NCLEX-PN
NCLEX Pediatric Questions
Extract:
Question 1 of 5
The nurse would expect to withhold penicillin V (Pen-Vee-K) and notify the physician if the child had a previous allergic reaction to a medication from which drug group?
Correct Answer: B
Rationale: Penicillin V is a penicillin antibiotic, and cephalosporins have a similar beta-lactam structure, which can lead to cross-reactivity in patients with penicillin allergies. Withholding penicillin and notifying the physician is necessary if the child has a cephalosporin allergy.
Question 2 of 5
Which nursing interventions are essential to restore the child's fluid and electrolyte balance during the emergent phase of burn care and treatment? Select all that apply.
Correct Answer: A,B,E,F
Rationale: During the emergent phase, I.V. fluids restore fluid and electrolyte balance due to massive losses. Monitoring vital signs and urine output assesses fluid status, and preparing venous access ensures timely administration. Oral fluids and protein-rich feedings are inappropriate due to gastrointestinal dysfunction.
Question 3 of 5
Which of the following is the priority nursing action if the child shows symptoms of hypoglycemic reaction?
Correct Answer: A
Rationale: For hypoglycemia, the priority is to rapidly raise blood glucose. Giving orange juice or milk provides quick-acting carbohydrates, the first-line treatment for conscious patients with mild to moderate hypoglycemia.
Question 4 of 5
Which nursing interventions should be included in the care plan of a child in skeletal traction? Select all that apply.
Correct Answer: B,D,E
Rationale: Cleaning pin sites every 8 hours prevents infection, monitoring for cloudy urine detects urinary tract infections due to immobility, and covering pin tips ensures safety. Prone position is not standard, and weights should not be released.
Question 5 of 5
Because the burned child is confined to bed, the nurse assesses for footdrop. Which nursing action best prevents call the development of footdrop?
Correct Answer: D
Rationale: Resting the child's feet against a footboard maintains a neutral position, preventing plantar flexion and footdrop during prolonged bed rest.