NCLEX-RN
NCLEX RN Pediatric Questions
Extract:
Question 1 of 5
Which one of the following children is at most risk for sudden infant death syndrome (SIDS)?
Correct Answer: A
Rationale: A 3-month-old infant is at the highest risk for SIDS, as the peak incidence occurs between 2 and 4 months of age.
Question 2 of 5
The nurse is admitting a child who has been diagnosed with bacterial meningitis to the pediatric unit. The nurse should implement which type of isolation?
Correct Answer: D
Rationale: Bacterial meningitis, such as meningococcal, requires droplet precautions due to transmission via respiratory secretions.
Question 3 of 5
The mother of a toilet-trained toddler who was admitted to the hospital for severe gastroenteritis and subsequent dehydration and is now at home asks the nurse why the child still wets the bed. Which of the following should be the nurse's best response?
Correct Answer: A
Rationale: Regression, like bedwetting, is common after hospitalization due to stress.
Question 4 of 5
A nurse evaluates discharge teaching as successful when the parents of a school-age child with a ventriculoperitoneal shunt insertion identify which sign as signaling a blocked shunt?
Correct Answer: D
Rationale: Irritability and difficulty eating are early signs of shunt blockage due to increased intracranial pressure, which parents should recognize for timely intervention.
Question 5 of 5
The nurse is assessing a child with sickle cell disease during a routine clinic visit. Which finding requires immediate follow-up by the nurse?
Correct Answer: A
Rationale: Pallor of nail beds and mucous membranes indicates anemia or poor perfusion, a serious concern in sickle cell disease requiring immediate follow-up.