Free NCLEX RN Pediatric Questions
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Question 1 of 5.
A 10-year-old child who is 5'4'Â (138 cm) tall with a history of asthma uses an inhaled bronchodilator only when needed. He takes no other medications routinely. His best peak expiratory flow rate is 270 L/minute. The child's current peak flow reading is 180 L/minute. The nurse interprets this reading as indicating which of the following?
A. The child's asthma is under good control, so the routine treatment plan should continue.
B. The child needs to start a short-acting inhaled beta-agonist medication.
C. This is a medical emergency requiring a trip to the emergency department for treatment.
D. The child needs to begin treatment with inhaled cromolyn sodium (Intal) for asthma control.
Explanation: A peak flow reading of 180 L/minute is 66.7% of the child's best (270 L/minute), placing it in the yellow zone (50-80% of personal best), indicating an asthma exacerbation. A short-acting inhaled beta-agonist is needed to relieve symptoms.
Question 2 of 5.
A 10-month-old looks for objects that have been removed from his view. The nurse should instruct the parents that:
A. Neuromuscular development enables the child to reach out and grasp objects.
B. The child's curiosity has increased.
C. The child understands the permanence of objects even though the child cannot see them.
D. The child is now able to transfer objects from hand to hand.
Explanation: This behavior indicates object permanence, a cognitive milestone typically achieved around 9-12 months.
Question 3 of 5.
The mother of a 6-month-old states that she started her infant on 2% milk. The nurse should first ask the mother:
A. Do you think your baby will be fine with this milk?
B. Is it possible for you to switch your baby to whole milk?
C. Can you tell me more about the reason you switched your baby to 2% milk?
D. You cannot switch to 2% milk right now. Did your pediatrician tell you to do this?
Explanation: Understanding the reason for the switch helps address misconceptions and provide education.
Question 4 of 5.
Which development is necessary for toilet training readiness for a 2-year-old? Select all that apply.
A. Adequate neuromuscular development for sphincter control.
B. Appropriate chronological age.
C. Ability to communicate the need to use the toilet.
D. Desire to please the parents.
E. Ability to play with other 2-year-olds.
Explanation: Neuromuscular control, communication, and motivation are key for toilet training readiness.
Question 5 of 5.
The mother asks the nurse for advice about discipline for her 18-month-old. Which of the following should the nurse suggest that the mother use?
A. Structured interactions.
B. Spanking.
C. Reasoning.
D. Time out.
Explanation: Time out is an effective, age-appropriate discipline method for an 18-month-old.
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