NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
To determine if a blood pressure reading is normal, the nurse must know which information about the child? Select all that apply.
Correct Answer: A,D,F
Rationale: Age, height, and weight are key factors in determining normal blood pressure ranges.
Question 2 of 5
Which of the following should the nurse include in the postoperative care plan for a child after an appendectomy to promote recovery?
Correct Answer: A
Rationale: Early ambulation prevents complications like atelectasis and promotes recovery.
Question 3 of 5
The mother asks the nurse whether her child with hemiparesis due to spastic cerebral palsy will be able to walk normally because he can pull himself to a standing position. Which of the following responses by the nurse would be most appropriate?
Correct Answer: C
Rationale: The ability to bear weight is a positive sign, but predicting normal walking is challenging due to the variability in cerebral palsy outcomes.
Question 4 of 5
The nurse has identified a priority nursing diagnosis of Anxiety related to surgery for a 4-yearold preparing for a tonsillectomy. The nurse should tell the child:
Correct Answer: D
Rationale: When preparing a child for a procedure the nurse should use neutral words, focus on sensory experiences, and emphasize the positive aspects at the end. Being reunited with parents and having an ice pop would be considered pleasurable events. Children this age fear bodily harm.
To reduce anxiety, avoid the word 'removed' to describe what is being done to the tonsils. Using the terms 'put to sleep' and 'I.V.' may be threatening. Additionally, directing a play experience to focus on I.V. insertion may be counterproductive as the child may have little recollection of this aspect of the procedure.
Question 5 of 5
The nurse is preparing an infant for inguinal hernia repair. Which preoperative intervention is most important?
Correct Answer: B
Rationale: NPO status is critical to prevent aspiration during anesthesia.