NCLEX RN Pediatrics
Collection of 800+ Rigorously Crafted
Questions
Expert-Verified Explanations & Solutions
Clinical Case Studies to Pass the Exam
/
**Content/and/Structure**
The/pediatric/section/of/the/NCLEX/places/significant/emphasis/on/the/care/of/children/and/adol
escents,/addressing/a/diverse/array/of/topics/such/as/growth/and/develop
ment,/health/promotion/and/maintenance,/pediatric/diseases/and/disorde
rs,/pharmacological/and/non-pharmacological/interventions,/family-
centered/care,/and/developmental/milestones./An/"800/QS/Comprehensi
ve"/set/refers/to/a/robust/collection/of/800/rigorously/crafted/questions/enc
ompassing/all/major/pediatric/concepts/and/clinical/scenarios/that/a/candi
date/might/encounter/on/the/NCLEX./These/questions/are/typically/formu
lated/in/various/formats,/including/but/not/limited/to,/multiple-
choice,/select-all-that-apply/(SATA),/prioritization,/and/clinical/case/studies.
,A/nurse/is/teaching/an/adolescent/with/inflammatory/bowel/disease/about/treatment/with
/corticosteroids./Which/adverse/effects/are/concerns/for/this/client?/Select/all/that/apply.
1./Acne
2./Hirsutism
3./Mood/swings
4./Osteoporosis
5./Growth/spurts
6./Adrenal/suppression
1./Acne
2./Hirsutism
3./Mood/swings
4./Osteoporosis
6./Adrenal/suppression
RATIONALE:/Adverse/effects/of/corticosteroids/include/acne,/hirsutism,/mood/swings,/osteop
orosis,/and/adrenal/suppression./Steroid/use/in/children/and/adolescents/may/cause/delayed/gr
owth,/not/growth/spurts.
A/nurse/is/conducting/an/examination/of/a/6-month-
old/baby./During/the/examination,/the/nurse/should/be/able/to/elicit/which/reflex?
1./Babinski's
2./Startle
3./Moro's
4./Dance
1./Babinski's
RATIONALE:
The/nurse/should/be/able/to/elicit/the/Babinski's/reflex/because/it/may/be/present/the/entire/first/
year/of/life.
The/startle/reflex/actually/disappears/around/4/months/of/age;/the/Moro's/reflex,/by/3/or/4/month
s/of/age;/and/the/dance/reflex,/after/the/third/or/fourth/week.
,When/teaching/a/parent/of/a/school-
age/child/about/signs/and/symptoms/of/fever/that/require/immediate/notification/of/the/p
hysician,/which/description/should/the/nurse/include?
1./Burning/or/pain/with/urination
2./Complaints/of/a/stiff/neck
3./Fever/disappearing/for/longer/than/24/hours,/then/returning
4./History/of/febrile/seizures
2./Complaints/of/a/stiff/neck
RATIONALE:/The/nurse/should/discuss/complaints/of/a/stiff/neck/because/fever/and/a/stiff/neck
/indicate/possible/meningitis./Burning/or/pain/with/urination,/fever/that/disappears/for/24/hours/t
hen/returns,/and/a/history/of/febrile/seizures/should/be/addressed/by/the/physician/but/can/wait/
until/office/hours.
After/being/hospitalized/for/status/asthmaticus,/a/child,/age/5,/is/discharged/with/prednis
one/(Deltasone)/and/other/oral/medications./Two/weeks/later,/when/the/child/comes/to/th
e/clinic/for/a/checkup,/the/nurse/instructs/the/mother/to/gradually/decrease/the/dosage/of
/prednisone,/which/will/be/discontinued./The/mother/asks/why/prednisone/must/be/disco
ntinued./How/should/the/nurse/respond?
1./"Steroids/increase/the/appetite,/leading/to/obesity/with/prolonged/use."
2./"Long-term/steroid/therapy
2./"Long-term/steroid/therapy/may/interfere/with/a/child's/growth."
RATIONALE:/Steroids/suppress/release/of/adrenocorticotropic/hormone/from/the/pituitary/gla
nd,/stopping/production/of/endogenous/hormones/by/the/adrenal/cortex./Because/prolonged/a
drenal/suppression/may/cause/growth/retardation/in/a/child,/the/duration/and/dosage/of/steroid/t
herapy/must/be/kept/to/a/minimum./Steroids/also/may/cause/central/nervous/system/effects,/su
ch/as/euphoria,/insomnia,/and/mood/swings./Although/steroids/increase/the/appetite,/this/effect/
isn't/the/reason/for/limiting/their/use/in/children./Steroids/are/present/in/the/body,/so/hypersensiti
vity/isn't/a/problem,/and/they're/likely/to/cause/euphoria,/not/depression.
A/hospitalized/infant,/age/10/months,/begins/to/choke/while/eating/and/quickly/becomes/
unconscious./A/foreign/object/isn't/visible/in/the/infant's/airway,/but/respirations/are/abs
, ent/and/the/pulse/is/50/beats/minute/and/thready./The/nurse/attempts/rescue/breathing,/b
ut/the/ventilations/are/unsuccessful./What/should/the/nurse/do/next?
1./Deliver/five/back/blows.
2./Deliver/five/chest/thrusts.
3./Perform/chest/compressions.
4./Deliver/five/abdominal/thrusts.
1./Deliver/five/back/blows.
RATIONALE:/If/rescue/breathing/is/unsuccessful/in/a/child/younger/than/age/1,/the/nurse/shoul
d/deliver/five/back/blows,/followed/by/five/chest/thrusts,/to/try/to/expel/the/object/from/the/obstruc
ted/airway./The/nurse/shouldn't/perform/chest/compressions/because/the/infant/has/a/pulse/an
d/because/chest/compressions/are/ineffective/without/a/patent/airway/for/ventilation./The/nurse/
shouldn't/use/abdominal/thrusts/for/a/child/younger/than/age/1/because/they/can/injure/the/abdo
minal/organs.
An/adolescent/is/admitted/for/treatment/of/bulimia/nervosa./When/developing/the/care/pl
an,/the/nurse/anticipates/including/interventions/that/address/which/metabolic/disorder
?
1./Hypoglycemia
2./Metabolic/alkalosis
3./Metabolic/acidosis
4./Hyperkalemia
2./Metabolic/alkalosis
RATIONALE:/In/a/client/with/bulimia/nervosa,/metabolic/alkalosis/may/occur/secondary/to/hydr
ogen/loss/caused/by/frequent,/self-
induced/vomiting./Typically,/the/blood/glucose/level/is/within/normal/limits,/making/hypoglycemi
a/unlikely./In/bulimia/nervosa,/hypokalemia/is/more/common/than/hyperkalemia/and/typically/re
sults/from/potassium/loss/related/to/frequent/vomiting.
An/infant/is/hospitalized/for/treatment/of/inorganic/failure/to/thrive./Which/nursing/action
/is/most/appropriate/for/this/child?
Collection of 800+ Rigorously Crafted
Questions
Expert-Verified Explanations & Solutions
Clinical Case Studies to Pass the Exam
/
**Content/and/Structure**
The/pediatric/section/of/the/NCLEX/places/significant/emphasis/on/the/care/of/children/and/adol
escents,/addressing/a/diverse/array/of/topics/such/as/growth/and/develop
ment,/health/promotion/and/maintenance,/pediatric/diseases/and/disorde
rs,/pharmacological/and/non-pharmacological/interventions,/family-
centered/care,/and/developmental/milestones./An/"800/QS/Comprehensi
ve"/set/refers/to/a/robust/collection/of/800/rigorously/crafted/questions/enc
ompassing/all/major/pediatric/concepts/and/clinical/scenarios/that/a/candi
date/might/encounter/on/the/NCLEX./These/questions/are/typically/formu
lated/in/various/formats,/including/but/not/limited/to,/multiple-
choice,/select-all-that-apply/(SATA),/prioritization,/and/clinical/case/studies.
,A/nurse/is/teaching/an/adolescent/with/inflammatory/bowel/disease/about/treatment/with
/corticosteroids./Which/adverse/effects/are/concerns/for/this/client?/Select/all/that/apply.
1./Acne
2./Hirsutism
3./Mood/swings
4./Osteoporosis
5./Growth/spurts
6./Adrenal/suppression
1./Acne
2./Hirsutism
3./Mood/swings
4./Osteoporosis
6./Adrenal/suppression
RATIONALE:/Adverse/effects/of/corticosteroids/include/acne,/hirsutism,/mood/swings,/osteop
orosis,/and/adrenal/suppression./Steroid/use/in/children/and/adolescents/may/cause/delayed/gr
owth,/not/growth/spurts.
A/nurse/is/conducting/an/examination/of/a/6-month-
old/baby./During/the/examination,/the/nurse/should/be/able/to/elicit/which/reflex?
1./Babinski's
2./Startle
3./Moro's
4./Dance
1./Babinski's
RATIONALE:
The/nurse/should/be/able/to/elicit/the/Babinski's/reflex/because/it/may/be/present/the/entire/first/
year/of/life.
The/startle/reflex/actually/disappears/around/4/months/of/age;/the/Moro's/reflex,/by/3/or/4/month
s/of/age;/and/the/dance/reflex,/after/the/third/or/fourth/week.
,When/teaching/a/parent/of/a/school-
age/child/about/signs/and/symptoms/of/fever/that/require/immediate/notification/of/the/p
hysician,/which/description/should/the/nurse/include?
1./Burning/or/pain/with/urination
2./Complaints/of/a/stiff/neck
3./Fever/disappearing/for/longer/than/24/hours,/then/returning
4./History/of/febrile/seizures
2./Complaints/of/a/stiff/neck
RATIONALE:/The/nurse/should/discuss/complaints/of/a/stiff/neck/because/fever/and/a/stiff/neck
/indicate/possible/meningitis./Burning/or/pain/with/urination,/fever/that/disappears/for/24/hours/t
hen/returns,/and/a/history/of/febrile/seizures/should/be/addressed/by/the/physician/but/can/wait/
until/office/hours.
After/being/hospitalized/for/status/asthmaticus,/a/child,/age/5,/is/discharged/with/prednis
one/(Deltasone)/and/other/oral/medications./Two/weeks/later,/when/the/child/comes/to/th
e/clinic/for/a/checkup,/the/nurse/instructs/the/mother/to/gradually/decrease/the/dosage/of
/prednisone,/which/will/be/discontinued./The/mother/asks/why/prednisone/must/be/disco
ntinued./How/should/the/nurse/respond?
1./"Steroids/increase/the/appetite,/leading/to/obesity/with/prolonged/use."
2./"Long-term/steroid/therapy
2./"Long-term/steroid/therapy/may/interfere/with/a/child's/growth."
RATIONALE:/Steroids/suppress/release/of/adrenocorticotropic/hormone/from/the/pituitary/gla
nd,/stopping/production/of/endogenous/hormones/by/the/adrenal/cortex./Because/prolonged/a
drenal/suppression/may/cause/growth/retardation/in/a/child,/the/duration/and/dosage/of/steroid/t
herapy/must/be/kept/to/a/minimum./Steroids/also/may/cause/central/nervous/system/effects,/su
ch/as/euphoria,/insomnia,/and/mood/swings./Although/steroids/increase/the/appetite,/this/effect/
isn't/the/reason/for/limiting/their/use/in/children./Steroids/are/present/in/the/body,/so/hypersensiti
vity/isn't/a/problem,/and/they're/likely/to/cause/euphoria,/not/depression.
A/hospitalized/infant,/age/10/months,/begins/to/choke/while/eating/and/quickly/becomes/
unconscious./A/foreign/object/isn't/visible/in/the/infant's/airway,/but/respirations/are/abs
, ent/and/the/pulse/is/50/beats/minute/and/thready./The/nurse/attempts/rescue/breathing,/b
ut/the/ventilations/are/unsuccessful./What/should/the/nurse/do/next?
1./Deliver/five/back/blows.
2./Deliver/five/chest/thrusts.
3./Perform/chest/compressions.
4./Deliver/five/abdominal/thrusts.
1./Deliver/five/back/blows.
RATIONALE:/If/rescue/breathing/is/unsuccessful/in/a/child/younger/than/age/1,/the/nurse/shoul
d/deliver/five/back/blows,/followed/by/five/chest/thrusts,/to/try/to/expel/the/object/from/the/obstruc
ted/airway./The/nurse/shouldn't/perform/chest/compressions/because/the/infant/has/a/pulse/an
d/because/chest/compressions/are/ineffective/without/a/patent/airway/for/ventilation./The/nurse/
shouldn't/use/abdominal/thrusts/for/a/child/younger/than/age/1/because/they/can/injure/the/abdo
minal/organs.
An/adolescent/is/admitted/for/treatment/of/bulimia/nervosa./When/developing/the/care/pl
an,/the/nurse/anticipates/including/interventions/that/address/which/metabolic/disorder
?
1./Hypoglycemia
2./Metabolic/alkalosis
3./Metabolic/acidosis
4./Hyperkalemia
2./Metabolic/alkalosis
RATIONALE:/In/a/client/with/bulimia/nervosa,/metabolic/alkalosis/may/occur/secondary/to/hydr
ogen/loss/caused/by/frequent,/self-
induced/vomiting./Typically,/the/blood/glucose/level/is/within/normal/limits,/making/hypoglycemi
a/unlikely./In/bulimia/nervosa,/hypokalemia/is/more/common/than/hyperkalemia/and/typically/re
sults/from/potassium/loss/related/to/frequent/vomiting.
An/infant/is/hospitalized/for/treatment/of/inorganic/failure/to/thrive./Which/nursing/action
/is/most/appropriate/for/this/child?
