NCLEX-RN
NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
The mother of a toddler hospitalized for episodes of diarrhea reports that when her toddler cannot have things the way she wants, she throws her legs and arms around, screams, and cries. The mother says, "I don't know what to do?" After teaching the mother about ways to manage this behavior, which of the following statements indicates that the nurse's teaching was successful?
Correct Answer: A
Rationale: Ignoring tantrums reinforces calm behavior without rewarding outbursts.
Question 2 of 5
Assessment of a school-age child with Guillain-Barré syndrome reveals absent gag and cough reflexes. Which of the following nursing diagnoses should receive the highest priority during the acute phase?
Correct Answer: B
Rationale: Absent gag and cough reflexes increase the risk of respiratory compromise, making ineffective breathing pattern the highest priority.
Question 3 of 5
Two months after an adolescent's thoracic spinal cord injury, he complains of a pounding headache. The nurse notes that the client's arms and face are flushed and he is diaphoretic. What should the nurse do next?
Correct Answer: A
Rationale: These symptoms suggest autonomic dysreflexia, often triggered by bladder distension; checking the catheter is the first step.
Question 4 of 5
After teaching the mother of a neonate who has successfully undergone surgery to repair a low anorectal anomaly, the mother indicates that she understands her child's prognosis when she states which of the following?
Correct Answer: D
Rationale: Low anorectal anomalies often have a good prognosis for continence with proper management.
Question 5 of 5
During the initial assessment of a child admitted to the pediatric unit with osteomyelitis of the left tibia, when assessing the area over the tibia, which is a new needed finding?
Correct Answer: C
Rationale: Increased warmth is a key sign of osteomyelitis, indicating inflammation and possible infection in the affected bone.