NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
The physician orders an intravenous infusion of 5% dextrose in 0.25 normal saline to be infused at 2 mL/kg/hour in an infant who weighs 9 lb. How many milliliters per hour of the solution should the nurse infuse? Round to one decimal.
Correct Answer: A
Rationale: 9 lb = 4.08 kg; 2 mL/kg/hour × 4.08 kg = 8.16 mL/hour, rounded to 8.2.
Question 2 of 5
The school nurse develops a plan with an adolescent to provide relief of dysmenorrhea to aid in her development of which of the following?
Correct Answer: C
Rationale: Managing dysmenorrhea supports autonomy by empowering the adolescent to control her health.
Question 3 of 5
A mother of a toilet-trained 3-year-old expresses concern over her child's bedwetting while hospitalized. The nurse should tell the mother:
Correct Answer: C
Rationale: Regression, such as bedwetting, is common in hospitalized children due to stress.
Question 4 of 5
When caring for an infant post-repair of an anorectal malformation, which of the following should the nurse monitor to prevent complications?
Correct Answer: A
Rationale: Monitoring skin integrity prevents infection and breakdown at the surgical site.
Question 5 of 5
Which of the following outcome criteria would the nurse develop for a child with cystic fibrosis who has a nursing diagnosis of Ineffective airway clearance related to increased pulmonary secretions and inability to expectorate?
Correct Answer: A
Rationale: A respiratory rate and rhythm within the expected range is an appropriate outcome for ineffective airway clearance, indicating improved mucus clearance and respiratory function.