NCLEX-RN
NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a child with suspected appendicitis. Which physical finding supports this diagnosis?
Correct Answer: A
Rationale: Rebound tenderness is a key sign of appendicitis due to peritoneal irritation.
Question 2 of 5
The nurse is inspecting the child's throat (see figure). The nurse should:
Correct Answer: D
Rationale: Having the child participate by holding the tongue blade while the nurse guides it to facilitate visualization of the throat is appropriate technique. It is not useful to remove the tongue blade or have the child hold it because the nurse will need to use the tongue blade to depress the tongue. It is preferable to engage the child's cooperation before asking the parent to restrain the child.
Question 3 of 5
Which of the following would be most appropriate to institute when a school-age child with burns becomes angry and combative when it is time to change the dressings and apply mafenide acetate (Sulfamylon)?
Correct Answer: B
Rationale: Allowing the child to participate fosters a sense of control, reducing fear and combative behavior. Parental support and crying are helpful but less empowering, and scheduling may disrupt care.
Question 4 of 5
While assessing a preschooler brought by her parents to the emergency department after ingestion of kerosene, the nurse should be alert for which of the following?
Correct Answer: D
Rationale: Kerosene ingestion often causes chemical pneumonitis due to aspiration risk. Uremia, hepatitis, and carditis are not common complications.
Question 5 of 5
To encourage autonomy in a 4-year-old, the nurse should instruct the mother to:
Correct Answer: C
Rationale: Praising efforts fosters autonomy by encouraging independence.