NCLEX RN Pediatric Practice Questions
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Question 1 of 5.
After emphasizing to an adolescent with renal failure the importance of maintaining a positive self-concept, which of the following behaviors by the adolescent should the nurse identify as an indicator that the plan is working?
A. Reports of headaches, abdominal pain, and nausea.
B. Insistence on making diet choices even if the foods chosen are restricted.
C. Verbalization of plans to quit all after-school activities when returning home.
D. Demonstration of desire to do the dressing changes and take care of the medications.
Explanation: Self-care indicates positive adjustment.
Question 2 of 5.
The nurse should refer the parents of an 8-month-old child to a health care provider if the child is unable to:
A. Stand momentarily without holding onto furniture.
B. Stand alone well for long periods of time.
C. Stoop to recover an object.
D. Sit without support for long periods of time.
Explanation: An 8-month-old should be able to sit without support; inability to do so warrants further evaluation.
Question 3 of 5.
The parents of a 9-month-old bring the infant to the clinic for a regular checkup. The infant has received no immunizations. Which of the following would be appropriate for the nurse to administer at this visit?
A. Diphtheria, tetanus, and acellular pertussis (DTaP); Haemophilus influenzae type B (Hib); inactivated poliomyelitis vaccine (IPV); and purified protein derivative (PPD).
B. DTaP; Hib; oral polio vaccine (OPV); and measles, mumps, and rubella (MMR).
C. PPD, MMR, hepatitis B (hepB), and OPV.
D. HepB, IPV, Hib, and varicella.
Explanation: These vaccines align with catch-up schedules for a 9-month-old, except PPD, which is a test, not a vaccine.
Question 4 of 5.
A 2-year-old tells his mother he is afraid to go to sleep because 'the monsters will get him.' The nurse should tell his mother to:
A. Allow him to sleep with his parents in their bed whenever he is afraid.
B. Increase his activity before he goes to bed, so he eventually falls asleep from being tired.
C. Give him a favorite cuddly animal or a blanket.
D. Allow him to stay up an hour later with the family until he falls asleep.
Explanation: A comfort object helps a toddler feel secure and supports self-soothing.
Question 5 of 5.
A 2-year-old child brought to the clinic by her parents is uncooperative when the nurse tries to look in her ears. Which of the following should the nurse try first?
A. Ask another nurse to assist.
B. Allow a parent to assist.
C. Wait until the child calms down.
D. Restrain the child's arms.
Explanation: Parental involvement can comfort the child and improve cooperation.
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