NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
Which of the following meals would be most appropriate for a 15-year-old with glomerulonephritis with severe hypertension?
Correct Answer: C
Rationale: Low-sodium diet is recommended.
Question 2 of 5
The breast-feeding mother of a 1-month-old diagnosed with cow's milk sensitivity asks the nurse what she should do about feeding her infant. Which of the following recommendations would be most appropriate?
Correct Answer: A
Rationale: Eliminating dairy from the mother's diet prevents milk proteins from passing to the infant via breast milk, allowing breastfeeding to continue. Formula or solids are less appropriate at this age.
Question 3 of 5
A transfusion of packed red blood cells has been ordered for a 1-year-old with sickle cell anemia. The infant has a 25 gauge I.V. infusing dextrose with sodium and potassium. Using the Situation, Background, Assessment, Recommendation (SBAR) method of communication, the nurse contacts the physician and recommends:
Correct Answer: A
Rationale: A second I.V. with a larger 22-gauge catheter ensures safe blood transfusion, as dextrose is incompatible and a 25-gauge is too small.
Question 4 of 5
A 7-year-old has been diagnosed as mentally retarded. Which of the parents' expectations for their child is realistic?
Correct Answer: A,B,C
Rationale: Mental retardation involves difficulty learning, an IQ below 70, and deficits in adaptive behavior, which are realistic expectations for the child's capabilities.
Question 5 of 5
When assessing a 3-month-old with Hirschsprung's disease, which finding should the nurse report immediately?
Correct Answer: B
Rationale: Abdominal distension may indicate obstruction, requiring urgent intervention.