Pediatric NCLEX Practice Questions 40 Pediatric NCLEX Questions 25 NCLEX Style Practice Questions Related to Pediatrics 1 / 25 1. The mother whose child is generally alert and participates well in classroom activities is concerned that the teacher now reported that the child has frequent periods during the day when he appears to be staring off into space. The nurse should suspect that the child has which problem? A. Absence seizures B. Behavioral problem C. Attention-deficit/hyperactivity syndrome D. School phobia 2 / 25 2. A mother of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction should the nurse give to the mother? A. That lethargy and vomiting are normal manifestations of mumps B. To bring the child to the clinic to be seen by the primary health care provider C. That, as long as there is no fever, there is nothing to be concerned about D. To continue to monitor the child 3 / 25 3. A child is admitted to the hospital with a suspected diagnosis of bacterial endocarditis. The child has been experiencing fever, malaise, anorexia, and a headache. Which diagnostic study will confirm the diagnosis? A. An electrocardiogram (ECG) B. A sedimentation rate C. A blood culture D. A white blood cell count 4 / 25 4. An adolescent is hospitalized with a diagnosis of Rocky Mountain spotted fever (RMSF). The nurse anticipates that which medication will be prescribed? A. Ganciclovir B. Amphotericin B C. Amantadine D. Doxycycline 5 / 25 5. The nurse caring for a child diagnosed with kidney disease is analyzing the child’s laboratory results and notes a sodium level of 148 mEq/L (148 mmol/L). On the basis of this finding, which clinical manifestation should the nurse expect to note in the child? A. Cold, wet skin B. Diaphoresis C. Dry, sticky mucous membranes D. Lethargy 6 / 25 6. A child was diagnosed with acute poststreptococcal glomerulonephritis and renal insufficiency. Which laboratory result should the nurse expect to note in the child? A. White blood cell count 18,000 mm3 (18×109/L) and platelets 355,000 mm3 (355×109/L) B. Urine specific gravity of 1.020 and negative for red blood cells C. Blood urea nitrogen (BUN) 22 mg/dL (7.92 mmol/L) and creatinine levels of2.1 mg/dL (185 mcmol/L) D. Urine positive for glucose and negative for protein 7 / 25 7. A home care nurse visits a child with a diagnosis of celiac disease. Which finding best indicates that a gluten-free diet is being maintained and has been effective? A. The child is free of diarrhea B. The child is free of bloody stools C. The child tolerates dietary wheat and rye D. A balanced fluid and electrolyte status is noted on the laboratory results 8 / 25 8. A child is admitted to the hospital with a suspected diagnosis of idiopathic thrombocytopenic purpura (ITP) and diagnostic studies are performed. Which diagnostic result is indicative of this disorder? A. An elevated platelet count B. Elevated hemoglobin and hematocrit levels C. Bone marrow exam showing increased megakaryocytes D. Bone marrow exam indicating increased immature white blood cells 9 / 25 9. The camp nurse provides instructions regarding skin protection from the sun to the parents who are preparing their children for a camping adventure. Which statement by a parent indicates a need for further instructions? A. "A protective sunscreen is best to prevent sunburn“ B. “My child should wear clothes that have a tightly woven material for greater protection from the sun’s rays“ C. “I need to pack a hat, long-sleeved shirts, and long pants for my child to wear“ D. “My child won’t need the sunscreen on cloudy, hazy days“ 10 / 25 10. The nurse is providing instructions to the parent of a child who had a myringotomy with insertion of tympanostomy tubes. Which instructions should the nurse provide the parent in case the tubes fall out? A. “Clean the tubes with half-strength hydrogen peroxide for 30 minutes and then replace them into the child’s ears” B. “Bring the child to the emergency department immediately” C. “It is not an emergency, but it is best to call the health care clinic” D. “It is important to replace them immediately so that the surgical opening does not close” 11 / 25 11. The nurse is providing discharge instructions to the mother of an 8-year-old child who had a tonsillectomy. The mother tells the nurse that the child loves tacos and asks when the child can safely eat one. To prevent complications of the surgical procedure, what should be the appropriate response to the mother? A. “In 1 week” B. “Six days after surgery” C. “When the primary health care provider says it is okay” D. “In 3 weeks” 12 / 25 12. A child with a diagnosis of umbilical hernia has been scheduled for surgical repair in 2 weeks. The clinic nurse instructs the parents about the signs of possible hernia strangulation. The nurse tells the parents that which sign requires primary health care provider notification? A. Constipation B. Fever C. Diarrhea D. Vomiting 13 / 25 13. Which comment made by the parents of a male infant who will have a surgical repair of a hernia indicates a need for further teaching by the nurse? A. “I understand that surgery will repair the hernia” B. “I don’t know if he will be able to father a child when he grows up” C. “I’ll need to buy extra diapers because we need to change them frequently now" D. “The day nurse told me to give him sponge baths for a few days after surgery” 14 / 25 14. The nurse is creating a plan of care for a newborn diagnosed with bilateral club feet. Which information should the nurse plan to include in the parents education? A. Surgery performed immediately after birth has been found to be the most effective for achieving a complete recovery B. If casting is needed, it will begin at birth and continue for 12 weeks, at which time the condition will be reevaluated C. Genetic testing is wise for future pregnancies because other children born to this couple may also be affected D. The regimen of manipulation and casting is effective in all cases of bilateral club feet 15 / 25 15. The mother of the child diagnosed with Kawasaki disease asks the nurse about the disorder. On which description of this disorder should the nurse base the response to the mother? A. It is an acquired cell-mediated immunodeficiency disorder B. It is also called mucocutaneous lymph node syndrome and is a febrile generalized vasculitis of unknown etiology C. It is an inflammatory autoimmune disease that affects the connective tissue of the heart, joints, and subcutaneous tissues D. It is a chronic multisystem autoimmune disease characterized by the inflammation of connective tissue 16 / 25 16. The parents of a child with mumps express concern that their child will develop orchitis as a result of having mumps. What characteristic of this complication should the nurse discuss with the parents? A. Fever B. Difficulty urinating C. Facial swelling D. Swollen glands 17 / 25 17. After a cleft lip repair, the nurse instructs the parents about cleaning of the lip repair site. The nurse should plan to use which solution when demonstrating this procedure to the parents? A. Half-strength hydrogen peroxide B. Full-strength hydrogen peroxide C. Sterile water D. Tap water 18 / 25 18. An infant has been found to be human immunodeficiency virus (HIV) positive. When teaching condition-specific care, which action should the nurse instruct the mother to take to minimize the child’ risk for condition- related injury? A. Feed the infant with a special nipple and burp the infant frequently to decrease the tendency to swallow air B. Provide meticulous skin care to the infant and change the infant’s diaper after each voiding or stool C. Check the anterior fontanel for bulging and the sutures for widening each day D. Feed the infant in an upright position with the head and chest tilted slightly back to avoid aspiration 19 / 25 19. The clinic nurse provides home care instructions to a mother regarding the care of her child who is diagnosed with croup. Which statement by the mother indicates the need for further instructions? A. “I will place a cool-mist humidifier next to my child’s bed” B. "I will give Tylenol for the fever” C. “Sips of warm fluids during a croup attack will help” D. “I will give cough syrup every night at bedtime” 20 / 25 20. The nurse caring for a child admitted to the hospital with a diagnosis of viral pneumonia describes the treatment plan to the parents. The nurse determines the need for further teaching when the parents make which statement regarding the treatment? A. “It’s difficult to watch the needle be inserted when intravenous fluids are needed” B. “We need to be very careful since oxygen is extremely flammable” C. “Chest physiotherapy will loosen the congestion, so coughing will clear the lungs” D. “It’s important that the child isn’t allergic to the antibiotic that is prescribed” 21 / 25 21. A parent reports that her child has developed a bloody nose. Which action should the nurse instruct the parent to take to control the bleeding? A. Pinch the nostrils for 5 minutes and then recheck for bleeding B. Maintain the child in a sitting position with the head tilted backward C. Lay the child down with a pillow tucked under the neck and stay with the child to keep the child calm D. Have the child sit with the head tilted forward and hold pressure on the soft part of the nose for a period of 10 minutes 22 / 25 22. The nurse is preparing a plan of care for a child diagnosed with leukemia who is beginning chemotherapy. Which intervention should the nurse include? A. Monitor rectal temperatures every 4 hours B. Encourage the child to consume fresh fruits and vegetables to maintain nutritional status C. Monitor the mouth and anus each shift for signs of breakdown D. Provide meticulous mouth care several times daily using an alcohol-based mouthwash and a toothbrush 23 / 25 23. The nurse is caring for an infant admitted to the hospital with a diagnosis of hemolytic disease. Which finding should the nurse expect to note in this infant when reviewing the laboratory results? A. Decreased bilirubin count B. Decreased red blood cell count C. Elevated blood glucose level D. Decreased white blood cell count 24 / 25 24. The nurse develops a plan of care for a 1-month-old infant diagnosed with intussusception. Which nursing measure would be most effective to provide psychosocial support for the parent–child relationship? A. Encourage the parents to go home and get some sleep B. Initiate home nutritional support as early as possible C. Provide educational materials D. Encourage the parents to room-in with their infant 25 / 25 25. The mother of a child with celiac disease asks the nurse how long a special diet is necessary. The nurse provides which instruction to the mother to promote dietary compliance? A. A lactose-free diet will need to be followed temporarily B. Supplemental vitamins, iron, and folate will prevent complications C. A gluten-free diet will need to be followed for life D. Added dietary sodium will help prevent episodes of celiac crisis Your score is The average score is 21% Restart quiz Home/Practice NCLEX Questions/NCLEX Practice Pediatric Questions