NCLEX-RN
NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
The nurse explains to the parents of a 1-year-old child admitted to the hospital in sickle cell crisis that the local tissue damage the child has on admission is caused by which of the following?
Correct Answer: D
Rationale: In sickle cell crisis, sickle-shaped red blood cells obstruct blood flow, leading to inadequate tissue perfusion and infarction, causing local tissue damage.
Question 2 of 5
When interacting with the mother of a child who has Duchenne's muscular dystrophy, the nurse observes behavior indicating that the mother may feel guilty about her child's condition. The nurse interprets this behavior as guilt stemming from which of the following?
Correct Answer: C
Rationale: The genetic mode of transmission (X-linked recessive) often leads to maternal guilt, as the mother may feel responsible for passing the gene.
Question 3 of 5
At the 2 week well-child visit a parent states, 'My baby seems to keep his head tilted to the right.' The nurse should further assess the:
Correct Answer: D
Rationale:
Torticollis is commonly caused by tightness or shortening of the sternocleidomastoid muscle, which should be assessed for asymmetry or tightness.
Question 4 of 5
A toddler diagnosed with nephrotic syndrome has a nursing diagnosis of Excess fluid volume related to fluid accumulation in the tissues. Which measure should the nurse anticipate including in the child's plan of care?
Correct Answer: D
Rationale: Daily weights monitor fluid balance.
Question 5 of 5
Which of the following nursing diagnoses would be appropriate for the nurse to identify as a priority diagnosis for an infant just admitted to the hospital with a diagnosis of gastroenteritis?
Correct Answer: B
Rationale: Fluid loss from diarrhea is the most urgent concern in gastroenteritis.