NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
Which of the following should the nurse use to determine achievement of the expected outcome for an infant with severe diarrhea and a nursing diagnosis of Deficient fluid volume related to passage of profuse amounts of watery diarrhea?
Correct Answer: A
Rationale: Moist mucous membranes indicate adequate hydration, the goal of treatment.
Question 2 of 5
The nurse is administering gastrostomy feedings to an infant after surgery to correct a tracheoesophageal fistula (TEF). To prevent air from entering the stomach once the syringe barrel is attached to the gastrostomy tube the nurse should:
Correct Answer: D
Rationale: Allowing small amounts of formula to enter before adding more prevents air from being trapped in the tube.
Question 3 of 5
Which of the following actions indicates that the parents of a 12-month-old with iron deficiency anemia understand how to administer iron supplements?
Correct Answer: A,C,D
Rationale: Iron with fruit juice enhances absorption, dark stools are expected, and brushing teeth prevents staining. Iron with meals reduces absorption, and fortified foods should not be decreased.
Question 4 of 5
When teaching the parents of an older infant with cystic fibrosis (CF) about the type of diet the child should consume, which of the following would be appropriate?
Correct Answer: D
Rationale: A high-calorie diet is appropriate for an infant with cystic fibrosis to meet increased energy needs due to malabsorption and chronic respiratory issues.
Question 5 of 5
The physician has ordered intravenous mannitol (Osmitrol) for a child with a head injury. The best indicator that the drug has been effective is:
Correct Answer: C
Rationale: Mannitol reduces intracranial pressure by osmotic diuresis; decreased intracranial pressure is the primary indicator of its effectiveness.