NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 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 2 of 5
A child with nephrosis is taking prednisone. The nurse should teach the caregivers to report which of the following adverse effects? Select all that apply.
Correct Answer: B,C,D,E
Rationale: These symptoms indicate potential complications.
Question 3 of 5
A 5-year-old child with burns on the trunk and arms has no appetite. The nurse and mother develop a plan of care to stimulate the child's appetite. Which of the following suggestions made by the mother would indicate that she needs additional teaching?
Correct Answer: B
Rationale: Withholding desserts can create negative associations with eating, reducing appetite. Feeding assistance, finger foods, and smaller meals are appropriate to encourage intake in a burn patient with high metabolic needs.
Question 4 of 5
When teaching the parents of an older infant with cystic fibrosis (CF) about the type of diet the child should consume, which of the following would be appropriate?
Correct Answer: D
Rationale: A high-calorie diet is appropriate for an infant with cystic fibrosis to meet increased energy needs due to malabsorption and chronic respiratory issues.
Question 5 of 5
A 3-year-old child receiving chemotherapy after surgery for a Wilms' tumor has developed neutropenia. The parent is trying to encourage the child to eat by bringing extra foods to the room. Which food would not be appropriate for this child?
Correct Answer: C
Rationale: Raw fruits carry infection risk.