NCLEX RN Pediatric Questions
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Question 1 of 5.
When explaining to parents how to reduce the risk of Sudden Infant Death Syndrome (SIDS) the nurse should teach about which of the following measures? Select all that apply.
A. Maintain a smoke-free environment.
B. Use a wedge for side-lying positions.
C. Breast-feed the baby.
D. Place the baby on his back to sleep.
E. Use bumper pads over
F. Have the baby sleep in the parent's bed.
Explanation: Maintaining a smoke-free environment, breastfeeding, and placing the baby on his back to sleep are evidence-based measures to reduce SIDS risk. Side-lying positions, bumper pads, and bed-sharing increase SIDS risk and should be avoided.
Question 2 of 5.
After reading the vaccine information sheets, the parent of a 2-month-old infant is hesitant to consent to the recommended vaccinations. The nurse should first ask the parent:
A. Did you know that vaccinations are required by law for school entry?
B. What personal beliefs or safety concerns do you have about vaccinations?
C. Would you prefer that fewer vaccines are given at a time?
D. Can you please sign this vaccine waiver form?
Explanation: Addressing the parent's specific concerns fosters trust and encourages informed decision-making.
Question 3 of 5.
A parent brings a 4-month-old to the clinic for a regular well visit and expresses concern that the infant is not developing appropriately. Which findings in the infant would indicate the need for further developmental screening?
A. Has no interest in peek-a-boo games.
B. Does not turn front to back.
C. Does not babble.
D. Continues to have head lag.
Explanation: Head lag at 4 months suggests delayed motor development, requiring further evaluation.
Question 4 of 5.
The parent of a 9-month-old infant is concerned that the infant's front soft spot is still open. The nurse should tell the parent:
A. I will measure your baby's head to see if it is a normal size.
B. Your infant will need to be referred for more testing.
C. You should contact your physician immediately.
D. It is normal because this soft spot usually closes between 12 and 18 months.
Explanation: The anterior fontanelle typically closes between 12-18 months, so this is normal.
Question 5 of 5.
A mother brings her 18-month-old to the clinic because the child 'eats ashes, crayons, and paper.' Which of the following information about the toddler should the nurse assess first?
A. Evidence of eruption of large teeth.
B. Amount of attention from the mother.
C. Any changes in the home environment.
D. Intake of a soft, low-roughage diet.
Explanation: Changes in the home environment may contribute to pica, which requires immediate assessment.
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