NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
Nonsteroidal anti-inflammatory drugs are the first choice in treating a child with juvenile idiopathic arthritis. Which adverse effects should the nurse include in the teaching plan for the parents? Select all that apply.
Correct Answer: B,C,E
Rationale: NSAIDs can cause gastrointestinal issues like abdominal pain and blood in the stool, and they may reduce blood clotting ability due to their effect on platelet function.
Question 2 of 5
Which of the following outcomes indicates that the activity restriction necessary for a 7 -year-old child with rheumatic fever during the acute phase has been effective?
Correct Answer: B
Rationale: A normal resting heart rate (60-100 bpm) indicates reduced cardiac strain, showing effective activity restriction. Other outcomes are relevant but less directly tied to activity restriction.
Question 3 of 5
The school nurse develops a plan with an adolescent to provide relief of dysmenorrhea to aid in her development of which of the following?
Correct Answer: C
Rationale: Managing dysmenorrhea supports autonomy by empowering the adolescent to control her health.
Question 4 of 5
A nurse is teaching the parents of a preschooler about the possibility of post-operative hemorrhage after a tonsillectomy and adenoidectomy. The nurse should explain that the risk is greatest at which of the following times?
Correct Answer: C
Rationale: The risk of post-operative hemorrhage after a tonsillectomy is greatest 7 to 10 days after surgery, as this is when the eschar (scab) typically sloughs off, potentially exposing blood vessels and leading to bleeding.
Question 5 of 5
The nurse is preparing to administer the last dose of ceftriaxone (Rocephin) before discharge to a 1-year-old but finds the I.V. has occluded. The nurse should:
Correct Answer: B
Rationale: Administering ceftriaxone intramuscularly is appropriate when the I.V. is occluded, ensuring the child receives the final dose before discharge.