Questions 75

NCLEX-RN

NCLEX-RN Test Bank

Free NCLEX RN Pediatric Questions Questions

Extract:


Question 1 of 5

The mother of a 6-month-old states that she started her infant on 2% milk. The nurse should first ask the mother:

Correct Answer: C

Rationale: Understanding the reason for the switch helps address misconceptions and provide education.

Question 2 of 5

The nurse is giving care to an infant with a brain tumor. The nurse observes the infant arch the back (see figure). The nurse should:

Question Image

Correct Answer: A

Rationale: The infant has opisthotonos, an indication of brain stem herniation; the nurse should notify the physician immediately and have resuscitation equipment ready. Stroking the back will not relieve the herniation or release the arching. Although the infant may also have a seizure, and padded side rails will prevent injury, the fi rst action is to notify the physician. Placing the child in a prone position will not relieve the herniation or release the arching.

Question 3 of 5

A child with a nut allergy is admitted with a severe reaction for the third time in three months. The parent says, 'I am having trouble with the food labels.' The nurse should first:

Correct Answer: B

Rationale: A dietician can provide expert guidance on reading labels to avoid allergens. Reading assessment, provider notification, or social services may follow but are not the priority.

Question 4 of 5

Which of the following would be the best activity for the nurse to include in the plan of care for an infant experiencing severe diarrhea?

Correct Answer: B

Rationale: Daily weights provide an accurate measure of fluid loss in diarrhea.

Question 5 of 5

After a child undergoes a craniotomy for an infratentorial brain tumor, the nurse should place the child in which of the following positions to prevent undue strain on the sutures?

Correct Answer: C

Rationale: Side-lying position minimizes pressure on infratentorial sutures while maintaining airway and reducing intracranial pressure.

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