NCLEX-RN
NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
Which of the following assessment findings should alert the nurse to suspect appendicitis in a male adolescent complaining of severe abdominal pain?
Correct Answer: B
Rationale: Decreased bowel sounds suggest appendicitis due to peritoneal irritation.
Question 2 of 5
When teaching the family of an older infant who has had a hip spica cast applied for developmental dysplasia of the hip, which information should the nurse include when describing the abduction stabilizer bar?
Correct Answer: C
Rationale: The abduction stabilizer bar maintains the legs in abduction to promote hip joint stability and adds structural strength to the cast.
Question 3 of 5
The nurse explains to the parents of a 1-year-old child admitted to the hospital in sickle cell crisis that the local tissue damage the child has on admission is caused by which of the following?
Correct Answer: D
Rationale: In sickle cell crisis, sickle-shaped red blood cells obstruct blood flow, leading to inadequate tissue perfusion and infarction, causing local tissue damage.
Question 4 of 5
When developing the plan of care for a child who is unconscious after a serious head injury, in which of the following positions should the nurse expect to place the child?
Correct Answer: B
Rationale: Side-lying with the head elevated reduces intracranial pressure and maintains airway patency in an unconscious child.
Question 5 of 5
The physician orders intravenous fluid replacement therapy with potassium chloride to be added for a child with severe gastroenteritis. Before adding the potassium chloride to the intravenous fluid, which of the following assessments would be most important?
Correct Answer: A
Rationale: Ensuring the ability to void confirms renal function before administering potassium.