NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
The nurse has identified a priority nursing diagnosis of Anxiety related to surgery for a 4-yearold preparing for a tonsillectomy. The nurse should tell the child:
Correct Answer: D
Rationale: When preparing a child for a procedure the nurse should use neutral words, focus on sensory experiences, and emphasize the positive aspects at the end. Being reunited with parents and having an ice pop would be considered pleasurable events. Children this age fear bodily harm.
To reduce anxiety, avoid the word 'removed' to describe what is being done to the tonsils. Using the terms 'put to sleep' and 'I.V.' may be threatening. Additionally, directing a play experience to focus on I.V. insertion may be counterproductive as the child may have little recollection of this aspect of the procedure.
Question 2 of 5
When the infant returns to the unit after imperforate anus repair, the nurse should place the infant in which of the following positions?
Correct Answer: C
Rationale: Lying on the side with hips elevated minimizes pressure on the surgical site and promotes healing.
Question 3 of 5
The mother of an 8-year-old with diabetes tells the nurse that she does not want the school to know about her daughter's condition. The nurse should reply:
Correct Answer: B
Rationale: Exploring concerns builds trust and allows the nurse to address fears while explaining the need for school awareness (e.g., for hypoglycemia management). Other responses dismiss or mandate without dialogue.
Question 4 of 5
The nurse is admitting a child who has been diagnosed with bacterial meningitis to the pediatric unit. The nurse should implement which type of isolation?
Correct Answer: D
Rationale: Bacterial meningitis, such as meningococcal, requires droplet precautions due to transmission via respiratory secretions.
Question 5 of 5
While the nurse is delivering abdominal thrusts to a 6-year old who is choking on a foreign body, the child begins to cry. Which of the following should the nurse do next?
Correct Answer: D
Rationale: If the child begins to cry, it indicates the airway is no longer obstructed, as crying requires airflow. The nurse should observe the child closely to ensure stability.