NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
When assessing an infant with suspected inguinal hernia, which of the following findings would be most significant?
Correct Answer: B
Rationale: Irritability and a thickened spermatic cord suggest a hernia, indicating possible incarceration.
Question 2 of 5
The charge nurse on the pediatric floor has assigned a 6-year-old girl of Arab-American ethnicity with newly diagnosed type 1 diabetes and an 8-year-old girl recovering from ketoacidosis to the same semi-immune treatment. The 6-year-old's mother is upset because the parent staying with the other child is the father. The nurse should:
Correct Answer: B
Rationale: Cultural sensitivity requires addressing the mother's discomfort, likely due to gender norms. Reassigning rooms respects her concerns while maintaining care. Teaching convenience, alternative sleeping, or customer service do not address cultural needs.
Question 3 of 5
When teaching an adolescent with facial acne about skin care, the nurse should instruct the adolescent.
Correct Answer: A
Rationale: Washing the face twice daily with mild soap and water helps remove excess oil and debris without irritating the skin. Removing whiteheads can cause scarring, vitamin E is not evidence-based for acne, and tretinoin should be applied at night due to photosensitivity.
Question 4 of 5
A school-age boy with a spinal cord injury is moved to the rehabilitation unit. The nurse notes that the child tends to refuse to cooperate in care and is quiet. The nurse interprets this behavior as indicative of which of the following?
Correct Answer: A
Rationale: Refusal and withdrawal are consistent with grief, reflecting the child's adjustment to significant loss of function.
Question 5 of 5
The nurse is planning care for a child with hemophilia who is scheduled for a dental procedure. Which precaution should the nurse include?
Correct Answer: C
Rationale: Factor replacement therapy before dental procedures prevents excessive bleeding in hemophilia. Ibuprofen and vigorous rinsing increase bleeding risk.