NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
Because of the risks associated with administration of factor VIII concentrate, the nurse should teach the child's family to recognize and report which of the following?
Correct Answer: A
Rationale: Yellowing of the skin (jaundice) may indicate hepatitis, a risk with factor VIII. Other symptoms are less directly related to factor risks.
Question 2 of 5
The nurse is teaching the parents of a child with leukemia about infection prevention. Which instruction should the nurse include?
Correct Answer: A
Rationale: Frequent handwashing is critical to prevent infections in leukemia, as the child is immunocompromised. Crowded events, live vaccines, and raw produce increase infection risk.
Question 3 of 5
A child is to receive I.V. antibiotics for osteomyelitis. Before the initial dose of antibiotics can be given, the nurse confirms that a blood sample for which of the following tests has been drawn?
Correct Answer: B
Rationale: A blood culture is essential before starting antibiotics to identify the causative organism in osteomyelitis.
Question 4 of 5
When positioning a neonate with an unrepaired myelomeningocele, which of the following positions is most appropriate?
Correct Answer: C
Rationale: The prone position protects the myelomeningocele sac from pressure and rupture before surgical repair, with hips in abduction to maintain alignment and prevent strain on the defect.
Question 5 of 5
A nurse is teaching parents about soothing an infant with colic. Which strategy should be recommended?
Correct Answer: B
Rationale: A pacifier can soothe colic by satisfying sucking needs. Increased formula, noise, or infrequent feeds may worsen symptoms.