NCLEX-RN
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.