NCSBN NCLEX QUESTIONS AND ANSWERS 2024
VERSION VERIFIED RATIONALE GRADED A+
A 12 year-old child, admited with a broken arm, is wai�ng for a scheduled surgery. The nurse finds the
child crying and unwilling to talk. What would be the most appropriate ini�al response by the nurse?
1Reassure the child that the surgery will go fine with no problems
2Provide privacy with encouragement to work through feelings
3Distract the child with a choice of ac�vi�es to do while wai�ng for surgery
4Make arrangements for friends to visit as soon as possible - ans2
A 14 month-old child ingests a half a botle of baby aspirin (81 mg) tablets. Which finding should a nurse
expect to see in the child?
1Hypothermia
2Nausea and vomi�ng
3Hypoven�la�on
4Bradycardia - ans2
A 16 month-old child has just been admited to the hospital. As the nurse assigned to this child enters
the hospital room for the first �me, the toddler runs to the mother, clings to her and begins to cry. What
should be the next ac�on of the nurse?
1Arrange to change client-care assignments
2Discuss with the parent the appropriate use of "�me-out"
3Explain to the mother that the child needs extra aten�on
4Explain to the parent that this behavior is expected - ans4
A 2 day-old infant born with spina bifida and meningomyocele is recovering a�er an ini�al surgery. As
the nurse accompanies the grandparents for their first visit since the child's birth, which of these
responses might the nurse expect from the grandparents?
1Anger
2Disbelief
3Depression
4Frustra�on - ans2
,NCSBN NCLEX QUESTIONS AND ANSWERS 2024
VERSION VERIFIED RATIONALE GRADED A+
A 2-year-old child is brought to the pediatrician's office by the parents, who report that the child has
been having diarrhea for two days. What nutri�onal informa�on should the nurse provide to the
parents?
1Keep the child fas�ng, give them nothing to eat, and return the next day.
2Give the child only clear liquids and gela�n for 24 hours.
3Con�nue a regular diet and add electrolyte replacement drinks.
4Give the child bananas, apples, rice and toast as tolerated. - ans3
A 20-year-old male client who has a profuse, purulent urethral discharge with painful urina�on is seen at
a community health clinic. Which informa�on will be most important for the nurse to obtain?
1Sexual orienta�on
2Recent sexual contacts
3Immuniza�on history
4Contracep�ve preference - ans2
A 28-year-old is transferred to the emergency department (ED) via ambulance with a trauma�c head
injury. The client is awake and reports having a headache and some amnesia. What are the priority
nursing interven�ons for this client? (Select all that apply.) - ansCorrect Response
Assess vital signs and neurological func�on
Assess the airway
Prepare for CT imaging of the head
Assess the wound for presence of drainage or bruising on the head
A 3 year-old child is brought to the health clinic. The grandmother reports that the child is always
"scratching his botom" and is "extremely irritable." Based on this informa�on, which health issue would
the nurse assess for ini�ally?
1Pinworm
2Scabies
,NCSBN NCLEX QUESTIONS AND ANSWERS 2024
VERSION VERIFIED RATIONALE GRADED A+
3Ringworm
4Allergies - ans1
A 6 month-old infant is being treated for developmental hip dysplasia and has been placed in a hip spica
plaster cast. Which discharge informa�on is important for the nurse to reinforce with the parents?
1Turn the baby every two hours using the abduc�on stabilizer bar
2Check frequently for swelling in the baby's feet
3Gently rub the skin with a coton swab to relieve itching
4Place favorite books and push-pull toys in the crib - ans2
A 6 year-old child is hospitalized with findings of moderate edema, gross hematuria and mild
hypertension associated with the diagnosis of acute glomerulonephri�s (AGN). Which nursing
interven�on would be appropriate for this client?
1Weigh the child twice per shi�
2Relieve boredom through physical ac�vity
3Ins�tute seizure precau�ons
4Encourage the child to eat protein-rich foods - ans3
A 68-year-old, postmenopausal, female client has been prescribed tamoxifen for breast cancer with bone
metastases. The nurse should reinforce teaching about which poten�al adverse drug effect?
1Stroke-like symptoms
2Seizures
3Symptoms of hypocalcemia
4Insomnia - ans1
Tamoxifen is an an�neoplas�c drug, commonly prescribed for clients with breast cancer or for clients
who are at high risk for developing breast cancer. The most common adverse drug effects (ADEs) are hot
flashes, fluid reten�on, vaginal discharge, nausea, vomi�ng and menstrual irregulari�es. In women with
bone metastases, tamoxifen may cause transient hypercalcemia. Because of its estrogen agonist ac�ons,
tamoxifen poses a small risk of thromboembolic events, including deep vein thrombosis, pulmonary
embolism and stroke.
, NCSBN NCLEX QUESTIONS AND ANSWERS 2024
VERSION VERIFIED RATIONALE GRADED A+
A child diagnosed with thalassemia has received several blood transfusions during the past three days.
What lab value is the priority for the nurse to monitor with this client?
1Hemoglobin level
2Platelet count
3Blood urea nitrogen level
4Neutrophil percentage - ans1
A normal hemoglobin range for children is approximately 11 to 13 gm/dL. Thalassemia, also called
Cooley's anemia, is a gene�c defect that causes anemia, i.e., a condi�on in which the blood contains
below-normal hemoglobin levels. Hemoglobin is the oxygen-carrying protein component of the red
blood cell (RBC).
A child has severe burns to the lower extremi�es. A diet high in protein and carbohydrates is
recommended. The nurse should care for this client with the knowledge that the most important reason
for such a diet is to achieve which result?
1Provide a well-balanced nutri�onal intake
2Promote healing and strengthen the immune system
3Spare protein catabolism to meet metabolic and healing needs
4 s�mulate increased peristalsis and nutrient absorp�on - ans3
A child is admited to the hospital for emergency surgery. The child's parent reports several allergies.
Which of these allergies should all the opera�ve health care personnel be no�fied about?
1Perfumed soap
2Shellfish
3Balloons
4Mold - ans3
A child is admited to the unit with the suspected diagnosis of pertussis (whooping cough). What is the
priority nursing interven�on for this child?
1. Maintain hydra�on and encourage fluids
VERSION VERIFIED RATIONALE GRADED A+
A 12 year-old child, admited with a broken arm, is wai�ng for a scheduled surgery. The nurse finds the
child crying and unwilling to talk. What would be the most appropriate ini�al response by the nurse?
1Reassure the child that the surgery will go fine with no problems
2Provide privacy with encouragement to work through feelings
3Distract the child with a choice of ac�vi�es to do while wai�ng for surgery
4Make arrangements for friends to visit as soon as possible - ans2
A 14 month-old child ingests a half a botle of baby aspirin (81 mg) tablets. Which finding should a nurse
expect to see in the child?
1Hypothermia
2Nausea and vomi�ng
3Hypoven�la�on
4Bradycardia - ans2
A 16 month-old child has just been admited to the hospital. As the nurse assigned to this child enters
the hospital room for the first �me, the toddler runs to the mother, clings to her and begins to cry. What
should be the next ac�on of the nurse?
1Arrange to change client-care assignments
2Discuss with the parent the appropriate use of "�me-out"
3Explain to the mother that the child needs extra aten�on
4Explain to the parent that this behavior is expected - ans4
A 2 day-old infant born with spina bifida and meningomyocele is recovering a�er an ini�al surgery. As
the nurse accompanies the grandparents for their first visit since the child's birth, which of these
responses might the nurse expect from the grandparents?
1Anger
2Disbelief
3Depression
4Frustra�on - ans2
,NCSBN NCLEX QUESTIONS AND ANSWERS 2024
VERSION VERIFIED RATIONALE GRADED A+
A 2-year-old child is brought to the pediatrician's office by the parents, who report that the child has
been having diarrhea for two days. What nutri�onal informa�on should the nurse provide to the
parents?
1Keep the child fas�ng, give them nothing to eat, and return the next day.
2Give the child only clear liquids and gela�n for 24 hours.
3Con�nue a regular diet and add electrolyte replacement drinks.
4Give the child bananas, apples, rice and toast as tolerated. - ans3
A 20-year-old male client who has a profuse, purulent urethral discharge with painful urina�on is seen at
a community health clinic. Which informa�on will be most important for the nurse to obtain?
1Sexual orienta�on
2Recent sexual contacts
3Immuniza�on history
4Contracep�ve preference - ans2
A 28-year-old is transferred to the emergency department (ED) via ambulance with a trauma�c head
injury. The client is awake and reports having a headache and some amnesia. What are the priority
nursing interven�ons for this client? (Select all that apply.) - ansCorrect Response
Assess vital signs and neurological func�on
Assess the airway
Prepare for CT imaging of the head
Assess the wound for presence of drainage or bruising on the head
A 3 year-old child is brought to the health clinic. The grandmother reports that the child is always
"scratching his botom" and is "extremely irritable." Based on this informa�on, which health issue would
the nurse assess for ini�ally?
1Pinworm
2Scabies
,NCSBN NCLEX QUESTIONS AND ANSWERS 2024
VERSION VERIFIED RATIONALE GRADED A+
3Ringworm
4Allergies - ans1
A 6 month-old infant is being treated for developmental hip dysplasia and has been placed in a hip spica
plaster cast. Which discharge informa�on is important for the nurse to reinforce with the parents?
1Turn the baby every two hours using the abduc�on stabilizer bar
2Check frequently for swelling in the baby's feet
3Gently rub the skin with a coton swab to relieve itching
4Place favorite books and push-pull toys in the crib - ans2
A 6 year-old child is hospitalized with findings of moderate edema, gross hematuria and mild
hypertension associated with the diagnosis of acute glomerulonephri�s (AGN). Which nursing
interven�on would be appropriate for this client?
1Weigh the child twice per shi�
2Relieve boredom through physical ac�vity
3Ins�tute seizure precau�ons
4Encourage the child to eat protein-rich foods - ans3
A 68-year-old, postmenopausal, female client has been prescribed tamoxifen for breast cancer with bone
metastases. The nurse should reinforce teaching about which poten�al adverse drug effect?
1Stroke-like symptoms
2Seizures
3Symptoms of hypocalcemia
4Insomnia - ans1
Tamoxifen is an an�neoplas�c drug, commonly prescribed for clients with breast cancer or for clients
who are at high risk for developing breast cancer. The most common adverse drug effects (ADEs) are hot
flashes, fluid reten�on, vaginal discharge, nausea, vomi�ng and menstrual irregulari�es. In women with
bone metastases, tamoxifen may cause transient hypercalcemia. Because of its estrogen agonist ac�ons,
tamoxifen poses a small risk of thromboembolic events, including deep vein thrombosis, pulmonary
embolism and stroke.
, NCSBN NCLEX QUESTIONS AND ANSWERS 2024
VERSION VERIFIED RATIONALE GRADED A+
A child diagnosed with thalassemia has received several blood transfusions during the past three days.
What lab value is the priority for the nurse to monitor with this client?
1Hemoglobin level
2Platelet count
3Blood urea nitrogen level
4Neutrophil percentage - ans1
A normal hemoglobin range for children is approximately 11 to 13 gm/dL. Thalassemia, also called
Cooley's anemia, is a gene�c defect that causes anemia, i.e., a condi�on in which the blood contains
below-normal hemoglobin levels. Hemoglobin is the oxygen-carrying protein component of the red
blood cell (RBC).
A child has severe burns to the lower extremi�es. A diet high in protein and carbohydrates is
recommended. The nurse should care for this client with the knowledge that the most important reason
for such a diet is to achieve which result?
1Provide a well-balanced nutri�onal intake
2Promote healing and strengthen the immune system
3Spare protein catabolism to meet metabolic and healing needs
4 s�mulate increased peristalsis and nutrient absorp�on - ans3
A child is admited to the hospital for emergency surgery. The child's parent reports several allergies.
Which of these allergies should all the opera�ve health care personnel be no�fied about?
1Perfumed soap
2Shellfish
3Balloons
4Mold - ans3
A child is admited to the unit with the suspected diagnosis of pertussis (whooping cough). What is the
priority nursing interven�on for this child?
1. Maintain hydra�on and encourage fluids
