NCLEX RN Pediatric Practice Questions
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Question 1 of 5.
The physician orders a urinalysis for a child who has undergone surgical repair of a hypospadias. Which of the following results should the nurse report to the physician?
A. Urine specific gravity of 1.017.
B. Ten red blood cells per high-powered field.
C. Twenty-five white blood cells per high-powered field.
D. Urine pH of 6.0.
Explanation: High WBC count indicates infection.
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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