NCLEX-RN
NCLEX RN Pediatrics Questions
Extract:
Question 1 of 5
Which action should the nurse do first when noting clear drainage on the child's dressing and bed linen after a craniotomy for a brain tumor?
Correct Answer: C
Rationale: Clear drainage may indicate cerebrospinal fluid leak, which testing for glucose can confirm, guiding further action.
Question 2 of 5
An 18-month-old with a congenital heart defect is to receive digoxin twice a day. The nurse should instruct the parents about which of the following?
Correct Answer: A
Rationale: Digoxin improves heart function by increasing contractility and regulating rhythm.
Toxicity signs are correct but not the focus here, absorption is not meal-dependent, and repeating a vomited dose risks overdose.
Question 3 of 5
When developing the plan of care for a toddler who has taken an acetaminophen overdose, which of the following should the nurse expect to include as part of the initial treatment?
Correct Answer: A
Rationale: Frequent blood level monitoring guides acetylcysteine therapy. Gastric lavage is less effective than charcoal, and tracheostomy or ECG are not typically needed unless complications arise.
Question 4 of 5
When teaching an adolescent with facial acne about skin care, the nurse should instruct the adolescent.
Correct Answer: A
Rationale: Washing the face twice daily with mild soap and water helps remove excess oil and debris without irritating the skin. Removing whiteheads can cause scarring, vitamin E is not evidence-based for acne, and tretinoin should be applied at night due to photosensitivity.
Question 5 of 5
A school-age child who has received burns over 60% of his body is to receive 2,000 mL of I.V. fluid over the next 8 hours. At what rate (in milliliters per hour) should the nurse set the infusion pump?
Correct Answer: 250
Rationale: Dividing 2,000 mL by 8 hours yields 250 mL/hour. This ensures fluid resuscitation meets burn protocol (e.g., Parkland formula) to maintain hemodynamic stability.