NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
Which of the following outcomes indicates that the activity restriction necessary for a 7 -year-old child with rheumatic fever during the acute phase has been effective?
Correct Answer: B
Rationale: A normal resting heart rate (60-100 bpm) indicates reduced cardiac strain, showing effective activity restriction. Other outcomes are relevant but less directly tied to activity restriction.
Question 2 of 5
The mother tells the nurse that her 8-year-old child is continually telling jokes and riddles to the point of driving the other family members crazy. The nurse should explain this behavior is a sign of?
Correct Answer: B
Rationale: Telling jokes and riddles reflects cognitive development and understanding of language nuances.
Question 3 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 4 of 5
A nurse is planning a diet for a client with cystic fibrosis. Which of the following foods should not be included in the meal plan?
Correct Answer: B
Rationale: Fried scallops are high in fat and difficult to digest for a client with cystic fibrosis due to pancreatic insufficiency. A high-calorie, high-protein diet with moderate fat and pancreatic enzyme supplements is more appropriate.
Question 5 of 5
A child has just ingested about 10 adult-strength acetaminophen (Tylenol) pills. The mother brings the child to the emergency department. What should the nurse do? Place the interventions in the order of priority from first to last.
Order the Items
Source Container
Correct Answer: B,A,D,C,F,E
Rationale: 1. Assess the airway to ensure patency and stability. 2. Administer activated charcoal to reduce acetaminophen absorption. 3. Check serum acetaminophen levels to guide treatment. 4. Reassure the mother to reduce anxiety. 5. Obtain information about how the child obtained the pills for safety education. 6. Complete a physical examination to assess for other effects.