Pediatric nursing (NCLEX)
1. A nurse is caring for a 4-year-old child who has been diagnosed with asthma. The
child is learning how to use an inhaler. Which statement by the child’s parent
indicates the need for further teaching?
• A) "I should encourage my child to use the inhaler whenever they feel short of breath."
• B) "I will demonstrate how to use the inhaler to my child."
• C) "My child should breathe in deeply and hold the breath for 5-10 seconds."
• D) "I should check if my child is using the inhaler correctly each time."
2. The nurse is caring for a 6-year-old child with a diagnosis of acute lymphocytic
leukemia (ALL). Which of the following is the most appropriate nursing
intervention to prevent infection?
• A) Administer prescribed antibiotics as ordered.
• B) Encourage the child to wear a mask while out in public places.
• C) Keep the child in a private room with restricted visitors.
• D) Provide a diet rich in fresh fruits and vegetables.
3. A nurse is educating the parents of a 2-year-old about appropriate toys. Which
of the following toys is the best choice for the child?
• A) A set of small marbles.
• B) A toy with small detachable parts.
• C) A toy that can be stacked in a tower.
• D) A toy that makes a loud noise.
4. A 12-year-old child is admitted with a fractured arm. The child has been given
morphine for pain relief. Which of the following actions by the nurse is the
priority?
• A) Assessing for any signs of drug overdose.
• B) Encouraging the child to drink plenty of fluids.
, • C) Providing education on proper use of the medication.
• D) Monitoring for signs of constipation.
5. A nurse is caring for a 3-month-old infant in the hospital. The parents are
concerned about their baby’s nutrition. Which of the following should the nurse
advise the parents regarding feeding?
• A) "It is best to start introducing solid foods at this age."
• B) "Breast milk or formula is sufficient for the first 6 months."
• C) "You can switch to whole milk at 3 months."
• D) "Give your infant rice cereal mixed with water."
6. A nurse is assessing a 5-year-old child in the clinic. The child’s growth chart
shows the following: Height: 90 cm, Weight: 13 kg. Based on the nurse's knowledge
of normal growth patterns, which of the following findings is of most concern?
• A) The child is underweight for their age.
• B) The child’s weight is within the 50th percentile for their age.
• C) The child has a normal weight-to-height ratio.
• D) The child is above average in height.
7. A nurse is educating a new mother on the proper way to care for her newborn's
umbilical cord stump. Which of the following instructions is correct?
• A) "Clean the stump with alcohol twice a day."
• B) "You should apply a topical ointment to the stump to promote healing."
• C) "Allow the stump to air dry, and avoid covering it with a diaper."
• D) "The stump should be kept moist to prevent infection."
8. A nurse is monitoring a 6-month-old infant who is receiving intravenous fluids
for dehydration. The nurse notices that the infant is becoming increasingly irritable
and has a decreased level of responsiveness. What should be the nurse's priority
action?
• A) Increase the rate of the intravenous fluids.
• B) Notify the healthcare provider immediately.
• C) Reassess the infant's vital signs.
, • D) Check the infant's blood glucose level.
9. A nurse is providing post-operative care to a 4-year-old child after a
tonsillectomy. Which of the following is the priority in the immediate post-
operative period?
• A) Monitoring for excessive bleeding.
• B) Encouraging the child to drink fluids.
• C) Assessing the child for signs of dehydration.
• D) Administering pain medication.
10. The nurse is caring for a 10-year-old child who is receiving chemotherapy. The
child’s white blood cell count is low. Which of the following actions should the
nurse take to minimize the risk of infection?
• A) Encourage the child to participate in group activities.
• B) Administer prescribed antibiotics as ordered.
• C) Restrict the child from visitors and unnecessary social interaction.
• D) Avoid using a mask for the child.
11. A nurse is teaching a group of parents about immunizations. Which of the
following statements by a parent indicates the need for further teaching?
• A) "My child can receive the flu vaccine even if they have a mild cold."
• B) "I should ensure my child receives the full series of vaccines as scheduled."
• C) "The MMR vaccine can be given after 18 months of age."
• D) "My child will be protected from the disease immediately after receiving a vaccine."
12. A 6-year-old child with a history of asthma is being discharged after a recent
asthma exacerbation. Which statement by the parent indicates that further
teaching is necessary?
• A) "I will make sure my child uses their inhaler before exercise."
• B) "If my child starts coughing or wheezing, I will give the inhaler immediately."
• C) "My child should avoid any physical activity for at least a week."
• D) "I will monitor my child for any signs of a flare-up."
13. A nurse is caring for a child who is diagnosed with sickle cell anemia. The nurse
should prioritize which of the following interventions?
1. A nurse is caring for a 4-year-old child who has been diagnosed with asthma. The
child is learning how to use an inhaler. Which statement by the child’s parent
indicates the need for further teaching?
• A) "I should encourage my child to use the inhaler whenever they feel short of breath."
• B) "I will demonstrate how to use the inhaler to my child."
• C) "My child should breathe in deeply and hold the breath for 5-10 seconds."
• D) "I should check if my child is using the inhaler correctly each time."
2. The nurse is caring for a 6-year-old child with a diagnosis of acute lymphocytic
leukemia (ALL). Which of the following is the most appropriate nursing
intervention to prevent infection?
• A) Administer prescribed antibiotics as ordered.
• B) Encourage the child to wear a mask while out in public places.
• C) Keep the child in a private room with restricted visitors.
• D) Provide a diet rich in fresh fruits and vegetables.
3. A nurse is educating the parents of a 2-year-old about appropriate toys. Which
of the following toys is the best choice for the child?
• A) A set of small marbles.
• B) A toy with small detachable parts.
• C) A toy that can be stacked in a tower.
• D) A toy that makes a loud noise.
4. A 12-year-old child is admitted with a fractured arm. The child has been given
morphine for pain relief. Which of the following actions by the nurse is the
priority?
• A) Assessing for any signs of drug overdose.
• B) Encouraging the child to drink plenty of fluids.
, • C) Providing education on proper use of the medication.
• D) Monitoring for signs of constipation.
5. A nurse is caring for a 3-month-old infant in the hospital. The parents are
concerned about their baby’s nutrition. Which of the following should the nurse
advise the parents regarding feeding?
• A) "It is best to start introducing solid foods at this age."
• B) "Breast milk or formula is sufficient for the first 6 months."
• C) "You can switch to whole milk at 3 months."
• D) "Give your infant rice cereal mixed with water."
6. A nurse is assessing a 5-year-old child in the clinic. The child’s growth chart
shows the following: Height: 90 cm, Weight: 13 kg. Based on the nurse's knowledge
of normal growth patterns, which of the following findings is of most concern?
• A) The child is underweight for their age.
• B) The child’s weight is within the 50th percentile for their age.
• C) The child has a normal weight-to-height ratio.
• D) The child is above average in height.
7. A nurse is educating a new mother on the proper way to care for her newborn's
umbilical cord stump. Which of the following instructions is correct?
• A) "Clean the stump with alcohol twice a day."
• B) "You should apply a topical ointment to the stump to promote healing."
• C) "Allow the stump to air dry, and avoid covering it with a diaper."
• D) "The stump should be kept moist to prevent infection."
8. A nurse is monitoring a 6-month-old infant who is receiving intravenous fluids
for dehydration. The nurse notices that the infant is becoming increasingly irritable
and has a decreased level of responsiveness. What should be the nurse's priority
action?
• A) Increase the rate of the intravenous fluids.
• B) Notify the healthcare provider immediately.
• C) Reassess the infant's vital signs.
, • D) Check the infant's blood glucose level.
9. A nurse is providing post-operative care to a 4-year-old child after a
tonsillectomy. Which of the following is the priority in the immediate post-
operative period?
• A) Monitoring for excessive bleeding.
• B) Encouraging the child to drink fluids.
• C) Assessing the child for signs of dehydration.
• D) Administering pain medication.
10. The nurse is caring for a 10-year-old child who is receiving chemotherapy. The
child’s white blood cell count is low. Which of the following actions should the
nurse take to minimize the risk of infection?
• A) Encourage the child to participate in group activities.
• B) Administer prescribed antibiotics as ordered.
• C) Restrict the child from visitors and unnecessary social interaction.
• D) Avoid using a mask for the child.
11. A nurse is teaching a group of parents about immunizations. Which of the
following statements by a parent indicates the need for further teaching?
• A) "My child can receive the flu vaccine even if they have a mild cold."
• B) "I should ensure my child receives the full series of vaccines as scheduled."
• C) "The MMR vaccine can be given after 18 months of age."
• D) "My child will be protected from the disease immediately after receiving a vaccine."
12. A 6-year-old child with a history of asthma is being discharged after a recent
asthma exacerbation. Which statement by the parent indicates that further
teaching is necessary?
• A) "I will make sure my child uses their inhaler before exercise."
• B) "If my child starts coughing or wheezing, I will give the inhaler immediately."
• C) "My child should avoid any physical activity for at least a week."
• D) "I will monitor my child for any signs of a flare-up."
13. A nurse is caring for a child who is diagnosed with sickle cell anemia. The nurse
should prioritize which of the following interventions?
