NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
When assessing for pain in a toddler, which of the following methods should be the most appropriate?
Correct Answer: B
Rationale:
Toddlers cannot reliably verbalize pain, so observing behavior like restlessness is most appropriate.
Question 2 of 5
The mother of an infant with myelomeningocele asks if her baby is likely to have any other defects. The nurse responds based on the understanding that myelomeningocele is commonly associated with which disorder?
Correct Answer: A
Rationale: Myelomeningocele is often associated with hydrocephalus, characterized by excessive cerebrospinal fluid in the cranial cavity, due to impaired cerebrospinal fluid circulation.
Question 3 of 5
The parents of a 3-year-old suspect that the child has recently ingested a large amount of acetaminophen. The child does not appear in immediate distress. The nurse should anticipate doing which of these interventions in order of priority, from first to last?
Order the Items
Source Container
Correct Answer: B,D,A,C
Rationale: First, determine ingestion details (
B) to assess risk. Administer charcoal (
D) within 1-2 hours to reduce absorption. Draw serum levels (
A) at 4 hours to confirm toxicity. Administer acetylcysteine (
C) if levels are toxic.
Question 4 of 5
The parents of a child tell the nurse that they feel guilty because their child almost drowned. Which of the following remarks by the nurse would be most appropriate?
Correct Answer: B
Rationale: Encouraging parents to express their feelings facilitates therapeutic communication and supports emotional processing.
Question 5 of 5
The parent of a 17-year-old boy, who is hospitalized for complications related to type I diabetes, requests to review the adolescent's medical record. The client reported receiving mental health counseling during the admission history, but did not want his parent to know. The nurse, who is uncertain of how to protect the adolescent's privacy and accommodate the parent's request, should consult:
Correct Answer: C
Rationale: The privacy officer is trained to handle HIPAA and confidentiality issues, ensuring the adolescent's privacy (e.g., mental health records) is protected while addressing parental rights.