NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
The nurse is caring for a child in Bryant's traction (see figure). The nurse should:
Correct Answer: B
Rationale: Frequent skin care is essential in Bryant's traction to prevent pressure ulcers due to prolonged immobility.
Question 2 of 5
A school-age child with cystic fibrosis asks the nurse what sports she can become involved in as she becomes older. Which of the following activities would be appropriate for the nurse to suggest?
Correct Answer: A
Rationale: Swimming is appropriate for a child with cystic fibrosis, as the humid environment minimizes airway irritation, and the activity promotes respiratory muscle strength without excessive strain.
Question 3 of 5
A child with cystic fibrosis is receiving gentamicin. Which of the following nursing actions is most important?
Correct Answer: A
Rationale: Monitoring intake and output is critical when administering gentamicin, an aminoglycoside, to detect early signs of nephrotoxicity, a common adverse effect.
Question 4 of 5
Laboratory findings indicate that a child with leukemia is also anemic. The nurse interprets this finding as most likely resulting from which of the following?
Correct Answer: B
Rationale: Leukemia crowds out bone marrow, reducing red blood cell production, causing anemia. Other causes are less likely.
Question 5 of 5
The nurse is discharging an 8-month-old who weighs 15 lb from the hospital. The parents have put the child in the back seat of the car with the car seat facing the front. The nurse should:
Correct Answer: D
Rationale: Rear-facing car seats are recommended for infants under 2 years to protect their neck and spine.