NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
The nurse formulates the nursing diagnosis Imbalanced Nutrition: Less than body requirements related to negative feeding patterns for a 5-month-old infant diagnosed with failure to thrive. To meet the short-term outcomes of the infant's plan of care, the nurse should expect to do which of the following?
Correct Answer: A
Rationale: Teaching proper feeding techniques corrects negative patterns, improving intake. Higher-calorie formula or consistent staff are secondary, and high chairs are unsuitable for a 5-month-old.
Question 2 of 5
When taking a diet history from the mother of a 7-year-old child with phenylketonuria, a report of which of the following foods indicates a need for further teaching?
Correct Answer: D
Rationale: Chicken nuggets are high in phenylalanine, contraindicated in PKU. Low-protein bread, PKU formula, and apples are appropriate for a PKU diet.
Question 3 of 5
The health care team has noticed an increase in I.V. infiltrations on the pediatric floor. As part of a Plan, Do, Study, Act quality improvement plan the team should do the following in which order?
Order the Items
Source Container
Correct Answer: B,C,A,D
Rationale: The PDSA cycle involves planning (deciding to monitor), doing (chart audits), studying (analyzing data), and acting (writing a new policy).
Question 4 of 5
When preparing to deliver back slaps to an infant who is choking on a foreign body, in which of the following positions should the nurse position the infant?
Correct Answer: A
Rationale: Positioning the infant head down and lower than the trunk facilitates dislodgement of the foreign body by gravity during back slaps.
Question 5 of 5
Which of the following outcome criteria would the nurse develop for a child with cystic fibrosis who has a nursing diagnosis of Ineffective airway clearance related to increased pulmonary secretions and inability to expectorate?
Correct Answer: A
Rationale: A respiratory rate and rhythm within the expected range is an appropriate outcome for ineffective airway clearance, indicating improved mucus clearance and respiratory function.