NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
What is the most appropriate method to use when drawing blood from a child with hemophilia?
Correct Answer: D
Rationale: Scheduling labs together minimizes venipunctures, reducing bleeding risk in hemophilia. Finger punctures and heat increase bleeding, and platelets are not standard.
Question 2 of 5
A child has just ingested about 10 adult-strength acetaminophen (Tylenol) pills. The mother brings the child to the emergency department. What should the nurse do? Place the interventions in the order of priority from first to last.
Order the Items
Source Container
Correct Answer: B,A,D,C,F,E
Rationale: 1. Assess the airway to ensure patency and stability. 2. Administer activated charcoal to reduce acetaminophen absorption. 3. Check serum acetaminophen levels to guide treatment. 4. Reassure the mother to reduce anxiety. 5. Obtain information about how the child obtained the pills for safety education. 6. Complete a physical examination to assess for other effects.
Question 3 of 5
The parents of a child with a tracheoesophageal fistula express feelings of guilt about their baby's anomaly. Which of the following approaches by the nurse would best support the parents?
Correct Answer: A
Rationale: Acknowledging and normalizing the parents' guilt helps them process emotions and supports coping.
Question 4 of 5
A school-age client admitted to the hospital because of decreased urine output and periorbital edema is diagnosed with acute poststreptococcal glomerulonephritis. Which of the following actions should receive the highest priority?
Correct Answer: C
Rationale: Weight reflects fluid status.
Question 5 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.