NCLEX-RN
RN Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is evaluating a child's skills in self-administering insulin (see figure). The nurse should:
Correct Answer: D
Rationale: Rotating insulin injection sites prevents lipodystrophy and ensures consistent absorption. Both hands are typically used, a 90-degree angle is standard for children, and site location depends on rotation.
Question 2 of 5
An adolescent with a history of losing weight and fatigue is admitted to the hospital with a diagnosis of stage I chronic renal failure. Based on these fi ndings, the nurse should:The chart shows:
Correct Answer: B
Rationale: The nurse would expect a person with a normal GFR to have approximately equal inputs and outputs. Chronic renal failure has fi ve stages. In stage I the glomerular fi ltration rate (GFR) is approximately ≥90 mL/minute/1.73 m2. In stage II the GFR decreases to approximately 60 to 89 mL/minute/1.73 m2. The decreased urine output may indicate worsening disease and should be reported. Assessing the client’s intake and output is still important, but notifying the provider is the priority. Fluids are restricted based on decreased sodium. Clients are encouraged to drink to thirst.
Therefore, there is not enough information to suggest increasing or restricting fl uids.
Question 3 of 5
The parents of a neonate born with congenital clubfoot express feelings of helplessness and guilt, exhibiting anxiety about how the neonate will be treated. Which of the following actions by the nurse would be most appropriate initially?
Correct Answer: D
Rationale: Encouraging expression of feelings and listening attentively is the most appropriate initial step to address emotional concerns and build trust.
Question 4 of 5
When observing the parent instilling prescribed ear drops ordered twice a day for a toddler, the nurse decides that the teaching about positioning of the pinna for instillation of the drops is effective when the parent pulls the toddler's pinna in which of the following directions?
Correct Answer: D
Rationale: In children under 3, the pinna is pulled down and back to straighten the ear canal.
Question 5 of 5
The nurse is teaching the parents of an 8-month-old about what the child should be eating. The nurse should include which of the following points in the teaching plan?
Correct Answer: D
Rationale: Whole milk can be introduced at 12 months, as infants need the fat content for brain development.