NCLEX RN Pediatric Nursing
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Question 1 of 5.
A child is admitted with a fracture of the femur and placed in skeletal traction. What should the nurse assess first?
A. The pull of traction on the pin.
B. The Ace bandage.
C. The pin sites for signs of infection.
D. The dressings for tightness.
Explanation: Assessing pin sites for infection is the priority, as infection can lead to serious complications in skeletal traction.
Question 2 of 5.
Which of the following structures should be closed by the time the child is 2 months old?
A. A.
B. B.
C. C.
D. D.
Explanation: posterior fontanelle closes by 2 months.
Question 3 of 5.
The nurse notes that an infant stares at an object placed in her hand and takes it to her mouth, coos and gurgles when talked to, and sustains part of her own weight when held in a standing position. The nurse correctly interprets these findings as characteristic of an infant at which of the following ages?
A. 2 months.
B. 4 months.
C. 7 months.
D. 9 months.
Explanation: These milestones (visual tracking, mouthing objects, cooing, and partial weight-bearing) are typical at 4 months.
Question 4 of 5.
A mother of a toilet-trained 3-year-old expresses concern over her child's bedwetting while hospitalized. The nurse should tell the mother:
A. He was too immature to be toilet trained. In a few months he should be old enough.
B. Children are afraid in the hospital and frequently wet their bed.
C. It's very common for children to regress when they're in the hospital.
D. This is normal. He probably received too much fluid the night before.
Explanation: Regression, such as bedwetting, is common in hospitalized children due to stress.
Question 5 of 5.
When assessing for pain in a toddler, which of the following methods should be the most appropriate?
A. Ask the child about the pain.
B. Observe the child for restlessness.
C. Use a numeric pain scale.
D. Assess for changes in vital signs.
Explanation: Toddlers cannot reliably verbalize pain, so observing behavior like restlessness is most appropriate.
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