NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
The nurse is examining an infant for hip placement and has abducted her flexed legs. The nurse should next:
Correct Answer: C
Rationale: Listening for a 'click' (Ortolani's sign) is the next step to detect hip dislocation in developmental dysplasia of the hip after abducting the flexed legs.
Question 2 of 5
A 2-year-old tells his mother he is afraid to go to sleep because 'the monsters will get him.' The nurse should tell his mother to:
Correct Answer: C
Rationale: A comfort object helps a toddler feel secure and supports self-soothing.
Question 3 of 5
On the second postoperative day after repair of a cleft palate, which of the following should the nurse use to feed a toddler?
Correct Answer: C
Rationale: A rubber-tipped syringe allows controlled feeding, minimizing stress on the surgical site while ensuring adequate nutrition.
Question 4 of 5
The nurse is teaching the parents of a child with myelomeningocele how to prevent urinary tract infections. What should the care plan include for this child? Select all that apply.
Correct Answer: A,C,D
Rationale: Meticulous skin care prevents skin breakdown and infection. Frequent bladder emptying and adequate fluid intake reduce urinary stasis and bacterial growth. The 'seeds's maneuver' is likely a typo for Credé's maneuver, which is not always appropriate without medical guidance. Tight diapers can cause irritation and increase infection risk.
Question 5 of 5
An infant diagnosed with Hirschsprung's disease undergoes surgery with the creation of a temporary colostomy. Which of the following statements by the parent regarding the colostomy indicates the need for further teaching?
Correct Answer: B
Rationale: The colostomy allows the affected bowel to rest, but nerves do not regenerate.