NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
An adolescent with a history of surgical repair for an undescended testis comes to the clinic for a sports physical. Anticipatory guidance for the parents and adolescent should focus on which of the following as most important?
Correct Answer: C
Rationale: Monthly self-exams help detect issues early.
Question 2 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.
Question 3 of 5
The nurse is caring for a child in Bryant’s traction (see fi gure). The nurse should:
Correct Answer: B
Rationale: The traction is positioned correctly; the nurse should provide frequent skin care to the back and shoulder areas. The hips and buttocks should be lifted off the bed to provide counter traction; the nurse should not adjust the weights. The nurse should not place a pillow under the buttocks as this would prevent counter traction. The elastic wraps should remain on the legs unless permitted by the physician.
Question 4 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 5 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.