NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
The parents of a 3-year-old suspect that the child has recently ingested a large amount of acetaminophen. The child does not appear in immediate distress. The nurse should anticipate doing which of these interventions in order of priority, from first to last?
Correct Answer: B,D,A,C
Rationale: First, determine ingestion details (
B) to assess risk. Administer charcoal (
D) within 1-2 hours to reduce absorption. Draw serum levels (
A) at 4 hours to confirm toxicity. Administer acetylcysteine (
C) if levels are toxic.
Question 2 of 5
When assessing for pain in a toddler, which of the following methods should be the most appropriate?
Correct Answer: B
Rationale:
Toddlers cannot reliably verbalize pain, so observing behavior like restlessness is most appropriate.
Question 3 of 5
An adolescent complains of chest pain and goes to the school nurse. The nurse determines that the teenager has a history of asthma but has had no problems for years. Which of the following should the nurse do next?
Correct Answer: C
Rationale: Obtaining a peak flow reading is the next step to objectively assess the adolescent's respiratory status, given the history of asthma and new chest pain, which could indicate an asthma exacerbation.
Question 4 of 5
Anticipating that a 3-year-old child in traction will have need for diversion, what should the nurse offer the child?
Correct Answer: C
Rationale: Hand puppets are an engaging, age-appropriate diversion for a 3-year-old, promoting interaction without requiring mobility.
Question 5 of 5
The nurse formulates the nursing diagnosis Imbalanced Nutrition: Less than body requirements related to negative feeding patterns for a 5-month-old infant diagnosed with failure to thrive. To meet the short-term outcomes of the infant's plan of care, the nurse should expect to do which of the following?
Correct Answer: A
Rationale: Teaching proper feeding techniques corrects negative patterns, improving intake. Higher-calorie formula or consistent staff are secondary, and high chairs are unsuitable for a 5-month-old.