70 pediatric nursing questions
multiple-choice format with correct answers
structured rationales.
incorporate Next Generation NCLEX (NGN)-style.
1. A nurse in the emergency department is caring for a 2-yr old child who
was found by his parents crying and holding a container of toilet bowl
cleaner. The child's lips are edematous and inflamed, and he is drooling.
Which of the following is the following priority action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Answer: b. Check the child's respiratory status.
Rationale:
,According to the ABC (Airway, Breathing, Circulation) priority-setting
framework, the highest priority is always the airway, as a patent airway is
critical for oxygen exchange. Respiratory assessment is therefore the
priority in situations involving potential airway compromise, such as
caustic ingestion presenting with airway edema, drooling, and
oropharyngeal injury.
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2. A nurse is teaching a parent of a 12-month old child about
development during the toddler years. Which of the following statements
should the nurse include?
a. Your child should be referring to himself using the appropriate pronoun
by the 18 months of age
b. a toddler's interest in looking at pictures occurs at 20 months of age
c. a toddler should have daytime control of his bowel and bladder by 24
months of age.
d. your child should be able to scribble spontaneously using a crayon at
the age of 15 months
, Answer: d. your child should be able to scribble spontaneously using a
crayon at the age of 15 months
Rationale:
Developmentally, at 15 months of age, toddlers acquire the ability to
scribble spontaneously with a crayon. Progression to imitative strokes
follows by 18 months of age. Other options either misrepresent the
expected age for the milestone or are less accurate for the described
developmental stage.
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3. A nurse is caring for a toddler and is preparing to administer 0.9%
sodium chloride 100ml IV to infuse over 4 hr. The drop factor of the
manual IV tubing is 60 gtt/ml. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the nearest
whole number):
Answer: 25 gtt