NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
The nurse should instruct the family of a child with newly diagnosed hyperthyroidism to:
Correct Answer: C
Rationale: Hyperthyroidism causes irritability and hyperactivity, so limiting social interactions to one friend reduces overstimulation. Warmer homes, excessive activity, and limited bathing are inappropriate.
Question 2 of 5
Which of the following structures should be closed by the time the child is 2 months old?
Correct Answer: C
Rationale: posterior fontanelle closes by 2 months.
Question 3 of 5
The physician orders an intravenous infusion of 5% dextrose in 0.25 normal saline to be infused at 2 mL/kg/hour in an infant who weighs 9 lb. How many milliliters per hour of the solution should the nurse infuse? Round to one decimal.
Correct Answer: A
Rationale: 9 lb = 4.08 kg; 2 mL/kg/hour × 4.08 kg = 8.16 mL/hour, rounded to 8.2.
Question 4 of 5
The mother of a child with chronic renal failure who is receiving peritoneal dialysis at home asks the nurse what she can do if both inflow and drain times are increased. Which of the following instructions would be most appropriate for the nurse to include when responding to the mother?
Correct Answer: A
Rationale: Constipation can affect dialysis flow.
Question 5 of 5
After a child undergoes nephrectomy for a Wilms' tumor, the nurse should assess the child postoperatively for which early sign of a complication?
Correct Answer: A
Rationale: Distention suggests internal bleeding.