NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
Which of the following medication orders to help relieve discomfort in a child with leukemia should the nurse question?
Correct Answer: C
Rationale: Ibuprofen increases bleeding risk in leukemia due to its antiplatelet effects, which is dangerous with low platelets. Other medications are safer.
Question 2 of 5
Parents bring their child to the emergency department because the child has stopped breathing. A nurse obtains a brief history of events occurring before and after the parents found the infant not breathing. Which of the following questions should the nurse ask the parents first?
Correct Answer: B
Rationale: Asking if the infant was lying on his stomach is critical, as prone sleeping is a major risk factor for SIDS and could explain the cessation of breathing.
Question 3 of 5
An infant diagnosed with Hirschsprung's disease undergoes surgery with the creation of a temporary colostomy. Which of the following statements by the parent regarding the colostomy indicates the need for further teaching?
Correct Answer: B
Rationale: The colostomy allows the affected bowel to rest, but nerves do not regenerate.
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
A hospitalized preschooler with meningitis who is to be discharged becomes angry when the discharge is delayed. Which of the following play activities would be most appropriate at this time?
Correct Answer: C
Rationale: Pounding on a pegboard allows the child to express frustration physically, which is developmentally appropriate for a preschooler.