NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
Which of the following outcome criteria would the nurse develop for a child with cystic fibrosis who has a nursing diagnosis of Ineffective airway clearance related to increased pulmonary secretions and inability to expectorate?
Correct Answer: A
Rationale: A respiratory rate and rhythm within the expected range is an appropriate outcome for ineffective airway clearance, indicating improved mucus clearance and respiratory function.
Question 2 of 5
Which of the following measures would be most effective in helping the infant with a cleft lip and palate to retain oral feedings?
Correct Answer: B
Rationale: Feeding small amounts at a time reduces the risk of aspiration and helps the infant manage feedings despite the cleft, promoting retention.
Question 3 of 5
The nurse should instruct the family of a child with newly diagnosed hyperthyroidism to:
Correct Answer: C
Rationale: Hyperthyroidism causes irritability and hyperactivity, so limiting social interactions to one friend reduces overstimulation. Warmer homes, excessive activity, and limited bathing are inappropriate.
Question 4 of 5
When obtaining the initial health history from a 10-year-old child with abdominal pain and suspected appendicitis, which of the following questions would be most helpful in eliciting data to help support the diagnosis?
Correct Answer: A
Rationale: Pain starting near the umbilicus and migrating to the right lower quadrant is characteristic of appendicitis.
Question 5 of 5
An infant is admitted to the pediatric unit with a diagnosis of hypertrophic pyloric stenosis after vomiting for several days. Which of the following nursing diagnoses should be the priority?
Correct Answer: A
Rationale: Prolonged vomiting in pyloric stenosis leads to significant fluid loss, making fluid volume deficit the priority.