NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
The nurse is preparing an infant for inguinal hernia repair. Which preoperative intervention is most important?
Correct Answer: B
Rationale: NPO status is critical to prevent aspiration during anesthesia.
Question 2 of 5
The nurse caring for a 7 -year-old child who has undergone a cardiac catheterization 2 hours ago finds the dressing and bed saturated with blood. The nurse should first:
Correct Answer: C
Rationale: Direct pressure is the first measure that should be used to control bleeding. Taking the vital signs will not control the bleeding. This should be done while another person is being sent to notify the physician. The dressing can be reinforced after the bleeding has been contained.
Question 3 of 5
A mother states that she thinks her 9-month-old 'is developing slowly.' When assessing the infant's development, the nurse is also concerned because the infant should be demonstrating which of the following characteristics?
Correct Answer: C
Rationale: Building a tower of two cubes is expected by 9 months; failure to do so suggests developmental delay.
Question 4 of 5
The nurse has identified a priority nursing diagnosis of Anxiety related to surgery for a 4-yearold preparing for a tonsillectomy. The nurse should tell the child:
Correct Answer: D
Rationale: When preparing a child for a procedure the nurse should use neutral words, focus on sensory experiences, and emphasize the positive aspects at the end. Being reunited with parents and having an ice pop would be considered pleasurable events. Children this age fear bodily harm.
To reduce anxiety, avoid the word 'removed' to describe what is being done to the tonsils. Using the terms 'put to sleep' and 'I.V.' may be threatening. Additionally, directing a play experience to focus on I.V. insertion may be counterproductive as the child may have little recollection of this aspect of the procedure.
Question 5 of 5
Which of the following actions initiated by the parents of an 8-month-old indicates they need further teaching about preventing childhood accidents?
Correct Answer: B
Rationale: A front-seat, front-facing car seat is unsafe for an 8-month-old; rear-facing in the back seat is recommended.