NCLEX-RN
NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
The nurse is teaching the parents of a child with sickle cell disease. To instruct them on how to prevent sickle cell crisis, she should include which instruction?
Correct Answer: B
Rationale: Adequate hydration (1½ quarts daily) prevents blood viscosity, reducing the risk of sickle cell crisis. Other options are incorrect or overly restrictive.
Question 2 of 5
Which of the following should the nurse expect to observe in an infant with intussusception before surgical intervention?
Correct Answer: B
Rationale: Currant jelly stools are a classic sign of intussusception due to mucosal bleeding.
Question 3 of 5
While assessing a preschooler brought by her parents to the emergency department after ingestion of kerosene, the nurse should be alert for which of the following?
Correct Answer: D
Rationale: Kerosene ingestion often causes chemical pneumonitis due to aspiration risk. Uremia, hepatitis, and carditis are not common complications.
Question 4 of 5
A 10-year-old with leukemia is taking immunosuppressive drugs. To maintain health the nurse should instruct the child and parents to:
Correct Answer: B
Rationale: Live attenuated vaccines are contraindicated in immunosuppression due to infection risk. Other options are unnecessary or overly restrictive.
Question 5 of 5
The physician orders intravenous fluid replacement therapy with potassium chloride to be added for a child with severe gastroenteritis. Before adding the potassium chloride to the intravenous fluid, which of the following assessments would be most important?
Correct Answer: A
Rationale: Ensuring the ability to void confirms renal function before administering potassium.