Pediatric NCLEX Questions with Correct Answers
After a tonsillectomy and adenoidectomy, which finding should alert the nurse to suspect early
hemorrhage in a 5-year-old child?
a. drooling of bright red secretions
b. pulse rate of 95 bpm
c. vomiting of 25 mL of dark brown emesis
d. BP of 95/56 mm HG - CORRECT ANSWER-Answer: a. drooling of bright red secretions
A nurse is teaching the parents of a pre-schooler about the possibility of postoperative hemorrhage after
a tonsillectomy and adenoidectomy. When should the nurse explain that the risk of bleeding is the
greatest?
a. 1-3 days post-op
b. 4-6 days post-op
c. 7-10 days post-op
d. 11-14 days post-op - CORRECT ANSWER-Answer: c. 7-10 days post-op
Which assessment findings should lead the nurse to suspect that a toddler is experiencing respiratory
distress? Select all that apply.
a. coughing
b. respiratory rate of 35 breaths/min
c. heart rate of 95 beats/min
d. restlessness
e. malaise
f. diaphoresis - CORRECT ANSWER-Answers:
a. coughing
b. respiratory rate of 35 breaths/min
d. restlessness
,f. diaphoresis
A child with cystic fibrosis is receiving gentamicin. Which nursing action is most appropriate?
a. monitoring intake and output
b. obtaining daily weights
c. monitoring the client for indications of constipation
d. obtaining stool samples for hemoccult testing - CORRECT ANSWER-Answer: a. monitoring intake and
output
What type of diet should the nurse teach the parents to give an older infant with cystic fibrosis?
a. low-protein diet
b. high-fat diet
c. low-carbohydrate diet
d. high-calorie diet - CORRECT ANSWER-Answer: d. high-calorie diet
At a follow-up appointment after being hospitalized, an adolescent with a history of cystic fibrosis
describes his stool to the nurse. Which description should the nurse interpret as indicative of continued
problems with malabsorption?
a. soft with little odor
b. large and foul-smelling
c. loose with bits of food
d. hard with streaks of blood - CORRECT ANSWER-Answer: b. large and foul-smelling
When explaining to parents how to reduce the risk of sudden infant death syndrome (SIDS), the nurse
should teach about which measures? Select all that apply.
a. maintain a smoke-free environment
, b. use a wedge for side-lying positions
c. breast-feed the baby
d. place the baby on his or her back to sleep
e. use bumper pads over the bed rails
f. have the baby sleep in the parent's bed - CORRECT ANSWER-Answer:
a. maintain a smoke-free environment
c. breast-feed the baby
d. place the baby on his or her back to sleep
The parent of a 16-month-old child calls the clinic because the child has a low-grade fever, cold
symptoms, and a hoarse cough. What should the nurse suggest that the parent do?
a. offer extra fluids frequently
b. bring the child to the clinic immediately
c. count the child's respiratory rate
d. use a hot air vaporizer - CORRECT ANSWER-Answer: a. offer extra fluids frequently
A child has viral pharyngitis. What should the nurse advise the parents to do? Select all that apply.
a. use a cool mist vaporizer
b. offer a soft-to-liquid diet
c. administer amoxicillin
d. administer acetaminophen
e. place the child on secretion precautions - CORRECT ANSWER-Answer:
a. use a cool mist vaporizer
b. offer a soft-to-liquid diet
d. administer acetaminophen
After a tonsillectomy and adenoidectomy, which finding should alert the nurse to suspect early
hemorrhage in a 5-year-old child?
a. drooling of bright red secretions
b. pulse rate of 95 bpm
c. vomiting of 25 mL of dark brown emesis
d. BP of 95/56 mm HG - CORRECT ANSWER-Answer: a. drooling of bright red secretions
A nurse is teaching the parents of a pre-schooler about the possibility of postoperative hemorrhage after
a tonsillectomy and adenoidectomy. When should the nurse explain that the risk of bleeding is the
greatest?
a. 1-3 days post-op
b. 4-6 days post-op
c. 7-10 days post-op
d. 11-14 days post-op - CORRECT ANSWER-Answer: c. 7-10 days post-op
Which assessment findings should lead the nurse to suspect that a toddler is experiencing respiratory
distress? Select all that apply.
a. coughing
b. respiratory rate of 35 breaths/min
c. heart rate of 95 beats/min
d. restlessness
e. malaise
f. diaphoresis - CORRECT ANSWER-Answers:
a. coughing
b. respiratory rate of 35 breaths/min
d. restlessness
,f. diaphoresis
A child with cystic fibrosis is receiving gentamicin. Which nursing action is most appropriate?
a. monitoring intake and output
b. obtaining daily weights
c. monitoring the client for indications of constipation
d. obtaining stool samples for hemoccult testing - CORRECT ANSWER-Answer: a. monitoring intake and
output
What type of diet should the nurse teach the parents to give an older infant with cystic fibrosis?
a. low-protein diet
b. high-fat diet
c. low-carbohydrate diet
d. high-calorie diet - CORRECT ANSWER-Answer: d. high-calorie diet
At a follow-up appointment after being hospitalized, an adolescent with a history of cystic fibrosis
describes his stool to the nurse. Which description should the nurse interpret as indicative of continued
problems with malabsorption?
a. soft with little odor
b. large and foul-smelling
c. loose with bits of food
d. hard with streaks of blood - CORRECT ANSWER-Answer: b. large and foul-smelling
When explaining to parents how to reduce the risk of sudden infant death syndrome (SIDS), the nurse
should teach about which measures? Select all that apply.
a. maintain a smoke-free environment
, b. use a wedge for side-lying positions
c. breast-feed the baby
d. place the baby on his or her back to sleep
e. use bumper pads over the bed rails
f. have the baby sleep in the parent's bed - CORRECT ANSWER-Answer:
a. maintain a smoke-free environment
c. breast-feed the baby
d. place the baby on his or her back to sleep
The parent of a 16-month-old child calls the clinic because the child has a low-grade fever, cold
symptoms, and a hoarse cough. What should the nurse suggest that the parent do?
a. offer extra fluids frequently
b. bring the child to the clinic immediately
c. count the child's respiratory rate
d. use a hot air vaporizer - CORRECT ANSWER-Answer: a. offer extra fluids frequently
A child has viral pharyngitis. What should the nurse advise the parents to do? Select all that apply.
a. use a cool mist vaporizer
b. offer a soft-to-liquid diet
c. administer amoxicillin
d. administer acetaminophen
e. place the child on secretion precautions - CORRECT ANSWER-Answer:
a. use a cool mist vaporizer
b. offer a soft-to-liquid diet
d. administer acetaminophen
