NCLEX-PN
Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
The mother of a healthy 15-hour-old term newborn asks the nurse if the PKU blood test could be completed now on her infant because she and her infant are being discharged to home. Which statement should be the basis for the nurse’s response?
Correct Answer: C
Rationale: The PKU test is most accurate after 24 hours and before 7 days allowing sufficient protein intake. Early discharge requires follow-up testing and feeding tolerance doesn’t exempt testing.
Question 2 of 5
The parents of the child with juvenile rheumatoid arthritis (JRA) ask the nurse why the child cannot have aspirin. The parents further explain that they have heard that aspirin is used in the elderly for arthritis and the use of the patients. The nurse correctly explains that children with JRA are given different medications than adults with arthritis and explains that the toxic effects of aspirin include which manifestations?
Correct Answer: B
Rationale: Aspirin in children can cause toxicity, including tinnitus, nausea, and vomiting, and is avoided due to the risk of Reye's syndrome, especially in children with viral infections.
Question 3 of 5
Which question is most important for the nurse to ask the adolescent girl in preparation for X-rays?
Correct Answer: A
Rationale: Asking about pregnancy is critical before X-rays, as radiation can harm a fetus, making it the most important question to ensure safety.
Question 4 of 5
A child weighs 22 kg and is prescribed a medication at 5 mg/kg/day in two divided doses. How many milligrams should the nurse administer per dose?
Correct Answer: 55 mg
Rationale: Calculation: 22 kg × 5 mg/kg/day = 110 mg/day. Divided into two doses: 110 ÷ 2 = 55 mg per dose. Since no options are provided, the calculated dose is noted for accuracy.
Question 5 of 5
The nurse correctly explains that, during adolescence, being with a peer group and mimicking peer behaviors is part of the process of achieving which developmental task?
Correct Answer: A
Rationale: Adolescence involves developing a sense of identity, often through peer group interactions and mimicking behaviors, as teens explore their place in the world.