with myelomeningocele ask the nurse about their child's future mental ability. What is the nurse's best response?
Correct Answer: D
Rationale: Referring parents to the physician for detailed prognostic discussions ensures accurate information and avoids premature or speculative statements about mental ability.
Question 3 of 5
When assessing an infant with suspected inguinal hernia, which of the following findings would be most significant?
Correct Answer: B
Rationale: Irritability and a thickened spermatic cord suggest a hernia, indicating possible incarceration.
Question 4 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 5 of 5
Which of the following assessments would be most important for the nurse to make initially in a school-age child being seen in the clinic who has a sore throat, muscle tenderness, arms feeling weak, and generally is not feeling well?
Correct Answer: A
Rationale: Difficulty swallowing indicates potential cranial nerve involvement, a critical early sign in Guillain-Barré syndrome, requiring immediate attention.