NCLEX HESI RN PEDIATRICS EXAM | ALL
QUESTIONS AND CORRECT ANSWERS |
GRADED A+ | VERIFIED ANSWERS | LATEST
EXAM 2025 (JUST RELEASED)
The nurse is teaching the parents of a 2-year-old child with a congenital
heart defect about signs and symptoms of congestive heart failure. Which
information about the child is most important for the parents to report to the
health care provider?
A. Sits or squats frequently when playing outdoors
B. Exhibits a sudden and unexplained weight gain
C. Is not completely toilet-trained and has some accidents
D. Demonstrates irritation and fatigue 1 hour before bedtime ---------
CORRECT ANSWER-----------------B
Rationale:
Sudden and unexplained weight gain can indicate fluid retention and
is a sign of congestive heart failure. Option A is used by the child to
reduce chronic hypoxia, especially during exercise. Option C is
common; 2-year-olds are not expected to be toilet-trained. Option D is
normal.
The nurse assigns an unlicensed assistive personnel (UAP) to provide
morning care to a newly admitted child with bacterial meningitis. What is
the most important instruction for the nurse to review with the UAP?
A. Use designated isolation precautions.
B. Keep the lighting in the room dim.
C. Allow the parents to assist with care.
D. Report any pain that the child experiences. ---------CORRECT
ANSWER-----------------A
Rationale:
All these are important measures to review with the UAP, but the most
important is option A. Improper use of isolation precautions can place
other staff and clients at risk for infection. Options B, C, and D
,promote client comfort and reduce anxiety but are of a lower priority
than option A.
Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a
solution that contains 250 mg/5 mL. How many milliliters should the nurse
administer in one dose?
A. 10
B. 15
C. 20
D. 25 ---------CORRECT ANSWER-----------------B
Rationale:
Version: 1
Convert lbs to kg:
22lb ÷ 2.2kg = 10kg
Multiply dose needed by weight:
75mg x 10kg =750mg
Divide calculated dose needed by med on hand:
750mg ÷ 250mg = 3
Multiply mg needed by mL available:
3 x 5mL = 15mL
Version 2:
Rationale:
2.2 lb/1 kg = 22 lb/x kg
x = 10 kg
1 kg/75 mg = 10 kg/x mg
x = 750 mg
250 mg/5 mL = 750 mg/x mL
x = 15 mL
A child with a permanent tracheostomy is confined to a wheelchair and is
going to school for the first time tomorrow. During the school day, which
intervention should be implemented for this child?
,A. Cover the tracheostomy site with clothing so that other children will not
notice.
B. Apply suction for 30 seconds when inserting a catheter into the stoma.
C. Discourage the child from coughing deeply to remove mucous
secretions.
D. Place suctioning supplies on the back of the wheelchair when
transporting. ---------CORRECT ANSWER-----------------D
Rationale:
Suctioning supplies should always be readily available for use with
any client who has a tracheostomy. Options A, B, and C do not
describe safe practices for this child with a tracheostomy.
When inserting a nasogastric tube into the stomach of a 3-month-old infant,
which nursing intervention is most important to implement?
A. Use a blanket as a mummy restraint.
B. Monitor the infant's heart rate.
C. Lubricate the catheter with saline.
D. Explain the procedure to the parents. ---------CORRECT ANSWER--------
---------B
Rationale:
All interventions may be implemented during nasogastric tube
insertion, but the most important nursing action is to monitor the
infant's heart rate, which may decrease because of vagal nerve
stimulation and can occur when the tube is inserted. Options A, C,
and D are of lower priority than option B.
Which nursing diagnosis has the highest priority when planning care for an
infant with eczema?
A. High risk for altered parenting related to feelings of inadequacy
B. Altered comfort (pruritus) related to vesicular skin eruptions
C. Altered health maintenance related to knowledge deficit of treatment
D. Risk for impaired skin integrity related to eczema ---------CORRECT
ANSWER-----------------B
, Rationale:
Altered comfort (pruritus) has the highest priority because itching will
cause the infant to scratch, creating complications such as scarring
or infection. Options A, C, and D are all important nursing diagnoses
and should be considered when developing the infant's plan of care,
but they do not have the priority of option B.
A newborn female whose mother is HIV-positive is scheduled for the first
follow-up assessment with the nurse. If the child is HIV-positive, which
initial symptom is she most likely to exhibit?
A. Shortness of breath
B. Joint pain
C. Persistent cold
D. Organomegaly ---------CORRECT ANSWER-----------------C
Rationale:
Respiratory tract infections commonly occur in the pediatric
population, but the child with AIDS has a decreased ability to defend
the body against these common infections. Thus, the most typical
presenting symptom of a child who contracted AIDS through vertical
transmission (i.e., from the mother during delivery) is a persistent
cold or respiratory infection. Options A, B, and D are symptoms of
AIDS complications that may occur later as the disease progresses.
Which nursing interventions are therapeutic when caring for a hospitalized
toddler? (Select all that apply.)
A. Require parents to leave the room when performing invasive
procedures.
B. Allow the toddler to choose a colored Band-Aid after an injection.
C. Give brief but simple explanations to the child before procedures.
D. Insert a urinary catheter if bed-wetting occurs during hospitalization.
E. Do not allow any toys to be brought in from the child's home. ---------
CORRECT ANSWER-----------------B, C
Rationale:
QUESTIONS AND CORRECT ANSWERS |
GRADED A+ | VERIFIED ANSWERS | LATEST
EXAM 2025 (JUST RELEASED)
The nurse is teaching the parents of a 2-year-old child with a congenital
heart defect about signs and symptoms of congestive heart failure. Which
information about the child is most important for the parents to report to the
health care provider?
A. Sits or squats frequently when playing outdoors
B. Exhibits a sudden and unexplained weight gain
C. Is not completely toilet-trained and has some accidents
D. Demonstrates irritation and fatigue 1 hour before bedtime ---------
CORRECT ANSWER-----------------B
Rationale:
Sudden and unexplained weight gain can indicate fluid retention and
is a sign of congestive heart failure. Option A is used by the child to
reduce chronic hypoxia, especially during exercise. Option C is
common; 2-year-olds are not expected to be toilet-trained. Option D is
normal.
The nurse assigns an unlicensed assistive personnel (UAP) to provide
morning care to a newly admitted child with bacterial meningitis. What is
the most important instruction for the nurse to review with the UAP?
A. Use designated isolation precautions.
B. Keep the lighting in the room dim.
C. Allow the parents to assist with care.
D. Report any pain that the child experiences. ---------CORRECT
ANSWER-----------------A
Rationale:
All these are important measures to review with the UAP, but the most
important is option A. Improper use of isolation precautions can place
other staff and clients at risk for infection. Options B, C, and D
,promote client comfort and reduce anxiety but are of a lower priority
than option A.
Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a
solution that contains 250 mg/5 mL. How many milliliters should the nurse
administer in one dose?
A. 10
B. 15
C. 20
D. 25 ---------CORRECT ANSWER-----------------B
Rationale:
Version: 1
Convert lbs to kg:
22lb ÷ 2.2kg = 10kg
Multiply dose needed by weight:
75mg x 10kg =750mg
Divide calculated dose needed by med on hand:
750mg ÷ 250mg = 3
Multiply mg needed by mL available:
3 x 5mL = 15mL
Version 2:
Rationale:
2.2 lb/1 kg = 22 lb/x kg
x = 10 kg
1 kg/75 mg = 10 kg/x mg
x = 750 mg
250 mg/5 mL = 750 mg/x mL
x = 15 mL
A child with a permanent tracheostomy is confined to a wheelchair and is
going to school for the first time tomorrow. During the school day, which
intervention should be implemented for this child?
,A. Cover the tracheostomy site with clothing so that other children will not
notice.
B. Apply suction for 30 seconds when inserting a catheter into the stoma.
C. Discourage the child from coughing deeply to remove mucous
secretions.
D. Place suctioning supplies on the back of the wheelchair when
transporting. ---------CORRECT ANSWER-----------------D
Rationale:
Suctioning supplies should always be readily available for use with
any client who has a tracheostomy. Options A, B, and C do not
describe safe practices for this child with a tracheostomy.
When inserting a nasogastric tube into the stomach of a 3-month-old infant,
which nursing intervention is most important to implement?
A. Use a blanket as a mummy restraint.
B. Monitor the infant's heart rate.
C. Lubricate the catheter with saline.
D. Explain the procedure to the parents. ---------CORRECT ANSWER--------
---------B
Rationale:
All interventions may be implemented during nasogastric tube
insertion, but the most important nursing action is to monitor the
infant's heart rate, which may decrease because of vagal nerve
stimulation and can occur when the tube is inserted. Options A, C,
and D are of lower priority than option B.
Which nursing diagnosis has the highest priority when planning care for an
infant with eczema?
A. High risk for altered parenting related to feelings of inadequacy
B. Altered comfort (pruritus) related to vesicular skin eruptions
C. Altered health maintenance related to knowledge deficit of treatment
D. Risk for impaired skin integrity related to eczema ---------CORRECT
ANSWER-----------------B
, Rationale:
Altered comfort (pruritus) has the highest priority because itching will
cause the infant to scratch, creating complications such as scarring
or infection. Options A, C, and D are all important nursing diagnoses
and should be considered when developing the infant's plan of care,
but they do not have the priority of option B.
A newborn female whose mother is HIV-positive is scheduled for the first
follow-up assessment with the nurse. If the child is HIV-positive, which
initial symptom is she most likely to exhibit?
A. Shortness of breath
B. Joint pain
C. Persistent cold
D. Organomegaly ---------CORRECT ANSWER-----------------C
Rationale:
Respiratory tract infections commonly occur in the pediatric
population, but the child with AIDS has a decreased ability to defend
the body against these common infections. Thus, the most typical
presenting symptom of a child who contracted AIDS through vertical
transmission (i.e., from the mother during delivery) is a persistent
cold or respiratory infection. Options A, B, and D are symptoms of
AIDS complications that may occur later as the disease progresses.
Which nursing interventions are therapeutic when caring for a hospitalized
toddler? (Select all that apply.)
A. Require parents to leave the room when performing invasive
procedures.
B. Allow the toddler to choose a colored Band-Aid after an injection.
C. Give brief but simple explanations to the child before procedures.
D. Insert a urinary catheter if bed-wetting occurs during hospitalization.
E. Do not allow any toys to be brought in from the child's home. ---------
CORRECT ANSWER-----------------B, C
Rationale:
