NCLEX-RN
Free NCLEX RN Pediatric Questions Questions
Extract:
Question 1 of 5
Which of the following assessments should be the priority for an infant who has had surgery to correct an intussusception and is now at risk for development of a paralytic ileus postoperatively?
Correct Answer: B
Rationale: Auscultating bowel sounds monitors for paralytic ileus, a critical postoperative complication.
Question 2 of 5
The nurse and parents are planning for the discharge of a child with leukemia who is receiving dactinomycin (actinomycin D) and vincristine (Oncovin). The nurse should teach the parents to:
Correct Answer: A
Rationale: Increased fluid intake helps flush chemotherapy drugs, reducing toxicity. Sun protection and monitoring are less critical.
Question 3 of 5
Which of the following should the nurse include in the plan of care for an infant with severe diarrhea to prevent skin breakdown?
Correct Answer: B
Rationale: Petroleum-based ointment protects the skin from irritation due to frequent stools.
Question 4 of 5
A 10-year-old has just spilled hot liquid on his arm, and a 4-inch area on his forearm is severely burned. His mother calls the emergency department. What should the nurse advise the mother to do?
Correct Answer: C
Rationale: Applying cool (not cold) water for 10-15 minutes reduces burn depth and pain. Keeping the child warm is secondary, antibiotic cream is not immediate, and 911 is unnecessary for a localized burn unless systemic symptoms appear.
Question 5 of 5
A 4-week-old infant admitted with the diagnosis of hypertrophic pyloric stenosis presents with a history of vomiting. The nurse should anticipate that the infant's vomitus would contain gastric contents and which of the following?
Correct Answer: C
Rationale: Pyloric stenosis causes vomiting of gastric contents, mucus, and sometimes blood due to irritation, but not bile.