NCLEX RN Pediatric Nursing
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Question 1 of 5.
An adolescent complains of chest pain and goes to the school nurse. The nurse determines that the teenager has a history of asthma but has had no problems for years. Which of the following should the nurse do next?
A. Call the adolescent's parent.
B. Have the adolescent lie down for 30 minutes.
C. Obtain a peak flow reading.
D. Give two puffs of a short-acting bronchodilator.
Explanation: Obtaining a peak flow reading is the next step to objectively assess the adolescent's respiratory status, given the history of asthma and new chest pain, which could indicate an asthma exacerbation.
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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