NCLEX-RN
RN Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
The parents of a preschooler ask the nurse how to handle their child's temper tantrums. Which of the following should the nurse include in the teaching plan? Select all that apply.
Correct Answer: A,C
Rationale: Time-out and ignoring the tantrum are effective strategies to reduce attention-seeking behavior.
Question 2 of 5
The nurse is teaching the parents of an 8-month-old about what the child should be eating. The nurse should include which of the following points in the teaching plan?
Correct Answer: D
Rationale: Whole milk can be introduced at 12 months, as infants need the fat content for brain development.
Question 3 of 5
The physician orders carbamazepine extended release (Tegretol-XR) for a client with cerebral palsy who also has a seizure disorder. The client has a gastrostomy feeding tube. What should the nurse do?
Correct Answer: C
Rationale: Extended-release formulations like Tegretol-XR should not be crushed; the nurse should notify the physician to adjust the order.
Question 4 of 5
When developing the teaching plan for the mother and a child with insulin-dependent diabetes about sick-day management, which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Sick-day management requires frequent glucose monitoring and insulin adjustments to prevent ketoacidosis. Fixed insulin schedules, immediate physician calls, or ER visits are less appropriate without monitoring.
Question 5 of 5
The nurse reports to the physician signs of increased intracranial pressure in an infant with a myelomeningocele who has which of the following?
Correct Answer: A
Rationale: A high-pitched cry is a classic sign of increased intracranial pressure in infants, indicating neurological distress. Overflow voiding and a fontanel bulging only with crying are less specific.