PEDIATRICS NURSING NCLEX EXAM LATEST REVISED
QUESTIONS AND CORRECT ANSWERS 2026 GRADED A+
Nurse Meghan reviews the results of the CSF analysis and determines that which of the fol-
lowing results would confirm bacterial meningitis?
A. Cloudy CSF, ↓ protein, and ↓ glucose
B. Cloudy CSF, ↑ protein, and ↓ glucose
C. Clear CSF, ↑ protein, and ↓ glucose
D. Clear CSF, ↓ pressure, and ↑ protein
ANSWER⬛
✓
B. Cloudy CSF, ↑ protein, and ↓ glucose
Based on the mode of transmission of this infection, which of the following would be in-
cluded in the plan of care?
A. No precautions are required as long as antibiotics have been started
B. Maintain enteric precautions
C. Maintain respiratory isolation precautions for at least 24 hours after the initiation of anti-
biotics
D. Maintain neutropenic precautions
ANSWER⬛
✓
C. Maintain respiratory isolation precautions for at least 24 hours after the initiation of anti-
biotics
In performing the lumbar puncture, which safety measure would Nurse Melai implement
while CSF specimen is obtained?
A. Place the child in a sitting position with the head extended
B. Place the child in a side-lying position with the back closest to the edge of the bed
C. Do not wear gloves because the physician is collecting the specimen
D. Place one arm behind the child's neck and the other behind the knees
1
,AN SWER⬛
✓
B. Place the child in a side-lying position with the back closest to the edge of the bed
In planning a roommate for the child, Nurse Melai should realize that a child of this develop-
mental level will:
A. Prefer another girl her own age
B. Most likely seek out opportunities to socialize with teenagers
C. Enjoy being with either a girl or boy, as long as they are the same age
D. Feel helpful if given the opportunity to look after a slightly younger child
ANSWER⬛
✓
A. Prefer another girl her own age
As the child recovers from meningitis, for which long-term complication should Nurse Melai
watch carefully?
A. Encephalitis
B. Hydrocephalus
C. Learning
D. Mental retardation
ANSWER⬛
✓
B. Hydrocephalus
The nurse understands that isotonic dehydration:
A. Occurs when water and electrolytes are lost in about the same proportions as they exist
in the body
B. Occurs when the loss of electrolytes is greater than the loss of water
C. Occurs when the loss of water is greater than the loss of electrolytes
D. Causes the serum sodium level to rise above 150 mEq/L
ANSWER⬛
✓
2
, A. Occurs when water and electrolytes are lost in about the same proportions as they exist
in the body
What type of room assignment should the nurse make?
A. A room near the nurse's station so that he can be checked frequently and heard if he
vomits
B. A single room with a sink nears the doorway for isolation use
C. A double room with another toddler who also has vomiting and diarrhea
D. A bed in the pediatric intensive care unit, in case dehydration develops
ANSWER⬛
⬛
✓
B. A single room with a sink nears the doorway for isolation use
Which priority nursing intervention should be included when caring for a client diagnosed
with gastroenteritis?
A. Encouraging optimal nutritional intake
B. Alleviating abdominal pain and cramping
C. Administering an oral anti-emetic every 2 hours
D. Monitoring intake and output, and electrolyte levels
ANSWER⬛
✓
D. Monitoring intake and output, and electrolyte levels
The nurse is assessing the child for dehydration. The nurse determines that the child is mod-
erately dehydrated if which symptom is noted on assessment?
a. Flat fontanels
b. Moist mucous membranes
c. Pale skin color
d. Oliguria
ANSWER⬛
✓
10
QUESTIONS AND CORRECT ANSWERS 2026 GRADED A+
Nurse Meghan reviews the results of the CSF analysis and determines that which of the fol-
lowing results would confirm bacterial meningitis?
A. Cloudy CSF, ↓ protein, and ↓ glucose
B. Cloudy CSF, ↑ protein, and ↓ glucose
C. Clear CSF, ↑ protein, and ↓ glucose
D. Clear CSF, ↓ pressure, and ↑ protein
ANSWER⬛
✓
B. Cloudy CSF, ↑ protein, and ↓ glucose
Based on the mode of transmission of this infection, which of the following would be in-
cluded in the plan of care?
A. No precautions are required as long as antibiotics have been started
B. Maintain enteric precautions
C. Maintain respiratory isolation precautions for at least 24 hours after the initiation of anti-
biotics
D. Maintain neutropenic precautions
ANSWER⬛
✓
C. Maintain respiratory isolation precautions for at least 24 hours after the initiation of anti-
biotics
In performing the lumbar puncture, which safety measure would Nurse Melai implement
while CSF specimen is obtained?
A. Place the child in a sitting position with the head extended
B. Place the child in a side-lying position with the back closest to the edge of the bed
C. Do not wear gloves because the physician is collecting the specimen
D. Place one arm behind the child's neck and the other behind the knees
1
,AN SWER⬛
✓
B. Place the child in a side-lying position with the back closest to the edge of the bed
In planning a roommate for the child, Nurse Melai should realize that a child of this develop-
mental level will:
A. Prefer another girl her own age
B. Most likely seek out opportunities to socialize with teenagers
C. Enjoy being with either a girl or boy, as long as they are the same age
D. Feel helpful if given the opportunity to look after a slightly younger child
ANSWER⬛
✓
A. Prefer another girl her own age
As the child recovers from meningitis, for which long-term complication should Nurse Melai
watch carefully?
A. Encephalitis
B. Hydrocephalus
C. Learning
D. Mental retardation
ANSWER⬛
✓
B. Hydrocephalus
The nurse understands that isotonic dehydration:
A. Occurs when water and electrolytes are lost in about the same proportions as they exist
in the body
B. Occurs when the loss of electrolytes is greater than the loss of water
C. Occurs when the loss of water is greater than the loss of electrolytes
D. Causes the serum sodium level to rise above 150 mEq/L
ANSWER⬛
✓
2
, A. Occurs when water and electrolytes are lost in about the same proportions as they exist
in the body
What type of room assignment should the nurse make?
A. A room near the nurse's station so that he can be checked frequently and heard if he
vomits
B. A single room with a sink nears the doorway for isolation use
C. A double room with another toddler who also has vomiting and diarrhea
D. A bed in the pediatric intensive care unit, in case dehydration develops
ANSWER⬛
⬛
✓
B. A single room with a sink nears the doorway for isolation use
Which priority nursing intervention should be included when caring for a client diagnosed
with gastroenteritis?
A. Encouraging optimal nutritional intake
B. Alleviating abdominal pain and cramping
C. Administering an oral anti-emetic every 2 hours
D. Monitoring intake and output, and electrolyte levels
ANSWER⬛
✓
D. Monitoring intake and output, and electrolyte levels
The nurse is assessing the child for dehydration. The nurse determines that the child is mod-
erately dehydrated if which symptom is noted on assessment?
a. Flat fontanels
b. Moist mucous membranes
c. Pale skin color
d. Oliguria
ANSWER⬛
✓
10
