NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
When assessing a 3-month-old with Hirschsprung's disease, which finding should the nurse report immediately?
Correct Answer: B
Rationale: Abdominal distension may indicate obstruction, requiring urgent intervention.
Question 2 of 5
The nurse is conducting a quality improvement audit on the pediatric unit. Which finding indicates a need for further staff education on IV catheter care?
Correct Answer: C
Rationale: High infiltration rates suggest improper technique or monitoring, requiring education.
Question 3 of 5
After teaching the mother of a child with severe burns about the importance of specific nutritional support in burn management, which of the following, if chosen by the mother from the child's diet menu, indicates the need for further teaching?
Correct Answer: A
Rationale: Burn patients require high-protein, high-calorie diets. Option A is low in protein and calories compared to options B, C, and D, which include protein-rich foods like cheese, chicken, and beans.
Question 4 of 5
A hospitalized preschooler with meningitis who is to be discharged becomes angry when the discharge is delayed. Which of the following play activities would be most appropriate at this time?
Correct Answer: C
Rationale: Pounding on a pegboard allows the child to express frustration physically, which is developmentally appropriate for a preschooler.
Question 5 of 5
A child is admitted with a diagnosis of possible appendicitis. The child is in acute pain. Which of the following nursing interventions would be appropriate prior to surgery to decrease pain? Select all that apply.
Correct Answer: A,C,D
Rationale: Ice, comfortable positioning, and activity limitation reduce pain; heating pads and cathartics may worsen appendicitis.