NCLEX PEDIATRICS NURSING EXAM WITH LATEST
REVISED QUESTIONS AND CORRECT ANSWERS 2026
GRADED A+
The nurse caring for a child with aplastic anaemia is reviewing the laboratory results and
notes a white blood cell (WBC) count of 6000 mm3 and a platelet count of 20,000 mm3.
Which nursing intervention should be incorporated into the plan of care?
1. Encourage naps
2. Encourage a diet high in iron
3. Encourage quiet play activities
4. Maintain strict isolation precautions
ANSWER⬛
✓
Encourage quiet play activities
The nurse is reinforcing home-care instructions to the parents of a 3 year old child with sca-
bies. Which statement by a parent indicates the need for further teaching? (select all that
apply)
1. "I understand that I need to leave the scabicide on for 4 hours before washing it off."
2. "I will need to seal up all my child's nonwashable toys in a plastic bag for at least 4 days."
3. "I realize that everyone who has come in contact with my child will need to be treated for
scabies."
4. "I know I need to wash all the clothing and bedding in hot water with detergent and dry in
a hot dryer."
AN SWER⬛
✓
"I understand that I need to leave the scabicide on for 4 hours before washing it off."
The nurse caring for a child who sustained a burn injury plans care based on which pediatric
consideration associated with this injury? (select all that apply)
1
,1. Scarring is less severe in a child than in an adult
2. A delay in growth may occur after a burn injury
3. An immature immune system presents an increased risk of infection for infants and young
children
4. Fluid resuscitation is unnecessary unless the burned are is more than 25% of the total
body surface area
5. The proportion of body fluid to body mass in a child increases the risk of cardiovascular
problems
6. Infants and young children are at increased risk for protein and calorie deficiency because
they have smaller muscle mass and less body fat than adults
AN SWER⬛
✓
A. A delay in growth may occur after a burn injury
B. An immature immune system presents an increased risk of infection for infants and young
children
C. Infants and young children are at increased risk for protein and calorie deficiency because
they have smaller muscle mass and less body fat than adults
A topical corticosteroid is prescribed by the health care provider for a child with atopic der-
matitis (eczema). Which instruction should the nurse give the parent about applying the
cream?
1. Apply the cream over the entire body
2. Apply a thick layer over the entire body
3. Avoid cleansing the area before application of the cream
4. Apply a thin layer of cream and rub it into the area thoroughly
ANSWER⬛
✓
Apply a thin layer of cream and rub it into the area thoroughly
The school nurse prepares a list of home care instructions for the parents of school children
who have been diagnosed with pediculosis capitis (head lice). Which should be included in
the list? (select all that apply)
2
,1. Siblings may also need treatment
2. Use anti-lice sprays on all bedding and furniture
3. Use a pediculicide shampoo and repeat treatment in 14 days
4. Grooming items such as combs and brushes should not be shared
5. Launder all the bedding and clothing in hot water and dry on high heat
6. Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.
ANSWER⬛
✓
A. Siblings may also need treatment
B. Grooming items such as combs and brushes should not be shared
C. Launder all the bedding and clothing in hot water and dry on high heat
D. Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.
The nurse is assisting in performing pediculosis capitis (head lice) checks. Which finding indi-
cates that a child has a "positive" head check?
1. Maculopapular lesions behind the ears
2. Lesions in the scalp that extend to the hairline or neck
3. White flaky particles throughout the entire scalp region
4. White sacs attached to the hair shafts in the occipital area
ANSWER⬛
✓
White sacs attached to the hair shafts in the occipital area
The nurse reinforces instructions to the parents of a child with sickle cell anemia regarding
the precipitating factors related to pain crisis. Which, if identified by a parent as a precipitat-
ing factor, indicates the need for further teaching?
1. Stress
3
, 2. Trauma
3. Infection
4. Fluid overload
ANSWER⬛
✓
Fluid overload
The nurse monitors a 5 year old child admitted to the hospital for a neuroblastoma for signs
and symptoms related to the location of the tumor in the adrenal gland. Which descriptions
would the nurse expect to be documented in the child's record specific to this tumor? (select
all that apply)
1. Respiratory impairment
2. Anorexia and weight loss
3. Pallor, weakness, irritability
4. Supraorbital ecchymosis and periorbital edema
5. Firm, nontender, irregular mass in the abdomen
6. Urinary frequency or retention from compression on the bladder
ANSWER⬛
✓
A. Firm, nontender, irregular mass in the abdomen
B. Urinary frequency or retention from compression on the bladder
The nurse reinforces home care instructions to the parents of a 3 year old child who has
been hospitalized with hemophilia. Which statement by a parent indicates the need for fur-
ther teaching?
1. "I will supervise my child closely."
2. " I will pad the corners of the furniture."
3. "I will remove household items that can easily fall over."
4. "I will avoid immunizations and dental hygiene treatments for my child."
4
REVISED QUESTIONS AND CORRECT ANSWERS 2026
GRADED A+
The nurse caring for a child with aplastic anaemia is reviewing the laboratory results and
notes a white blood cell (WBC) count of 6000 mm3 and a platelet count of 20,000 mm3.
Which nursing intervention should be incorporated into the plan of care?
1. Encourage naps
2. Encourage a diet high in iron
3. Encourage quiet play activities
4. Maintain strict isolation precautions
ANSWER⬛
✓
Encourage quiet play activities
The nurse is reinforcing home-care instructions to the parents of a 3 year old child with sca-
bies. Which statement by a parent indicates the need for further teaching? (select all that
apply)
1. "I understand that I need to leave the scabicide on for 4 hours before washing it off."
2. "I will need to seal up all my child's nonwashable toys in a plastic bag for at least 4 days."
3. "I realize that everyone who has come in contact with my child will need to be treated for
scabies."
4. "I know I need to wash all the clothing and bedding in hot water with detergent and dry in
a hot dryer."
AN SWER⬛
✓
"I understand that I need to leave the scabicide on for 4 hours before washing it off."
The nurse caring for a child who sustained a burn injury plans care based on which pediatric
consideration associated with this injury? (select all that apply)
1
,1. Scarring is less severe in a child than in an adult
2. A delay in growth may occur after a burn injury
3. An immature immune system presents an increased risk of infection for infants and young
children
4. Fluid resuscitation is unnecessary unless the burned are is more than 25% of the total
body surface area
5. The proportion of body fluid to body mass in a child increases the risk of cardiovascular
problems
6. Infants and young children are at increased risk for protein and calorie deficiency because
they have smaller muscle mass and less body fat than adults
AN SWER⬛
✓
A. A delay in growth may occur after a burn injury
B. An immature immune system presents an increased risk of infection for infants and young
children
C. Infants and young children are at increased risk for protein and calorie deficiency because
they have smaller muscle mass and less body fat than adults
A topical corticosteroid is prescribed by the health care provider for a child with atopic der-
matitis (eczema). Which instruction should the nurse give the parent about applying the
cream?
1. Apply the cream over the entire body
2. Apply a thick layer over the entire body
3. Avoid cleansing the area before application of the cream
4. Apply a thin layer of cream and rub it into the area thoroughly
ANSWER⬛
✓
Apply a thin layer of cream and rub it into the area thoroughly
The school nurse prepares a list of home care instructions for the parents of school children
who have been diagnosed with pediculosis capitis (head lice). Which should be included in
the list? (select all that apply)
2
,1. Siblings may also need treatment
2. Use anti-lice sprays on all bedding and furniture
3. Use a pediculicide shampoo and repeat treatment in 14 days
4. Grooming items such as combs and brushes should not be shared
5. Launder all the bedding and clothing in hot water and dry on high heat
6. Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.
ANSWER⬛
✓
A. Siblings may also need treatment
B. Grooming items such as combs and brushes should not be shared
C. Launder all the bedding and clothing in hot water and dry on high heat
D. Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.
The nurse is assisting in performing pediculosis capitis (head lice) checks. Which finding indi-
cates that a child has a "positive" head check?
1. Maculopapular lesions behind the ears
2. Lesions in the scalp that extend to the hairline or neck
3. White flaky particles throughout the entire scalp region
4. White sacs attached to the hair shafts in the occipital area
ANSWER⬛
✓
White sacs attached to the hair shafts in the occipital area
The nurse reinforces instructions to the parents of a child with sickle cell anemia regarding
the precipitating factors related to pain crisis. Which, if identified by a parent as a precipitat-
ing factor, indicates the need for further teaching?
1. Stress
3
, 2. Trauma
3. Infection
4. Fluid overload
ANSWER⬛
✓
Fluid overload
The nurse monitors a 5 year old child admitted to the hospital for a neuroblastoma for signs
and symptoms related to the location of the tumor in the adrenal gland. Which descriptions
would the nurse expect to be documented in the child's record specific to this tumor? (select
all that apply)
1. Respiratory impairment
2. Anorexia and weight loss
3. Pallor, weakness, irritability
4. Supraorbital ecchymosis and periorbital edema
5. Firm, nontender, irregular mass in the abdomen
6. Urinary frequency or retention from compression on the bladder
ANSWER⬛
✓
A. Firm, nontender, irregular mass in the abdomen
B. Urinary frequency or retention from compression on the bladder
The nurse reinforces home care instructions to the parents of a 3 year old child who has
been hospitalized with hemophilia. Which statement by a parent indicates the need for fur-
ther teaching?
1. "I will supervise my child closely."
2. " I will pad the corners of the furniture."
3. "I will remove household items that can easily fall over."
4. "I will avoid immunizations and dental hygiene treatments for my child."
4
