Pediatric NCLEX Questions with correct
Answers (100% Verified)
A 3-month-old infant with meningococcal meningitis has just been admitted to
the pediatric unit. Which nursing intervention has the HIGHEST priority?
a. instituting droplet precautions
b. administering acetaminophen
c. obtaining history information from the parents
d. orienting the parents to the pediatric unit - ------------: Answer: a. instituting
droplet precautions
A 4-year-old has been scheduled for a cardiac catheterization. To help
prepare the family, the nurse should:
a. advise the family to bring the child to the hospital for a tour a week in
advance
b. explain that the child will need a large bandage after the procedure
c. discourage bringing favorite toys that might become associated with pain
d. explain that the child may get up as soon as the vital signs are stable -
------------: Answer: b. explain that the child will need a large bandage after the
procedure
A 10-year-old has a 5 lb. of Buck's extension traction on his left leg. What
finding should the nurse assess the child for? Select all that apply.
a. dryness of the skin, by removing the foam wraps and boot
b. alignment of the shoulder, hips, and knees
c. frayed rope near pulleys
d. correct amount of traction weight on fracture
e. pressure on the coccyx - ------------: Answers:
b. alignment of the shoulder, hips, and knees
c. frayed rope near pulleys
d. correct amount of traction weight on fracture
e. pressure on the coccyx
A 10-year-old with leukemia is taking immunosuppressive drugs. To maintain
health, the nurse should instruct the child and parents to:
,a. continue with immunizations
b. not receive any live attenuated vaccines
c. receive vitamin and mineral supplements
d. stay away from peers - ------------: Answer: b. not receive any live
attenuated vaccines
A 12-year-old with leukemia will be taking vincristine. The nurse should
encourage the child to eat what kind of diet?
a. high-residue
b. low-residue
c. low-fat
d. high-calorie - ------------: Answer: a. high-residue
Rationale: vincristine may cause constipation, so the client should be
encouraged to eat a high-residue (fiber) diet
A 12-year-old with rheumatic fever has a history of long-term aspirin use.
Which client statement MOST indicates that the client is experiencing a
serious adverse reaction to aspiration?
a. "I hear ringing in my ears"
b. "I put lotion on my itchy skin"
c. "My stomach hurts after I take that medicine"
d. "These pills make me cough" - ------------: Answer: a. "I hear ringing in my
ears"
A 14-year-old has just had a plaster cast placed on his lower left leg. To
provide safe cast care, the nurse should:
a. petal the cast as soon as it is put on
b. keep the child in the same position for 24 hours until the cast is dry
c. use only the palms of the hand when handling the cast
d. notify the healthcare provider if the client feels heat - ------------: Answer: c.
use only the palms of the hand when handling the cast
Rationale: the wet plaster cast should be handled using only the palms of the
hands to prevent indentation of the cast surface
, A 15-year-old has been admitted to the hospital with the diagnosis of acute
lymphocytic leukemia. Which signs and symptoms require the most immediate
nursing interventions?
a. fatigue and anorexia
b. fever and petechiae
c. swollen neck lymph glands and lethargy
d. enlarged liver and spleen - ------------: Answer: b. fever and petechiae
Rationale: fever and petechiae associated with acute lymphocytic leukemia
indicate a suppression of normal WBC's and thrombocytes by the bone
marrow an put the client at risk for other infections and bleeding
A 16-month-old child diagnosed with Kawasaki disease is very irritable,
refuses to eat, and exhibits peeling skin on the hands and feet. What should
the nurse do FIRST?
a. apply lotion to the hands and feet
b. offer foods the toddler likes
c. place the toddler in a quiet environment
d. encourage the parents to get some rest - ------------: Answer: c. place the
toddler in a quiet environment
A 16-month-old child is seen in the clinic for a checkup for the first time. The
nurse notices that the toddler limps when walking. Which would be
appropriate to use when assessing this toddler for developmental dysplasia of
the hip (DDH)?
a. Ortolani's maneuver
b. Barlow's maneuver
c. Adam's position
d. Trendelenburg's sign - ------------: Answer: d. Trendelenburg's sign
A charge nurse is making assignments for a group of children on a pediatric
unit. The nurse should MOST avoid assigning the same nurse to care for a
2-year-old with RSV and:
a. an 18-month-old with RSV
b. a 9-year-old 8 hours postappendectomy
c. a 1-year-old with a heart defect
Answers (100% Verified)
A 3-month-old infant with meningococcal meningitis has just been admitted to
the pediatric unit. Which nursing intervention has the HIGHEST priority?
a. instituting droplet precautions
b. administering acetaminophen
c. obtaining history information from the parents
d. orienting the parents to the pediatric unit - ------------: Answer: a. instituting
droplet precautions
A 4-year-old has been scheduled for a cardiac catheterization. To help
prepare the family, the nurse should:
a. advise the family to bring the child to the hospital for a tour a week in
advance
b. explain that the child will need a large bandage after the procedure
c. discourage bringing favorite toys that might become associated with pain
d. explain that the child may get up as soon as the vital signs are stable -
------------: Answer: b. explain that the child will need a large bandage after the
procedure
A 10-year-old has a 5 lb. of Buck's extension traction on his left leg. What
finding should the nurse assess the child for? Select all that apply.
a. dryness of the skin, by removing the foam wraps and boot
b. alignment of the shoulder, hips, and knees
c. frayed rope near pulleys
d. correct amount of traction weight on fracture
e. pressure on the coccyx - ------------: Answers:
b. alignment of the shoulder, hips, and knees
c. frayed rope near pulleys
d. correct amount of traction weight on fracture
e. pressure on the coccyx
A 10-year-old with leukemia is taking immunosuppressive drugs. To maintain
health, the nurse should instruct the child and parents to:
,a. continue with immunizations
b. not receive any live attenuated vaccines
c. receive vitamin and mineral supplements
d. stay away from peers - ------------: Answer: b. not receive any live
attenuated vaccines
A 12-year-old with leukemia will be taking vincristine. The nurse should
encourage the child to eat what kind of diet?
a. high-residue
b. low-residue
c. low-fat
d. high-calorie - ------------: Answer: a. high-residue
Rationale: vincristine may cause constipation, so the client should be
encouraged to eat a high-residue (fiber) diet
A 12-year-old with rheumatic fever has a history of long-term aspirin use.
Which client statement MOST indicates that the client is experiencing a
serious adverse reaction to aspiration?
a. "I hear ringing in my ears"
b. "I put lotion on my itchy skin"
c. "My stomach hurts after I take that medicine"
d. "These pills make me cough" - ------------: Answer: a. "I hear ringing in my
ears"
A 14-year-old has just had a plaster cast placed on his lower left leg. To
provide safe cast care, the nurse should:
a. petal the cast as soon as it is put on
b. keep the child in the same position for 24 hours until the cast is dry
c. use only the palms of the hand when handling the cast
d. notify the healthcare provider if the client feels heat - ------------: Answer: c.
use only the palms of the hand when handling the cast
Rationale: the wet plaster cast should be handled using only the palms of the
hands to prevent indentation of the cast surface
, A 15-year-old has been admitted to the hospital with the diagnosis of acute
lymphocytic leukemia. Which signs and symptoms require the most immediate
nursing interventions?
a. fatigue and anorexia
b. fever and petechiae
c. swollen neck lymph glands and lethargy
d. enlarged liver and spleen - ------------: Answer: b. fever and petechiae
Rationale: fever and petechiae associated with acute lymphocytic leukemia
indicate a suppression of normal WBC's and thrombocytes by the bone
marrow an put the client at risk for other infections and bleeding
A 16-month-old child diagnosed with Kawasaki disease is very irritable,
refuses to eat, and exhibits peeling skin on the hands and feet. What should
the nurse do FIRST?
a. apply lotion to the hands and feet
b. offer foods the toddler likes
c. place the toddler in a quiet environment
d. encourage the parents to get some rest - ------------: Answer: c. place the
toddler in a quiet environment
A 16-month-old child is seen in the clinic for a checkup for the first time. The
nurse notices that the toddler limps when walking. Which would be
appropriate to use when assessing this toddler for developmental dysplasia of
the hip (DDH)?
a. Ortolani's maneuver
b. Barlow's maneuver
c. Adam's position
d. Trendelenburg's sign - ------------: Answer: d. Trendelenburg's sign
A charge nurse is making assignments for a group of children on a pediatric
unit. The nurse should MOST avoid assigning the same nurse to care for a
2-year-old with RSV and:
a. an 18-month-old with RSV
b. a 9-year-old 8 hours postappendectomy
c. a 1-year-old with a heart defect
