NCLEX-RN
Free NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
When developing the plan of care for a child diagnosed with phenylketonuria (PKU), the nurse should establish which of the following goals?
Correct Answer: A
Rationale: The goal is to meet nutritional needs via a phenylalanine-restricted diet for growth while preventing neurological damage. The diet starts at diagnosis, not 3 weeks, and phenylalanine levels should be 2-6 mg/100 mL.
Question 2 of 5
After teaching the parents of an infant with clubfoot about the condition and its management, which of the following statements by a parent indicates a need for additional teaching?
Correct Answer: D
Rationale: Parents should not adjust the cast themselves, as this could disrupt treatment; they should contact a healthcare provider if the cast seems too tight.
Question 3 of 5
In planning the discharge for a newborn diagnosed with torticollis (wry neck), the nurse should:
Correct Answer: B
Rationale: Physical therapy is the most important part of the child's plan of care. Most cases of torticollis respond to gentle stretching exercises, which can be taught to parents and continued at home.
Question 4 of 5
When developing the plan of care for an infant with a cleft lip before corrective surgery is performed, which of the following should be a priority?
Correct Answer: C
Rationale: Altering feeding methods is critical to ensure adequate nutrition and prevent aspiration due to the anatomical defect of a cleft lip.
Question 5 of 5
A nurse is counseling parents of an obese child. Which lifestyle change should be emphasized?
Correct Answer: B
Rationale: Increased physical activity promotes weight control and health. Eliminating carbohydrates, restricting meals, or using shakes are not sustainable or appropriate for children.