NCLEX-PN
NCLEX Pediatric Questions
Extract:
Question 1 of 5
Which instruction should the nurse include when teaching the parents about the administration of oral penicillin to their child?
Correct Answer: D
Rationale: Completing the full course of penicillin therapy eradicates the infection and prevents recurrence or resistance, especially for streptococcal infections.
Question 2 of 5
Vaginal examination is contraindicated in pregnancy in which situation:
Correct Answer: D
Rationale: Placenta previa contraindicates vaginal examination due to the risk of provoking severe hemorrhage. Other conditions may require caution but are not absolute contraindications.
Question 3 of 5
Which finding best indicates that a school-age child has acute glomerular nephritis?
Correct Answer: A
Rationale: Periorbital edema is a classic sign of acute glomerular nephritis due to fluid retention from impaired glomerular filtration, reflecting reduced sodium and water excretion.
Question 4 of 5
Which of the following statements made by the adolescent best supports the nurse's suspicion of scoliosis?
Correct Answer: B
Rationale: Uneven sleeve length suggests shoulder asymmetry, a common sign of scoliosis due to lateral spinal curvature affecting posture.
Question 5 of 5
Which instruction is essential to give the parents before the child's discharge?
Correct Answer: D
Rationale: Awakening the child every 4 hours during the first night allows monitoring for neurological deterioration, such as altered consciousness, critical after a head injury.