NCLEX-RN
NCLEX RN Pediatric Nursing Questions
Extract:
Question 1 of 5
Which of the following structures should be closed by the time the child is 2 months old?
Correct Answer: C
Rationale: posterior fontanelle closes by 2 months.
Question 2 of 5
A child is admitted with a fracture of the femur and placed in skeletal traction. What should the nurse assess first?
Correct Answer: C
Rationale: Assessing pin sites for infection is the priority, as infection can lead to serious complications in skeletal traction.
Question 3 of 5
A 14-year-old is using glargine (Lantus) and lispro (Humolog) to manage type I diabetes. The order for sliding scale lispro reads: Lispro subcutaneous give units according to sliding scale: Blood glucose: 70-150 mg/dL = 0 units, 151-200 mg/dL = 1 unit, 201-250 mg/dL = 2 units, 251-300 mg/dL = 3 units, 301-350 mg/dL = 4 units, Call for Blood glucose >350. In addition give 1 unit for every 15 grams of carbohydrate. The morning blood glucose is $202 \mathrm{mg} / \mathrm{dL}$ and the client is going to eat 2 carbohydrate exchanges. The nurse has the client administer how many units of lispro?
Correct Answer: 4
Rationale: Blood glucose of 202 mg/dL requires 2 units (sliding scale). Two carbohydrate exchanges (30 g) require 2 units (1 unit/15 g).
Total: 2 + 2 = 4 units of lispro.
Question 4 of 5
After having a blood sample drawn, a 5-year-old child insists that the site be covered with a bandage. When the parent tries to remove the bandage before leaving the office, the child screams that all the blood will come out. The nurse encourages the parent to leave the bandage in place and tells the parent that the child:
Correct Answer: B
Rationale: Preschoolers may fear loss of body integrity, believing blood will leak out without a bandage.
Question 5 of 5
The parents of a child with a serious head injury ask the nurse if the child is going to be all right. Which of the following responses by the nurse would be most appropriate?
Correct Answer: C
Rationale: Acknowledging uncertainty while promising updates provides honest, supportive communication without false reassurance.