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NCLEX RN Pediatric Nursing Questions

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Question 1 of 5

The nurse is assessing a 9-year-old child who has third-degree burns as shown below. Using the 'Rule of Nines' adapted for children, the nurse estimates that the extent of burns for this child is:

Correct Answer: C

Rationale: In children, the Rule of Nines assigns 18% to each arm (including forearm and hand). A third-degree burn on one forearm approximates 18%, assuming the burn covers the entire forearm as implied.

Question 2 of 5

Which of the following findings should lead the nurse to decide that spinal shock was resolving in the adolescent with a spinal cord injury?

Correct Answer: C

Rationale: Hyperactive reflexes indicate the resolution of spinal shock, as the nervous system begins to recover from initial flaccidity.

Question 3 of 5

What is the most appropriate method to use when drawing blood from a child with hemophilia?

Correct Answer: D

Rationale: Scheduling labs together minimizes venipunctures, reducing bleeding risk in hemophilia. Finger punctures and heat increase bleeding, and platelets are not standard.

Question 4 of 5

During physical assessment of a 4-month-old infant with Hirschsprung's disease, the nurse should most likely note which of the following?

Correct Answer: B

Rationale: Hirschsprung's disease can lead to poor weight gain due to bowel obstruction.

Question 5 of 5

A father of a child with a urinary tract infection calls the clinic and explains, "My wife and I are concerned because our child refuses to obey us concerning the preventions you told us about. Our child refuses to take the medication unless we buy a present. We don't want to use discipline because of the illness, but we're worried about the behavior." Which response by the nurse is best?

Correct Answer: B

Rationale: Maintaining routines is essential.

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The nurse is assessing a 9-year-old child who has third-degree burns as shown below. Using the 'Rule of Nines' adapted for children, the nurse estimates that the extent of burns for this child is:

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