NCLEX Pediatrics Questions and Correct Detailed
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Quiz: Which of the following is the most appropriate location for assessing the pulse of an
infant who is less than 1 year old?
Ans: 1. Radial
2. Carotid
*3. Brachial*
4. Popliteal
*Rationale:* To assess a pulse in an infant (i.e., a child <1 year old), the pulse is checked at
the brachial artery. The infant's relatively short, fat neck makes palpation of the carotid
artery difficult. The popliteal and radial pulses are also difficult to palpate in an infant.
Quiz: A nurse is teaching cardiopulmonary resuscitation to a group of nursing students.
The nurse asks a student to describe the reason why blind finger sweeps are avoided in
infants. The nurse determines that the student understands the reason if the student makes
which statement?
Ans: 1. "The object may have been swallowed."
2. "The infant may bite down on the finger"
3. "The mouth is too small to see the object."
*4. "The object may be forced back further into the throat."*
*Rationale:* Blind finger sweeps are not recommended for infants and children because of
the risk of forcing the object further down into the airway. Options 1, 2, and 3 are not
related directly to the subject of the question.
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, Quiz: 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:
Ans: 1. Testing the child's urine for specific gravity
2. Asking the child what happens during a seizure
3. Obtaining a family history of psychiatric illness
*4. Obtaining a history regarding factors that may occur before the seizure activity*
*Rationale:* Fever and infections increase the body's metabolic rate. This can cause seizure
activity among children who are less than 5-years-old. Dehydration and electrolyte
imbalance can also contribute to the occurrence of a seizure. Falls can cause head injuries,
which would increase intracranial pressure or cerebral edema. Some medications could
cause seizures. Specific gravity would not be a reliable test, because it varies, depending on
the existing condition. Psychiatric illness has no impact on seizure occurrence or cause.
Children do not remember what happened during the seizure itself.
Quiz: A child has a basilar skull fracture. Which of the following health care provider's
prescriptions should the nurse question?
Ans: 1. Restrict fluid intake.
2. Insert an indwelling urinary catheter.
3. Keep an intravenous (IV) line patent.
*4. Suction via the nasotracheal route as needed.*
*Rationale:* Nasotracheal suctioning is contraindicated in a child with a basilar skull
fracture. Because of the location of the injury, the suction catheter may be introduced into
the brain. Fluids are restricted to prevent fluid overload. The child may require a urinary
catheter for the accurate monitoring of intake and output. An IV line is maintained to
administer fluids or medications, if necessary.
o
o
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, Quiz: Which of the following represents a primary characteristic of autism?
Ans: 1. Normal social play
2. Consistent imitation of others' actions
*3. Lack of social interaction and awareness*
4. Normal verbal and nonverbal communication
*Rationale:* Autism is a severe form of an autism spectrum disorder. A primary
characteristic is a lack of social interaction and awareness. Social behaviors in autism include
a lack of or an abnormal imitation of others' actions and a lack of or abnormal social play.
Additional characteristics include a lack of or impaired verbal communication and markedly
abnormal nonverbal communication.
Quiz: 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:
Ans: 1. Taking the apical pulse
2. Taking the blood pressure
3. Testing the urine for protein
*4. Palpating the anterior fontanel*
*Rationale:* A full or bulging anterior fontanel indicates an increase in cerebrospinal fluid
collection in the cerebral ventricle. Apical pulse and blood pressure changes and proteinuria
are not specifically associated with increasing cerebrospinal fluid in the brain tissue in an
infant.
Quiz: 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?
o
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, Ans: 1. Nausea
*2. Bradycardia*
3. Bulging fontanel
4. Dilated scalp veins
*Rationale:* Late signs of increased ICP include a significant decrease in the level of
consciousness, bradycardia, and fixed and dilated pupils. Nausea is an early sign of increased
ICP. A bulging fontanel and dilated scalp veins are early signs of increased ICP and would be
noted in an infant rather than in a 5-year-old child.
Quiz: A child has been diagnosed with Reye's syndrome. The nurse understands that a
major symptom associated with Reye's syndrome is:
Ans: *1. Persistent vomiting*
2. Protein in the urine
3. Symptoms of hyperglycemia
4. A history of a Staphylococcus infection
*Rationale:* Persistent vomiting is a major symptom that is associated with increased
intracranial pressure (ICP). Options 2, 3, and 4 are incorrect. Protein is not present in the
urine. Reye's syndrome is related to a history of viral infections, and hypoglycemia is a
symptom of this disease.
Quiz: 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.*
o
o
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Answers (Verified Answers) ||Already Graded
A+||Newest Version
Quiz: Which of the following is the most appropriate location for assessing the pulse of an
infant who is less than 1 year old?
Ans: 1. Radial
2. Carotid
*3. Brachial*
4. Popliteal
*Rationale:* To assess a pulse in an infant (i.e., a child <1 year old), the pulse is checked at
the brachial artery. The infant's relatively short, fat neck makes palpation of the carotid
artery difficult. The popliteal and radial pulses are also difficult to palpate in an infant.
Quiz: A nurse is teaching cardiopulmonary resuscitation to a group of nursing students.
The nurse asks a student to describe the reason why blind finger sweeps are avoided in
infants. The nurse determines that the student understands the reason if the student makes
which statement?
Ans: 1. "The object may have been swallowed."
2. "The infant may bite down on the finger"
3. "The mouth is too small to see the object."
*4. "The object may be forced back further into the throat."*
*Rationale:* Blind finger sweeps are not recommended for infants and children because of
the risk of forcing the object further down into the airway. Options 1, 2, and 3 are not
related directly to the subject of the question.
o
o
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in the number given.
, Quiz: 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:
Ans: 1. Testing the child's urine for specific gravity
2. Asking the child what happens during a seizure
3. Obtaining a family history of psychiatric illness
*4. Obtaining a history regarding factors that may occur before the seizure activity*
*Rationale:* Fever and infections increase the body's metabolic rate. This can cause seizure
activity among children who are less than 5-years-old. Dehydration and electrolyte
imbalance can also contribute to the occurrence of a seizure. Falls can cause head injuries,
which would increase intracranial pressure or cerebral edema. Some medications could
cause seizures. Specific gravity would not be a reliable test, because it varies, depending on
the existing condition. Psychiatric illness has no impact on seizure occurrence or cause.
Children do not remember what happened during the seizure itself.
Quiz: A child has a basilar skull fracture. Which of the following health care provider's
prescriptions should the nurse question?
Ans: 1. Restrict fluid intake.
2. Insert an indwelling urinary catheter.
3. Keep an intravenous (IV) line patent.
*4. Suction via the nasotracheal route as needed.*
*Rationale:* Nasotracheal suctioning is contraindicated in a child with a basilar skull
fracture. Because of the location of the injury, the suction catheter may be introduced into
the brain. Fluids are restricted to prevent fluid overload. The child may require a urinary
catheter for the accurate monitoring of intake and output. An IV line is maintained to
administer fluids or medications, if necessary.
o
o
© 2025 TestTrackers
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in the number given.
, Quiz: Which of the following represents a primary characteristic of autism?
Ans: 1. Normal social play
2. Consistent imitation of others' actions
*3. Lack of social interaction and awareness*
4. Normal verbal and nonverbal communication
*Rationale:* Autism is a severe form of an autism spectrum disorder. A primary
characteristic is a lack of social interaction and awareness. Social behaviors in autism include
a lack of or an abnormal imitation of others' actions and a lack of or abnormal social play.
Additional characteristics include a lack of or impaired verbal communication and markedly
abnormal nonverbal communication.
Quiz: 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:
Ans: 1. Taking the apical pulse
2. Taking the blood pressure
3. Testing the urine for protein
*4. Palpating the anterior fontanel*
*Rationale:* A full or bulging anterior fontanel indicates an increase in cerebrospinal fluid
collection in the cerebral ventricle. Apical pulse and blood pressure changes and proteinuria
are not specifically associated with increasing cerebrospinal fluid in the brain tissue in an
infant.
Quiz: 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?
o
o
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in the number given.
, Ans: 1. Nausea
*2. Bradycardia*
3. Bulging fontanel
4. Dilated scalp veins
*Rationale:* Late signs of increased ICP include a significant decrease in the level of
consciousness, bradycardia, and fixed and dilated pupils. Nausea is an early sign of increased
ICP. A bulging fontanel and dilated scalp veins are early signs of increased ICP and would be
noted in an infant rather than in a 5-year-old child.
Quiz: A child has been diagnosed with Reye's syndrome. The nurse understands that a
major symptom associated with Reye's syndrome is:
Ans: *1. Persistent vomiting*
2. Protein in the urine
3. Symptoms of hyperglycemia
4. A history of a Staphylococcus infection
*Rationale:* Persistent vomiting is a major symptom that is associated with increased
intracranial pressure (ICP). Options 2, 3, and 4 are incorrect. Protein is not present in the
urine. Reye's syndrome is related to a history of viral infections, and hypoglycemia is a
symptom of this disease.
Quiz: 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.*
o
o
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in the number given.
