NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a 10-year-old with sickle cell anemia who is experiencing a vaso-occlusive crisis. Which intervention should the nurse prioritize?
Correct Answer: C
Rationale: Hydration and pain management are critical in vaso-occlusive crises to reduce blood viscosity and alleviate pain, improving outcomes.
Question 2 of 5
The mother of a 2-year-old is concerned because the child's right eye seems to turn in toward his nose when he is tired. The nurse should:
Correct Answer: C
Rationale: The cover-uncover test can detect strabismus, which requires referral if confirmed.
Question 3 of 5
A 2-year-old child brought to the clinic by her parents is uncooperative when the nurse tries to look in her ears. Which of the following should the nurse try first?
Correct Answer: B
Rationale: Parental involvement can comfort the child and improve cooperation.
Question 4 of 5
When developing the plan of care for a newly admitted 2-year-old child with the diagnosis of Kawasaki disease, which of the following should be the priority?
Correct Answer: B
Rationale: Monitoring intake and output hourly is critical in Kawasaki disease to assess for fluid balance and potential cardiac complications like coronary artery involvement.
Question 5 of 5
A 4-year-old has been scheduled for a cardiac catheterization. To help prepare the family the nurse should:
Correct Answer: B
Rationale: The catheter insertion site will be covered with a bandage. This is important for preschool children to know as they are very concerned about bodily harm. Preparing the child the night before, bringing favorite toys, and explaining activity restrictions are also important but not the primary focus of this choice.