NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
The parents of a child with a tracheoesophageal fistula express feelings of guilt about their baby's anomaly. Which of the following approaches by the nurse would best support the parents?
Correct Answer: A
Rationale: Acknowledging and normalizing the parents' guilt helps them process emotions and supports coping.
Question 2 of 5
After teaching the parents of an 18-month-old who was treated for a foreign body obstruction about the three cardinal signs indicated for choking, the nurse determines that the teaching has been successful when the parents state that a child is choking when he or she cannot speak, turns blue, and does which of the following?
Correct Answer: D
Rationale: The three cardinal signs of choking are inability to speak, cyanosis (turning blue), and collapse. These indicate severe airway obstruction requiring immediate intervention.
Question 3 of 5
Which dietary recommendation should the nurse include for a child with lead poisoning to enhance lead excretion?
Correct Answer: B
Rationale: Calcium-rich foods reduce lead absorption by competing for intestinal binding sites. Protein, fat, or fiber diets have less direct impact on lead excretion.
Question 4 of 5
After teaching the parents of a child newly diagnosed with leukemia about the disease, which of the following descriptions given by the mother best indicates that she understands the nature of leukemia?
Correct Answer: B
Rationale: Leukemia is a cancer characterized by excessive immature white blood cells. Other descriptions are incorrect.
Question 5 of 5
The parents of a child with occasional generalized seizures want to send the child to summer camp. The parents contact the nurse for advice on planning for the camping experience. Which of the following activities should the nurse and family decide the child should avoid?
Correct Answer: C
Rationale: Swimming poses a drowning risk during a seizure; it should be avoided unless closely supervised.