NCLEX-RN
Free NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
An adolescent with insulin-dependent diabetes is being taught the importance of rotating the sites of insulin injections. The nurse should judge that the teaching was successful when the adolescent identifies which of the following as a result of using the same site?
Correct Answer: A
Rationale: Repeated injections at the same site cause lipodystrophy, leading to poor insulin absorption. Nerve damage, rapid uptake, or insulin resistance are not primary consequences.
Question 2 of 5
A 4-week-old infant admitted with the diagnosis of hypertrophic pyloric stenosis presents with a history of vomiting. The nurse should anticipate that the infant's vomitus would contain gastric contents and which of the following?
Correct Answer: C
Rationale: Pyloric stenosis causes vomiting of gastric contents, mucus, and sometimes blood due to irritation, but not bile.
Question 3 of 5
A 16-month-old child diagnosed with Kawasaki disease (KD) is very irritable, refuses to eat, and exhibits peeling skin on the hands and feet. The nurse should do which of the following first?
Correct Answer: C
Rationale: Irritability in Kawasaki disease is often due to discomfort and inflammation. A quiet environment reduces stimulation and promotes comfort, addressing the primary issue first.
Question 4 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 5 of 5
When developing the plan of care for a child diagnosed with phenylketonuria (PKU), the nurse should establish which of the following goals?
Correct Answer: A
Rationale: The goal is to meet nutritional needs via a phenylalanine-restricted diet for growth while preventing neurological damage. The diet starts at diagnosis, not 3 weeks, and phenylalanine levels should be 2-6 mg/100 mL.