Pediatric NCLEX Questions

Extract:

Question 1 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.

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?

A. Constipation, weight gain, and fluid retention B. Ringing in the ears, nausea, and vomiting C. Anorexia, weight loss, and double vision D. Headache, dry mouth, and dental cavities

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

A primigravida is in second stage of labour for the past two hours. Fetal head is at +1 station. Inspite of effective uterine contractions,mother is unable to push as she is exhausted. What will be the next step in her management:

A. Wait for another one hour. B. Give sedation to the mother. C. Shift her for emergency section. D. Instrumental delivery. E. Call the anaesthetist for regional anaesthesia.

Correct Answer: D

Rationale: Instrumental delivery (e.g. forceps or vacuum) is indicated for prolonged second stage due to maternal exhaustion provided the fetal head is engaged (+1 station). Cesarean section is considered if instrumental delivery is not feasible.

Question 4 of 5

Which response by the nurse best explains why insulin must be given subcutaneously?

A. The oral form of insulin can lead to the worsening of diabetes. B. The oral form of insulin is not yet available for use. C. Insulin is a protein that is destroyed by digestive enzymes. D. Insulin given by the oral route causes severe vomiting.

Correct Answer: C

Rationale: Insulin is a protein hormone that would be broken down by digestive enzymes in the gastrointestinal tract if taken orally, rendering it ineffective. Subcutaneous administration ensures it reaches the bloodstream intact.

Question 5 of 5

The nurse discovers that an African couple from Kenya has not named their 48-hour-old,full-term newborn and the infant and mother are being discharged to home. Which action should the nurse take in response to this information?

A. Ask the parents to choose a name before discharge. B. Encourage other appropriate attachment behaviors. C. Document the discharge and that the baby is unnamed. D. Delay discharge until parental attachment is addressed.

Correct Answer: C

Rationale: In Kenyan culture naming may occur on the third day with celebration. Documenting the discharge and unnamed status is appropriate; naming isn’t required for attachment.

Pediatric NCLEX Questions | Nurselytic

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