NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse observes as a child with Duchenne's muscular dystrophy attempts to use from a sitting position on the floor. After attaining a kneeling position, the child 'walks' his hands up his legs to stand. The nurse documents this as which of the following?
Correct Answer: D
Rationale: Gower's sign is characteristic of Duchenne's muscular dystrophy, indicating proximal muscle weakness as the child uses their hands to 'walk' up their legs to stand.
Question 3 of 5
The nurse is monitoring an infant receiving IV fluids for gastroenteritis. Which finding suggests the infant is responding well to treatment?
Correct Answer: C
Rationale: Adequate urine output indicates effective rehydration.
Question 4 of 5
The parent of a 17-year-old boy, who is hospitalized for complications related to type I diabetes, requests to review the adolescent's medical record. The client reported receiving mental health counseling during the admission history, but did not want his parent to know. The nurse, who is uncertain of how to protect the adolescent's privacy and accommodate the parent's request, should consult:
Correct Answer: C
Rationale: The privacy officer is trained to handle HIPAA and confidentiality issues, ensuring the adolescent's privacy (e.g., mental health records) is protected while addressing parental rights.
Question 5 of 5
Which of the following should the nurse include when completing discharge instructions for the parents of a 12-month-old child diagnosed with Kawasaki disease (KD) and being discharged to home?
Correct Answer: B
Rationale: Monitoring temperature daily helps detect persistent fever, a sign of ongoing inflammation in Kawasaki disease. Other options are less critical or impractical at home.