Questions 75

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Pediatrics Questions

Extract:


Question 1 of 5

Which of the following initial physical findings indicate the development of carditis in a child with rheumatic fever?

Correct Answer: A

Rationale: A heart murmur is a hallmark of carditis in rheumatic fever, indicating valvular involvement. Other findings may occur but are less specific.

Question 2 of 5

A nurse identifies a medication error in a pediatric unit. Which action should the nurse take first?

Correct Answer: C

Rationale: Completing an incident report ensures documentation and system improvement. Correcting the medication, notifying the physician, or informing parents follows after reporting.

Question 3 of 5

A 9-month-old is admitted because of dehydration. How should the nurse go about accurately monitoring fluid intake and output? Select all that apply.

Correct Answer: A,C,E

Rationale: Weighing diapers, daily weights, and stool counts accurately track fluid balance.

Question 4 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 5 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.

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