NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
When developing the discharge teaching plan for a child with chronic renal failure and the family, the nurse should emphasize restriction of which of the following nutrients?
Correct Answer: D
Rationale: Phosphorus restriction is important.
Question 2 of 5
When positioning a neonate with an unrepaired myelomeningocele, which of the following positions is most appropriate?
Correct Answer: C
Rationale: The prone position protects the myelomeningocele sac from pressure and rupture before surgical repair, with hips in abduction to maintain alignment and prevent strain on the defect.
Question 3 of 5
The hospital is responding to a mass casualty disaster with adult and pediatric victims. After reallocating staff, the charge nurse on the pediatric floor should:
Correct Answer: B
Rationale: Reviewing for early discharges optimizes bed availability for new patients.
Question 4 of 5
Because of the risks associated with administration of factor VIII concentrate, the nurse should teach the child's family to recognize and report which of the following?
Correct Answer: A
Rationale: Yellowing of the skin (jaundice) may indicate hepatitis, a risk with factor VIII. Other symptoms are less directly related to factor risks.
Question 5 of 5
A nurse is assessing an 8-year-old with diabetes who is experiencing hyperglycemia. Which symptom[s] indicate(s) that the hyperglycemia requires immediate intervention? Select all that apply.
Correct Answer: B,E,F
Rationale: Thirst, headache, and irritability are hallmark symptoms of hyperglycemia progressing to diabetic ketoacidosis, requiring immediate intervention. Weakness, shakiness, hunger, and dizziness suggest hypoglycemia instead.