NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
The nurse is assessing an 11-year-old female, using the Tanner Staging of Puberty. Which of the following indicates preadolescent development of the breasts?
Correct Answer: C
Rationale: This figure indicates elevation of the papilla, without breast buds, considered Stage 1 and typical of a preadolescent. Figure 1 shows stage 2, breast bud enlargement; there is elevation of the breast and the diameter of the areola has increased. Figure 2 shows stage 3, enlargement of the breast and areola. Figure 4 shows stage 4, in which there is projection of areola and papilla to form a secondary mound above the level of the breast
Question 2 of 5
The nurse is preparing an infant for inguinal hernia repair. Which preoperative intervention is most important?
Correct Answer: B
Rationale: NPO status is critical to prevent aspiration during anesthesia.
Question 3 of 5
Which of the following should the nurse include in the postoperative care plan for a child after an appendectomy to promote recovery?
Correct Answer: A
Rationale: Early ambulation prevents complications like atelectasis and promotes recovery.
Question 4 of 5
Which of the following should the nurse use to determine achievement of the expected outcome for an infant with severe diarrhea and a nursing diagnosis of Deficient fluid volume related to passage of profuse amounts of watery diarrhea?
Correct Answer: A
Rationale: Moist mucous membranes indicate adequate hydration, the goal of treatment.
Question 5 of 5
The mother of a 4-year-old expresses concern that her child may be hyperactive. She describes the child as always in motion, constantly dropping and spilling things. Which of the following actions would be appropriate at this time?
Correct Answer: A
Rationale: Assessing home changes helps identify triggers for the behavior before assuming pathology.