NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
The parents of a 9-month-old bring the infant to the clinic for a regular checkup. The infant has received no immunizations. Which of the following would be appropriate for the nurse to administer at this visit?
Correct Answer: A
Rationale: These vaccines align with catch-up schedules for a 9-month-old, except PPD, which is a test, not a vaccine.
Question 2 of 5
When assessing a 2-year-old child with Wilms' tumor, the nurse should avoid?
Correct Answer: B
Rationale: Palpation can cause tumor rupture.
Question 3 of 5
What should be part of the nurse's teaching plan for a child with epilepsy being discharged on a regimen of diphenylhydantoin (Dilantin)?
Correct Answer: B
Rationale: Dilantin can cause gingival hyperplasia; brushing after meals promotes oral hygiene to mitigate this side effect.
Question 4 of 5
The nurse is examining an infant for hip placement and has abducted her flexed legs. The nurse should next:
Correct Answer: C
Rationale: Listening for a 'click' (Ortolani's sign) is the next step to detect hip dislocation in developmental dysplasia of the hip after abducting the flexed legs.
Question 5 of 5
A parent asks which nutrient deficiency is common in children with celiac disease. The nurse should respond:
Correct Answer: B
Rationale: Iron deficiency is common in celiac disease due to malabsorption in the small intestine. Other deficiencies (e.g., vitamin D, B vitamins) may occur, but iron is most frequent.