NCLEX-RN
Free NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
The nurse and parents are planning for the discharge of a child with leukemia who is receiving dactinomycin (actinomycin D) and vincristine (Oncovin). The nurse should teach the parents to:
Correct Answer: A
Rationale: Increased fluid intake helps flush chemotherapy drugs, reducing toxicity. Sun protection and monitoring are less critical.
Question 2 of 5
A 1-year-old child is scheduled for surgery to correct hypospadias and chordee. The nurse explains to the parents that this is the preferred time for surgical repair based on which of the following?
Correct Answer: C
Rationale: Younger children may not remember the experience.
Question 3 of 5
A 12-year-old with leukemia is receiving cyclophosphamide (Cytoxan). The nurse should assess for the adverse effect of:
Correct Answer: C
Rationale: Cyclophosphamide causes hemorrhagic cystitis, requiring monitoring. Other effects are less common.
Question 4 of 5
A 10-year-old child who is 5'4' (138 cm) tall with a history of asthma uses an inhaled bronchodilator only when needed. He takes no other medications routinely. His best peak expiratory flow rate is 270 L/minute. The child's current peak flow reading is 180 L/minute. The nurse interprets this reading as indicating which of the following?
Correct Answer: B
Rationale: A peak flow reading of 180 L/minute is 66.7% of the child's best (270 L/minute), placing it in the yellow zone (50-80% of personal best), indicating an asthma exacerbation. A short-acting inhaled beta-agonist is needed to relieve symptoms.
Question 5 of 5
After talking with the parents of a child with Down syndrome, the nurse should help the parents establish which goal?
Correct Answer: A
Rationale: Promoting self-care skills enhances independence and aligns with developmental goals for children with Down syndrome.