NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
The physician has ordered intravenous mannitol (Osmitrol) for a child with a head injury. The best indicator that the drug has been effective is:
Correct Answer: C
Rationale: Mannitol reduces intracranial pressure by osmotic diuresis; decreased intracranial pressure is the primary indicator of its effectiveness.
Question 2 of 5
When teaching the parents of an older infant with cystic fibrosis (CF) about the type of diet the child should consume, which of the following would be appropriate?
Correct Answer: D
Rationale: A high-calorie diet is appropriate for an infant with cystic fibrosis to meet increased energy needs due to malabsorption and chronic respiratory issues.
Question 3 of 5
The nurse caring for a 7 -year-old child who has undergone a cardiac catheterization 2 hours ago finds the dressing and bed saturated with blood. The nurse should first:
Correct Answer: C
Rationale: Direct pressure is the first measure that should be used to control bleeding. Taking the vital signs will not control the bleeding. This should be done while another person is being sent to notify the physician. The dressing can be reinforced after the bleeding has been contained.
Question 4 of 5
A nurse is teaching parents about soothing an infant with colic. Which strategy should be recommended?
Correct Answer: B
Rationale: A pacifier can soothe colic by satisfying sucking needs. Increased formula, noise, or infrequent feeds may worsen symptoms.
Question 5 of 5
A child is to receive I.V. antibiotics for osteomyelitis. Before the initial dose of antibiotics can be given, the nurse confirms that a blood sample for which of the following tests has been drawn?
Correct Answer: B
Rationale: A blood culture is essential before starting antibiotics to identify the causative organism in osteomyelitis.