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NCLEX RN Pediatric Nursing Questions

Extract:


Question 1 of 5

An infant is admitted to the pediatric unit with a diagnosis of hypertrophic pyloric stenosis after vomiting for several days. Which of the following nursing diagnoses should be the priority?

Correct Answer: A

Rationale: Prolonged vomiting in pyloric stenosis leads to significant fluid loss, making fluid volume deficit the priority.

Question 2 of 5

The parents of a 3-year-old suspect that the child has recently ingested a large amount of acetaminophen. The child does not appear in immediate distress. The nurse should anticipate doing which of these interventions in order of priority, from first to last?

Order the Items

Source Container

Draw acetaminophen serum levels.
Attempt to determine the exact time and amount of drug ingested.
Administer acetylcysteine (Acetadote IV).
Administer activated charcoal.

Correct Answer: B,D,A,C

Rationale: First, determine ingestion details (
B) to assess risk. Administer charcoal (
D) within 1-2 hours to reduce absorption. Draw serum levels (
A) at 4 hours to confirm toxicity. Administer acetylcysteine (
C) if levels are toxic.

Question 3 of 5

After doing well for a period of time, a child with leukemia develops an overwhelming infection. The child's death is imminent. Which of the following statements offers the nurse the best guide in making plans to assist the parents in dealing with their child's imminent death?

Correct Answer: B

Rationale: A rapid decline after improvement is particularly devastating, guiding the nurse to provide extra emotional support.

Question 4 of 5

Anticipating that a 3-year-old child in traction will have need for diversion, what should the nurse offer the child?

Correct Answer: C

Rationale: Hand puppets are an engaging, age-appropriate diversion for a 3-year-old, promoting interaction without requiring mobility.

Question 5 of 5

When assessing a female adolescent for scoliosis, what should the nurse ask the client to do?

Correct Answer: A

Rationale: Bending forward at the waist with arms hanging freely allows the nurse to observe for spinal asymmetry, a key sign of scoliosis.

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