PEDIATRIC NCLEX QUESTIONS AND ANSWERS 100% CORRECT!!
1. After a tonsillectomy and adenoidectomy, which Answer: a. drooling of
finding should alert the nurse to suspect early bright red secretions
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
2. A nurse is teaching the parents of a pre-school- Answer: c. 7-10 days
er about the possibility of postoperative hemor- post-op
rhage 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
3. Which assessment findings should lead the Answers:
nurse to suspect that a toddler is experiencing a. coughing
respiratory distress? Select all that apply. b. respiratory rate of 35
breaths/min
a. coughing d. restlessness
b. respiratory rate of 35 breaths/min f. diaphoresis
c. heart rate of 95 beats/min
d. restlessness
e. malaise
f. diaphoresis
4. A child with cystic fibrosis is receiving gentam- Answer: a. monitoring
icin. Which nursing action is most appropriate? intake and output
a. monitoring intake and output
b. obtaining daily weights
c. monitoring the client for indications of consti-
pation
d. obtaining stool samples for hemoccult testing
,PEDIATRIC NCLEX QUESTIONS AND ANSWERS 100% CORRECT!!
5. What type of diet should the nurse teach the par- Answer: d. high-calorie
ents to give an older infant with cystic fibrosis? diet
a. low-protein diet
b. high-fat diet
c. low-carbohydrate diet
d. high-calorie diet
6. At a follow-up appointment after being hospi- Answer: b. large and
talized, an adolescent with a history of cystic foul-smelling
fibrosis describes his stool to the nurse. Which
description should the nurse interpret as indica-
tive 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
7. When explaining to parents how to reduce the Answer:
risk of sudden infant death syndrome (SIDS), a. maintain a
the nurse should teach about which measures? smoke-free environ-
Select all that apply. ment
c. breast-feed the baby
a. maintain a smoke-free environment d. place the baby on his
b. use a wedge for side-lying positions or her back to sleep
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
8. The parent of a 16-month-old child calls the clinic Answer: a. offer extra
because the child has a low-grade fever, cold fluids frequently
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
9. A child has viral pharyngitis. What should the Answer:
nurse advise the parents to do? Select all that a. use a cool mist vapor-
apply. izer
b. offer a soft-to-liquid
a. use a cool mist vaporizer diet
b. offer a soft-to-liquid diet d. administer aceta-
c. administer amoxicillin minophen
d. administer acetaminophen
e. place the child on secretion precautions
10. An infant is being treated at home for bronchioli- Answer:
tis. What should the nurse teach the parent about a. offering small
home care? Select all that apply. amounts of fluids fre-
quently
a. offering small amounts of fluids frequently f. watching for difficulty
b. allowing the infant to sleep prone breathing
c. calling the clinic if the infant vomits
d. writing down how much the infant drinks
e. performing chest physiotherapy every 4 hours
f. watching for difficulty breathing
11. A teaching care plan to prevent transmission of Answer:
respiratory syncytial virus (RSV) should include a. the virus can be
what information? Select all that apply. spread by direct contact
b. the virus can be
a. the virus can be spread by direct contact spread by indirect con-
b. the virus can be spread by indirect contact tact
c. palivizumab is recommended to prevent RSV f. frequent hand-wash-
for all toddlers in daycare ing helps reduce the
d. the virus is typically contagious for 3 weeks spread of RSV
e. older children seldom spread RSV
f. frequent hand-washing helps reduce the
spread of RSV
12. A charge nurse is making assignments for a Answer: c. a 1-year-old
group of children on a pediatric unit. The nurse with a heart defect
should MOST avoid assigning the same nurse to
1. After a tonsillectomy and adenoidectomy, which Answer: a. drooling of
finding should alert the nurse to suspect early bright red secretions
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
2. A nurse is teaching the parents of a pre-school- Answer: c. 7-10 days
er about the possibility of postoperative hemor- post-op
rhage 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
3. Which assessment findings should lead the Answers:
nurse to suspect that a toddler is experiencing a. coughing
respiratory distress? Select all that apply. b. respiratory rate of 35
breaths/min
a. coughing d. restlessness
b. respiratory rate of 35 breaths/min f. diaphoresis
c. heart rate of 95 beats/min
d. restlessness
e. malaise
f. diaphoresis
4. A child with cystic fibrosis is receiving gentam- Answer: a. monitoring
icin. Which nursing action is most appropriate? intake and output
a. monitoring intake and output
b. obtaining daily weights
c. monitoring the client for indications of consti-
pation
d. obtaining stool samples for hemoccult testing
,PEDIATRIC NCLEX QUESTIONS AND ANSWERS 100% CORRECT!!
5. What type of diet should the nurse teach the par- Answer: d. high-calorie
ents to give an older infant with cystic fibrosis? diet
a. low-protein diet
b. high-fat diet
c. low-carbohydrate diet
d. high-calorie diet
6. At a follow-up appointment after being hospi- Answer: b. large and
talized, an adolescent with a history of cystic foul-smelling
fibrosis describes his stool to the nurse. Which
description should the nurse interpret as indica-
tive 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
7. When explaining to parents how to reduce the Answer:
risk of sudden infant death syndrome (SIDS), a. maintain a
the nurse should teach about which measures? smoke-free environ-
Select all that apply. ment
c. breast-feed the baby
a. maintain a smoke-free environment d. place the baby on his
b. use a wedge for side-lying positions or her back to sleep
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
8. The parent of a 16-month-old child calls the clinic Answer: a. offer extra
because the child has a low-grade fever, cold fluids frequently
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
9. A child has viral pharyngitis. What should the Answer:
nurse advise the parents to do? Select all that a. use a cool mist vapor-
apply. izer
b. offer a soft-to-liquid
a. use a cool mist vaporizer diet
b. offer a soft-to-liquid diet d. administer aceta-
c. administer amoxicillin minophen
d. administer acetaminophen
e. place the child on secretion precautions
10. An infant is being treated at home for bronchioli- Answer:
tis. What should the nurse teach the parent about a. offering small
home care? Select all that apply. amounts of fluids fre-
quently
a. offering small amounts of fluids frequently f. watching for difficulty
b. allowing the infant to sleep prone breathing
c. calling the clinic if the infant vomits
d. writing down how much the infant drinks
e. performing chest physiotherapy every 4 hours
f. watching for difficulty breathing
11. A teaching care plan to prevent transmission of Answer:
respiratory syncytial virus (RSV) should include a. the virus can be
what information? Select all that apply. spread by direct contact
b. the virus can be
a. the virus can be spread by direct contact spread by indirect con-
b. the virus can be spread by indirect contact tact
c. palivizumab is recommended to prevent RSV f. frequent hand-wash-
for all toddlers in daycare ing helps reduce the
d. the virus is typically contagious for 3 weeks spread of RSV
e. older children seldom spread RSV
f. frequent hand-washing helps reduce the
spread of RSV
12. A charge nurse is making assignments for a Answer: c. a 1-year-old
group of children on a pediatric unit. The nurse with a heart defect
should MOST avoid assigning the same nurse to
