NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
The nurse observes an 18 month old who has been admitted with a respiratory tract infection (see figure). The nurse should fi rst:
Correct Answer: D
Rationale: The child is in respiratory distress and is sitting in a position to relieve the airway obstruction; the nurse should provide a humidifi ed environment with a croup tent with cool mist to facilitate breathing and liquefy secretions. The child should remain sitting to facilitate breathing; the nurse should allow the child to determine the most comfortable position. After the child is breathing normally, the nurse can offer fl uids; the physician also may order intravenous fluids. The nurse can call the rapid response team if the respiratory distress is not relieved by using a croup tent or other vital signs changes indicate further distress.
Question 2 of 5
After a plaster cast has been applied to the arm of a child with a fractured right humerus, the nurse completes discharge teaching. The nurse should evaluate the teaching as successful when the mother agrees to seek medical advice if the child experiences which of the following?
Correct Answer: A
Rationale: Inability to extend fingers suggests possible nerve or circulatory compromise, requiring immediate medical attention.
Question 3 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 4 of 5
The mother tells the nurse she will be afraid to allow her child with hemophilia to participate in sports because of the danger of injury and bleeding. After explaining that physical fitness is important for children with hemophilia, which of the following activities should the nurse suggest as ideal?
Correct Answer: B
Rationale: Swimming is low-impact and safe, minimizing bleeding risk in hemophilia. Other sports pose higher injury risks.
Question 5 of 5
The mother brings her child to the clinic after discharge from the hospital for Guillain-Barré syndrome. Which of the following statements by the mother indicates that she is following the discharge plan?
Correct Answer: C
Rationale: Exercising in the pool indicates adherence to the rehabilitation plan, promoting recovery through low-impact activity.