NCLEX-RN
Free NCLEX RN Pediatric Questions Questions
Extract:
Question 1 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 2 of 5
An adolescent with insulin-dependent diabetes is being taught the importance of rotating the sites of insulin injections. The nurse should judge that the teaching was successful when the adolescent identifies which of the following as a result of using the same site?
Correct Answer: A
Rationale: Repeated injections at the same site cause lipodystrophy, leading to poor insulin absorption. Nerve damage, rapid uptake, or insulin resistance are not primary consequences.
Question 3 of 5
The nurse assesses the child with chronic renal failure who is receiving peritoneal dialysis for edema. Which finding is expected for this child?
Correct Answer: D
Rationale: Pallor is common in chronic conditions.
Question 4 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.
Question 5 of 5
A 7-year-old has had an appendectomy on November 12. He has had pain for the last 24 hours. There is an order to administer Tylenol with Codeine every 3 to 4 hours as needed. The nurse is beginning the shift and reviews the chart below for pain history. Based on the information in the chart, what should the nurse do next?

Correct Answer: A
Rationale: The FACES score of 4 at 7:00 am indicates pain, and it's been 6 hours since the last dose, warranting medication.