NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
When assessing a 4-month-old infant diagnosed with possible intussusception, the nurse should expect the mother to relate which of the following about the infant's crying and episodes of pain?
Correct Answer: B
Rationale: Intussusception causes intermittent pain with knees drawn to the chest due to bowel obstruction.
Question 2 of 5
Preoperatively, the nurse develops a plan to prepare a 7-month-old infant psychologically for a scheduled herniorrhaphy the next day. Which of the following should the nurse expect to implement to accomplish this goal?
Correct Answer: B
Rationale: The mother's presence provides comfort and reduces anxiety for a 7-month-old.
Question 3 of 5
When developing the preoperative plan of care for an infant with Hirschsprung's disease, which of the following should the nurse include?
Correct Answer: C
Rationale: A rectal tube may help relieve obstruction preoperatively in Hirschsprung's disease.
Question 4 of 5
Which of the following should the nurse use to determine achievement of the expected outcome for an infant with severe diarrhea and a nursing diagnosis of Deficient fluid volume related to passage of profuse amounts of watery diarrhea?
Correct Answer: A
Rationale: Moist mucous membranes indicate adequate hydration, the goal of treatment.
Question 5 of 5
Which of the following would alert the nurse to suspect that a child with severe gastroenteritis who has been receiving intravenous therapy for the past several hours may be developing circulatory overload?
Correct Answer: C
Rationale: Moist crackles indicate fluid in the lungs, a sign of circulatory overload.