NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
The breast-feeding mother of a 1-month-old diagnosed with cow's milk sensitivity asks the nurse what she should do about feeding her infant. Which of the following recommendations would be most appropriate?
Correct Answer: A
Rationale: Eliminating dairy from the mother's diet prevents milk proteins from passing to the infant via breast milk, allowing breastfeeding to continue. Formula or solids are less appropriate at this age.
Question 2 of 5
At a follow-up appointment after being hospitalized, an adolescent with a history of cystic fibrosis (CF) describes his stools to the nurse. Which of the following descriptions should the nurse interpret as indicative of continued problems with malabsorption?
Correct Answer: B
Rationale: Large, foul-smelling stools indicate malabsorption in cystic fibrosis, suggesting inadequate pancreatic enzyme replacement or ongoing pancreatic insufficiency.
Question 3 of 5
A mother asks the nurse, 'How did my children get pinworms?' The nurse explains that pinworms are most commonly spread by which of the following when contaminated?
Correct Answer: B
Rationale: Pinworms are spread primarily through hand-to-mouth contact after touching contaminated surfaces.
Question 4 of 5
The nurse is examining an infant for hip placement and has abducted her flexed legs. The nurse should next:
Correct Answer: C
Rationale: Listening for a 'click' (Ortolani's sign) is the next step to detect hip dislocation in developmental dysplasia of the hip after abducting the flexed legs.
Question 5 of 5
When providing intermittent nasogastric feedings to an infant with failure to thrive, which method is preferred to confirm tube placement before each feeding?
Correct Answer: B
Rationale: Gastric pH <5.5 confirms stomach placement non-invasively. X-rays are impractical for each feeding, auscultation is unreliable, and length comparison doesn't verify placement.