NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
When obtaining the initial health history from a 10-year-old child with abdominal pain and suspected appendicitis, which of the following questions would be most helpful in eliciting data to help support the diagnosis?
Correct Answer: A
Rationale: Pain starting near the umbilicus and migrating to the right lower quadrant is characteristic of appendicitis.
Question 2 of 5
A mother of a toilet-trained 3-year-old expresses concern over her child's bedwetting while hospitalized. The nurse should tell the mother:
Correct Answer: C
Rationale: Regression, such as bedwetting, is common in hospitalized children due to stress.
Question 3 of 5
A child is admitted to the pediatric unit with the diagnosis of severe gastroenteritis. To prevent spread of the disease the nurse should?
Correct Answer: A
Rationale: Standard precautions prevent the spread of infectious gastroenteritis.
Question 4 of 5
The nurse is assessing a 9-year-old child who has third-degree burns as shown below. Using the 'Rule of Nines' adapted for children, the nurse estimates that the extent of burns for this child is:
Correct Answer: C
Rationale: In children, the Rule of Nines assigns 18% to each arm (including forearm and hand). A third-degree burn on one forearm approximates 18%, assuming the burn covers the entire forearm as implied.
Question 5 of 5
The nurse is monitoring an infant receiving IV fluids for gastroenteritis. Which finding suggests the infant is responding well to treatment?
Correct Answer: C
Rationale: Adequate urine output indicates effective rehydration.