NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
During physical assessment of a 4-month-old infant with Hirschsprung's disease, the nurse should most likely note which of the following?
Correct Answer: B
Rationale: Hirschsprung's disease can lead to poor weight gain due to bowel obstruction.
Question 2 of 5
The nurse notes that an infant stares at an object placed in her hand and takes it to her mouth, coos and gurgles when talked to, and sustains part of her own weight when held in a standing position. The nurse correctly interprets these findings as characteristic of an infant at which of the following ages?
Correct Answer: B
Rationale: These milestones (visual tracking, mouthing objects, cooing, and partial weight-bearing) are typical at 4 months.
Question 3 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 4 of 5
The nurse is assessing the infant shown in the figure. On observing the client from this angle, the nurse should document that this infant has which of the following?
Correct Answer: D
Rationale: This infant with congenital hip dysplasia has asymmetric gluteal folds. The Ortolani “click” occurs when the nurse feels the femur sliding into the acetabulum with a “click.” Limited abduction may be observed during an attempt to abduct the infant’s thighs. Galeazzi’s sign reveals femoral foreshortening and is observed by fl exing the thighs.
Question 5 of 5
A 17-year-old female with severe nodular acne is considering treatment with isotretinoin (Accutane). Prior to beginning the medication, the nurse explains that the client will be required to:
Correct Answer: C
Rationale: Isotretinoin has a high risk of teratogenicity, requiring strict contraception to prevent pregnancy during treatment. A risk management plan (e.g., iPLEDGE) is also required, but the most critical initial step emphasized is effective birth control.