NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
The mother tells the nurse she will be afraid to allow her child with hemophilia to participate in sports because of the danger of injury and bleeding. After explaining that physical fitness is important for children with hemophilia, which of the following activities should the nurse suggest as ideal?
Correct Answer: B
Rationale: Swimming is low-impact and safe, minimizing bleeding risk in hemophilia. Other sports pose higher injury risks.
Question 2 of 5
The nurse is conducting a quality improvement audit on the pediatric unit. Which finding indicates a need for further staff education on IV catheter care?
Correct Answer: C
Rationale: High infiltration rates suggest improper technique or monitoring, requiring education.
Question 3 of 5
The toddler with nephrotic syndrome exhibits generalized edema. Which of the following measures should the nurse institute for this child with a nursing diagnosis of Impaired skin integrity related to edema?
Correct Answer: D
Rationale: Prevent skin breakdown.
Question 4 of 5
What should be part of the nurse's teaching plan for a child with epilepsy being discharged on a regimen of diphenylhydantoin (Dilantin)?
Correct Answer: B
Rationale: Dilantin can cause gingival hyperplasia; brushing after meals promotes oral hygiene to mitigate this side effect.
Question 5 of 5
After a plaster cast has been applied to the arm of a child with a fractured right humerus, the nurse completes discharge teaching. The nurse should evaluate the teaching as successful when the mother agrees to seek medical advice if the child experiences which of the following?
Correct Answer: A
Rationale: Inability to extend fingers suggests possible nerve or circulatory compromise, requiring immediate medical attention.