NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
Griseofulvin (Grisactin) was ordered to treat a child's ringworm of the scalp. The nurse instructs the parents to use the medication for several weeks for which of the following reasons?
Correct Answer: D
Rationale: Long-term use of griseofulvin ensures eradication of the fungus by inhibiting its growth.
Question 2 of 5
A mother has heard that several children have been diagnosed with mononucleosis. She asks the nurse what ascendancy what precautions should be taken to prevent this from occurring in her child. The nurse should instruct the mother to:
Correct Answer: A
Rationale: Mononucleosis spreads through saliva, but routine hygiene is sufficient; no special precautions are needed.
Question 3 of 5
The nurse has identified a priority nursing diagnosis of Anxiety related to surgery for a 4-yearold preparing for a tonsillectomy. The nurse should tell the child:
Correct Answer: D
Rationale: When preparing a child for a procedure the nurse should use neutral words, focus on sensory experiences, and emphasize the positive aspects at the end. Being reunited with parents and having an ice pop would be considered pleasurable events. Children this age fear bodily harm.
To reduce anxiety, avoid the word 'removed' to describe what is being done to the tonsils. Using the terms 'put to sleep' and 'I.V.' may be threatening. Additionally, directing a play experience to focus on I.V. insertion may be counterproductive as the child may have little recollection of this aspect of the procedure.
Question 4 of 5
A toddler is scheduled to have tympanostomy tubes inserted. When approaching the toddler for the first time, which of the following should the nurse do?
Correct Answer: A
Rationale: Talking to the mother first allows the toddler to observe the nurse from a safe distance, helping the child become accustomed to the new person without causing immediate distress. This approach respects the toddler's developmental need for gradual introduction to strangers.
Question 5 of 5
A 12-year-old with asthma wants to exercise. Which of the following activities should the nurse suggest to improve her breathing?
Correct Answer: B
Rationale: Swimming is recommended for children with asthma because the warm, humid environment reduces airway irritation and bronchoconstriction. It also promotes controlled breathing, improving respiratory function.