NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a child with leukemia who reports mouth sores. Which intervention should the nurse implement?
Correct Answer: B
Rationale: A soft toothbrush and mild mouth rinse prevent irritation and infection in mouth sores, common in leukemia due to chemotherapy. Aspirin and spicy foods worsen sores.
Question 2 of 5
When assessing a 2-year-old child with Wilms' tumor, the nurse should avoid?
Correct Answer: B
Rationale: Palpation can cause tumor rupture.
Question 3 of 5
A transfusion of packed red blood cells has been ordered for a 1-year-old with sickle cell anemia. The infant has a 25 gauge I.V. infusing dextrose with sodium and potassium. Using the Situation, Background, Assessment, Recommendation (SBAR) method of communication, the nurse contacts the physician and recommends:
Correct Answer: A
Rationale: A second I.V. with a larger 22-gauge catheter ensures safe blood transfusion, as dextrose is incompatible and a 25-gauge is too small.
Question 4 of 5
In an initial screening for lead poisoning, a 2-year-old child is found to have a lead level of 12 mcg/dL. The nurse should:
Correct Answer: A
Rationale: A lead level of 12 mcg/dL requires follow-up in 3-6 months per CDC guidelines. Chelation is for levels >45 mcg/dL, neurology referral is premature, and sibling testing depends on shared exposure risk.
Question 5 of 5
Shortly after an infant is returned to his room following hydrocele repair, the infant's mother tells the nurse that the child's scrotum looks swollen and bruised. Which of the following responses by the nurse would be most appropriate?
Correct Answer: D
Rationale: Swelling and bruising post-surgery are common.