**Title:** **The NCLEX-RN Pediatric Success Blueprint:
Child Health Nursing Review**
---
### Question 1 of 96
A nurse is caring for a 4-year-old child with dehydration. Most reliable indicator of hydration status?
A) Blood pressure
B) Skin turgor
C) Daily weight
D) Urine specific gravity
💫RATIONALE✔️✔️: Daily weight (C) is most reliable for acute fluid changes. BP is late sign. Skin turgor
less reliable in well-nourished children.
💫ANSWER✔️✔️: C) Daily weight
---
### Question 2 of 96
A nurse assesses a 6-month-old infant. Which finding requires further evaluation?
A) Head lag when pulled to sit
B) Social smile
C) Rolls from back to abdomen
,D) Babbling consonant sounds
💫RATIONALE✔️✔️: Head lag (A) should be absent by 4-6 months. Social smile, rolling, babbling expected
at 6 months.
💫ANSWER✔️✔️: A) Head lag when pulled to sit
---
### Question 3 of 96
**Select-All-That-Apply (SATA):** A nurse provides discharge teaching for a child with new asthma.
Which instructions correct? (Select all that apply.)
A) Use peak flow meter daily.
B) Give albuterol before exercise.
C) Call 911 if peak flow in green zone.
D) Avoid ibuprofen if aspirin-sensitive asthma.
E) Keep rescue inhaler available.
💫RATIONALE✔️✔️: Daily peak flow (A), pre-exercise albuterol (B), avoid NSAIDs in aspirin-sensitive
asthma (D), rescue inhaler (E). Green zone (80-100%) safe.
💫ANSWER✔️✔️: A, B, D, E
---
### Question 4 of 96
A 2-year-old post-tonsillectomy swallows frequently and is restless. First action?
A) Offer ice chips.
,B) Assess vital signs and throat for bleeding.
C) Give acetaminophen.
D) Place supine.
💫RATIONALE✔️✔️: Frequent swallowing after tonsillectomy indicates bleeding. First assess vital signs
and throat (B).
💫ANSWER✔️✔️: B) Assess vital signs and throat for bleeding.
---
### Question 5 of 96
A 10-year-old with suspected acute rheumatic fever. Which is a major Jones criterion?
A) Fever
B) Elevated CRP
C) Carditis
D) Arthralgia
💫RATIONALE✔️✔️: Major Jones criteria: carditis (C), polyarthritis, chorea, erythema marginatum,
subcutaneous nodules. Fever/arthralgia are minor.
💫ANSWER✔️✔️: C) Carditis
---
### Question 6 of 96
Parents of a child with CF ask about pancreatic enzymes. Which statement indicates understanding?
, A) "Give enzymes only when child has diarrhea."
B) "Open capsule and sprinkle beads on applesauce."
C) "Stop enzymes if child on antibiotics."
D) "Give enzymes at bedtime with milk."
💫RATIONALE✔️✔️: Capsules can be opened and mixed with acidic soft food like applesauce (B). Enzymes
with every meal/snack. Milk interferes.
💫ANSWER✔️✔️: B) "Open capsule and sprinkle beads on applesauce."
---
### Question 7 of 96
**Select-All-That-Apply (SATA):** A nurse assesses a newborn for neonatal abstinence syndrome (NAS).
Which findings expected? (Select all that apply.)
A) Hypertonia and tremors
B) Excessive crying
C) Poor feeding
D) Hypothermia
E) Seizures
💫RATIONALE✔️✔️: NAS: hypertonia/tremors (A), excessive crying (B), poor feeding (C), seizures (E).
Hyperthermia, not hypothermia.
💫ANSWER✔️✔️: A, B, C, E
---
### Question 8 of 96
Child Health Nursing Review**
---
### Question 1 of 96
A nurse is caring for a 4-year-old child with dehydration. Most reliable indicator of hydration status?
A) Blood pressure
B) Skin turgor
C) Daily weight
D) Urine specific gravity
💫RATIONALE✔️✔️: Daily weight (C) is most reliable for acute fluid changes. BP is late sign. Skin turgor
less reliable in well-nourished children.
💫ANSWER✔️✔️: C) Daily weight
---
### Question 2 of 96
A nurse assesses a 6-month-old infant. Which finding requires further evaluation?
A) Head lag when pulled to sit
B) Social smile
C) Rolls from back to abdomen
,D) Babbling consonant sounds
💫RATIONALE✔️✔️: Head lag (A) should be absent by 4-6 months. Social smile, rolling, babbling expected
at 6 months.
💫ANSWER✔️✔️: A) Head lag when pulled to sit
---
### Question 3 of 96
**Select-All-That-Apply (SATA):** A nurse provides discharge teaching for a child with new asthma.
Which instructions correct? (Select all that apply.)
A) Use peak flow meter daily.
B) Give albuterol before exercise.
C) Call 911 if peak flow in green zone.
D) Avoid ibuprofen if aspirin-sensitive asthma.
E) Keep rescue inhaler available.
💫RATIONALE✔️✔️: Daily peak flow (A), pre-exercise albuterol (B), avoid NSAIDs in aspirin-sensitive
asthma (D), rescue inhaler (E). Green zone (80-100%) safe.
💫ANSWER✔️✔️: A, B, D, E
---
### Question 4 of 96
A 2-year-old post-tonsillectomy swallows frequently and is restless. First action?
A) Offer ice chips.
,B) Assess vital signs and throat for bleeding.
C) Give acetaminophen.
D) Place supine.
💫RATIONALE✔️✔️: Frequent swallowing after tonsillectomy indicates bleeding. First assess vital signs
and throat (B).
💫ANSWER✔️✔️: B) Assess vital signs and throat for bleeding.
---
### Question 5 of 96
A 10-year-old with suspected acute rheumatic fever. Which is a major Jones criterion?
A) Fever
B) Elevated CRP
C) Carditis
D) Arthralgia
💫RATIONALE✔️✔️: Major Jones criteria: carditis (C), polyarthritis, chorea, erythema marginatum,
subcutaneous nodules. Fever/arthralgia are minor.
💫ANSWER✔️✔️: C) Carditis
---
### Question 6 of 96
Parents of a child with CF ask about pancreatic enzymes. Which statement indicates understanding?
, A) "Give enzymes only when child has diarrhea."
B) "Open capsule and sprinkle beads on applesauce."
C) "Stop enzymes if child on antibiotics."
D) "Give enzymes at bedtime with milk."
💫RATIONALE✔️✔️: Capsules can be opened and mixed with acidic soft food like applesauce (B). Enzymes
with every meal/snack. Milk interferes.
💫ANSWER✔️✔️: B) "Open capsule and sprinkle beads on applesauce."
---
### Question 7 of 96
**Select-All-That-Apply (SATA):** A nurse assesses a newborn for neonatal abstinence syndrome (NAS).
Which findings expected? (Select all that apply.)
A) Hypertonia and tremors
B) Excessive crying
C) Poor feeding
D) Hypothermia
E) Seizures
💫RATIONALE✔️✔️: NAS: hypertonia/tremors (A), excessive crying (B), poor feeding (C), seizures (E).
Hyperthermia, not hypothermia.
💫ANSWER✔️✔️: A, B, C, E
---
### Question 8 of 96
