NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
On a home visit following discharge from the hospital after treatment for severe gastroenteritis, the mother tells the nurse that her toddler answers "No!" and is difficult to manage. After discussing this further with the mother, the nurse explains that the child's behavior is most likely the result of which of the following?
Correct Answer: C
Rationale:
Toddlers often assert independence through oppositional behavior.
Question 2 of 5
The nurse is teaching the parents of an infant with pyloric stenosis about postoperative care. Which instruction should be included?
Correct Answer: B
Rationale: Monitoring for projectile vomiting ensures early detection of surgical complications.
Question 3 of 5
When interviewing the parents of a 2-year-old child, a history of which of the following illnesses should lead the nurse to suspect pneumococcal meningitis?
Correct Answer: B
Rationale: Middle ear infections are a common precursor to pneumococcal meningitis due to the spread of Streptococcus pneumoniae.
Question 4 of 5
An 8-year-old with diabetes is placed on neutral and immune Hagedorn (NPH) and regular insulin before breakfast and before dinner. She will receive a snack of milk and cereal at bedtime. The snack will:
Correct Answer: C
Rationale: A bedtime snack with NPH insulin prevents late-night hypoglycemia by providing carbohydrates during peak insulin action. It is not primarily for weight gain, immediate use, or diet adherence.
Question 5 of 5
A nurse identifies a medication error in a pediatric unit. Which action should the nurse take first?
Correct Answer: C
Rationale: Completing an incident report ensures documentation and system improvement. Correcting the medication, notifying the physician, or informing parents follows after reporting.