NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
The health care team determines that the family of an infant with failure to thrive who is to be discharged will need follow-up care. Which of the following would be the most effective method of follow-up?
Correct Answer: D
Rationale: Weekly in-home nurse visits provide direct monitoring and support for feeding and growth. Phone calls, classes, or clinic visits are less comprehensive.
Question 2 of 5
A diagnosis of hemophilia A is confirmed in an infant. Which of the following instructions should the nurse provide the parents as the infant becomes more mobile and starts to crawl?
Correct Answer: B
Rationale: Padding protects joints from trauma, reducing bleeding risk in hemophilia. Aspirin increases bleeding, urine checks are unnecessary, and teething bleeding is minimal.
Question 3 of 5
Which of the following assessments would be most important for the nurse to make initially in a school-age child being seen in the clinic who has a sore throat, muscle tenderness, arms feeling weak, and generally is not feeling well?
Correct Answer: A
Rationale: Difficulty swallowing indicates potential cranial nerve involvement, a critical early sign in Guillain-Barré syndrome, requiring immediate attention.
Question 4 of 5
An 18-month-old with a congenital heart defect is to receive digoxin twice a day. The nurse should instruct the parents about which of the following?
Correct Answer: A
Rationale: Digoxin improves heart function by increasing contractility and regulating rhythm.
Toxicity signs are correct but not the focus here, absorption is not meal-dependent, and repeating a vomited dose risks overdose.
Question 5 of 5
When planning home care for the child with Legg-Calvé-Perthes disease, what should be the primary focus for family teaching?
Correct Answer: C
Rationale: Management of the corrective appliance, such as a brace or traction, is the primary focus to ensure proper use and compliance, which is critical for treatment success.