NCLEX Pediatrics Questions {ALREADY GRADED A+ } NEWEST VERSION

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NCLEX Pediatrics Questions {ALREADY

GRADED A+ } NEWEST VERSION

• A nurse reinforces instructions to the mother of a child with croup about the

measures to take if an acute spasmodic episode occurs. Which statement by the mother indicates the need for further instruction?

• "I will place a steam vaporizer in my child's room."
• "I will take my child out into the cool, humid night air."
• "I will place a cool-mist humidifier in my child's room."
• "I will place my child in a closed bathroom and allow my child to inhale steam from

the running water."

Correct Answer: 1

• A child has been diagnosed with Reye's syndrome. The nurse understands that a

major symptom associated with Reye's syndrome is:

• Persistent vomiting
• Protein in the urine
• Symptoms of hyperglycemia
• A history of a Staphylococcus infection

Correct Answer: 1

• A child has a basilar skull fracture. Which of the following health care provider's

prescriptions should the nurse question?

• Restrict fluid intake.
• Insert an indwelling urinary catheter.
• Keep an intravenous (IV) line patent.
• Suction via the nasotracheal route as needed.

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Correct Answer: 4

• After a tonsillectomy, the child begins to vomit bright red blood. The initial nursing

action would be to:

• Turn the child to the side.
• Notify the RN or health care provider (HCP).
• Administer the prescribed antiemetic.
• Maintain nothing-by-mouth (NPO) status.

Correct Answer: 1

• A nurse is collecting data about a child who has been admitted to the hospital with a

diagnosis of seizures. The nurse checks for causes of the seizure activity by:

• Testing the child's urine for specific gravity
• Asking the child what happens during a seizure
• Obtaining a family history of psychiatric illness
• Obtaining a history regarding factors that may occur before the seizure activity

Correct Answer: 4

• A mother arrives at the emergency department with her 5-year-old child and states

that the child fell off a bunk bed. A head injury is suspected, and a nurse is monitoring the child continuously for signs of increased intracranial pressure (ICP). Which of the following is a late sign of increased ICP in this child?

• Nausea
• Bradycardia
• Bulging fontanel
• Dilated scalp veins

Correct Answer: 2

• The appropriate child position after a tonsillectomy is which of the following?
• Supine position
• Side-lying position

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• High Fowler's position
• Trendelenburg's position

Correct Answer: 2

• After a tonsillectomy, which of the following fluid or food items would be

appropriate to offer to the child?

• Yellow Jell-O
• Cold ginger ale
• Vanilla pudding
• Cherry Popsicle

Correct Answer: 1

• A nurse is assisting with data collection from an infant who has been diagnosed with

hydrocephalus. If the infant's level of consciousness diminishes, a priority

intervention is:

• Taking the apical pulse
• Taking the blood pressure
• Testing the urine for protein
• Palpating the anterior fontanel

Correct Answer: 4

• A nurse is developing a plan of care for a child who is at risk for seizures. Which

interventions apply if the child has a seizure? Select all that apply.

• Time the seizure.
• Restrain the child.
• Stay with the child.
• Place the child in a prone position.
• Move furniture away from the child.
• Insert a padded tongue blade into the child's mouth.

Correct Answer: 1, 3, 5

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• A nurse reinforces instructions to the mother of a child who has been hospitalized

with croup. Which of the following statements, if made by the mother, would indicate the need for further instruction?

• "I will give my child cough syrup if a cough develops."
• "During an attack, I will take my child to a cool location."
• "I will give acetaminophen (Tylenol) if my child develops a fever."
• "I will be sure that my child drinks at least three to four glasses of fluids every day."

Correct Answer: 1

• A nurse is instructing the mother of a child with cystic fibrosis (CF) about the

appropriate dietary measures. Which of the following meals best illustrates the most appropriate diet for a client with cystic fibrosis?

• A veggie salad and a caramel apple
• A strawberry jelly sandwich and pretzels
• A plate of nachos and cheese and a cupcake
• A piece of fried chicken and a loaded baked potato

Correct Answer: 4

• A day care nurse is observing a 2-year-old child and suspects that the child may

have strabismus. Which of the following observations may be indicative of this condition?

• The child has difficulty hearing.
• The child does not respond when spoken to.
• The child consistently tilts his or her head to see.
• The child consistently turns his or her head to see.

Correct Answer: 3

• A nurse prepares a teaching plan regarding the administration of eardrops for the

parents of a 2-year-old child. Which of the following would be included in the plan?

• Wear gloves when administering the eardrops.
• Pull the ear up and back before instilling the eardrops.