NCLEX

Sample
Questions
Pediatric
Nursing
Part 1
1. Andrea with
suspected
rheumatic fever is
admitted to the
pediatric unit.
When obtaining
the child¶s
history, thenurse
considers which
information to be
most important?a.
 A fever that
started 3 days
agob. Lack of
interest in foodc.
A recent
episode of
pharyngitisd.
Vomiting for 2
days2. Nurse
Liza is
administering a
medication via
the intraosseous
route to a child.
Intraosseous drug
administration
istypically used
when a child is:a.
Under age 3b.
Over age 3c.
Critically ill and
under age 3d.
 Critically ill and
over age 33.
When assessing
a child¶s cultural
background, the
nurse in charge
should keep in
mind that:a.
Cultural
background
usually has little
bearing on a
family¶s health
practicesb.
Physical
characteristics
mark the child as
part of a
particular
culturec.
Heritage
dictates a
group¶s shared
valuesd.
Behavioral
patterns are
passed from one
generation to the
next4. While
examining a 2-
year-old child, the
nurse in charge
sees that the
anterior fontanel
is open. The nurse
should:a. Notify
the doctor b.
Look for other
signs of abusec.
Recognize this
as a normal
findingd. Ask
about a family
history of Tay-
Sachs disease5.
The nurse is
aware that the
most common
assessment
finding in a child
with ulcerative
colitis is:a.
Intense
abdominal
crampsb.
 Profuse
diarrheac. Anal
fissuresd.
Abdominal
distention6.
When
administering an
I.M. injection to an
infant, the nurse
in charge should
use which site?a.
 Deltoidb.
Dorsoglutealc.
Ventrogluteald.
Vastus
lateralis7. A
child with a poor
nutritional status
and weight loss is
at risk for a
negative nitrogen
balance. To help
diagnosethis
problem, the
nurse in charge
anticipates that
the doctor will
order which
laboratory test?a.
Total iron-
binding capacityb.
Hemoglobinc.
Total proteind.
 Serum
transferring8.
When
developing a plan
of care for a male
adolescent, the
nurse considers
the child¶s
psychosocial
needs.During
adolescence,
psychosocial
development
focuses on:a.
Becoming
industrious
b. Establishing
an identityc.
Achieving
intimacyd.
Developing
initiative9.
 When
developing a plan
care for a
hospitalized child,
nurse Mica knows
that children in
which age group
aremost likely to
view illness as a
punishment for
misdeeds?a.
 Infancyb.
Preschool agec.
Scholl aged.
Adolescence10.
Nurse Taylor
suspects that a
child, age 4, is
being neglected
physically. To
best assess the
child¶s
nutritionalstatus,
the nurse should
ask the parents
which question?a.
³Has your child
always been so
thin?´b. ³Is your
child a picky
eater?´c. ³What
did your child eat
for breakfast?´d.
 ³Do you think
your child eats
enough?´11. A
female child, age
2, is brought to
the emergency
department after
ingesting an
unknown number
of aspirintablets
about 30 minutes
earlier. On
entering the
examination
room, the child is
crying and
clinging to the
mother.Which
data should the
nurse obtain first?
a. Heart rate,
respiratory rate,
and blood
pressureb.
Recent
exposure to
communicable
diseasesc.
Number of
immunizations
receivedd.
Height and
weight12. A
mother asks the
nurse how to
handle her 5-
year-old child,
who recently
started wetting
the pants after
beingcompletely
toilet trained. The
child just started
attending nursery
school 2 days a
week. Which
principle should
guidethe nurse¶s
response?a. The
child forgets
previously
learned skillsb.
The child
experiences
growth while
regressing,
regrouping, and
then
progressingc.
The parents
may refer less
mature
behaviorsd. The
child returns to a
level of behavior
that increases the
sense of
security.13. A
female child, age
6, is brought to
the health clinic
for a routine
checkup. To
assess the child¶s
vision, thenurse
should ask:a.
³Do you have
any problems
seeing different
colors?´b. ³Do
you have trouble
seeing at night?
´c. ³Do you
have problems
with glare?´d.
³How are you
doing in school?
´14. During a
well-baby visit,
Jenny asks the
nurse when she
should start
giving her infant
solid foods. The
nurseshould
instruct her to
introduce which
solid food first?a.
Applesauceb.
 Egg whitesc.
Rice cereald.
Yogurt15. To
decrease the
likelihood of
bradyarrhythmias
in children during
endotracheal
intubation,
succinylcholine(A
nectine) is used
with which of the
following agents?
a. Epinephrine
(Adrenalin)b.
Isoproterenol
(Isuprel)c.
Atropine
sulfated.
Lidocaine
hydrochloride
(Xylocaine)16. A
1 year and 2-
month-old child
weighing 26 lb
(11.8 kg) is
admitted for
traction to treat
congenital
hipdislocation.
When preparing
the patient¶s
room, the nurse
anticipates using
which traction
system?a.
Bryant¶s
tractionb.
Buck¶s
extension
tractionc.
Overhead
suspension
tractiond. 90-90
traction17.
Mandy, age 12,
is 7 months
pregnant. When
teaching
parenting skills to
an adolescent,
the nurse knows
thatwhich
teaching strategy
is least effective?
a. Providing a
one-on-one
demonstration
and requesting a
return
demonstration,
using a live infant
modelb.
Initiating a
teenage parent
support group
with first ± and ±
second-time
mothersc. Using
audiovisual aids
that show
discussions of
feelings and
skillsd.
Providing age-
appropriate
reading
materials18.
When
performing a
physical
examination on
an infant, the
nurse in charge
notes abnormally
low-set ears.
Thisfindings is
associated with:a.
 Otogenous
tetanusb.
Tracheoesopha
geal fistulac.
Congenital
heart defectsd.
Renal
anomalies19.
Nurse Raven
should expect a
3-year-old child to
be able to
perform which
action?a. Ride a
tricycleb. Tie
the shoelacesc.
Roller-skatesd.
Jump rope20.
Nurse Betina is
teaching a group
of parents about
otitis media.
When discussing
why children are
predisposedto this
disorder, the
nurse should
mention the
significance of
which anatomical
feature?a.
Eustachian
tubesb.
 Nasopharynxc.
Tympanic
membraned.
External ear
canal21. The
nurse is
evaluating a
female child with
acute
poststreptoccocal
glomerulonephriti
s for signs
of improvement.
Which finding
typically is the
earliest sign of
improvement?a.
Increased urine
outputb.
Increased
appetitec.
Increased
energy leveld.
Decreased
diarrhea22. Dr.
Smith prescribes
corticosteroids for
a child with
nephritic
syndrome. What
is the primary
purpose
of administering
corticosteroids to
this child?a. To
increase blood
pressureb. To
reduce
inflammation
A recent episode
of pharyngitis is
the most
important factor
in establishing the
diagnosis of
rheumaticIn an
emergency,
intraosseous drug
administration is
typically used
when a child is
critically ill andA
family¶s
behavioral
patterns and
values are passed
from one
generation to the
next.
CulturalBecause
the anterior
fontanel normally
closes between
ages 12 and 18
months, the nurse
shouldUlcerative
colitis causes
profuse diarrhea,
intense
abdominal
cramps, anal
fissures, and
abdominalThe
recommended
injection site for
an infant is the
vastus lateralis or
rectus femoris
muscles. TheA
negative nitrogen
balance may
result from
inadequate
protein intake and
is best detected
byAccording to
Erikson, the
primary
psychosocial task
during
adolescence is to
establish a
persona
lPreschool-age
children are most
likely to view
illness as a
punishment for
misdeeds.
Separationshould
obtain objective
information about
the child¶s
nutritional intake,
such as by asking
The most
important data to
obtain on a
child¶s arrival in
the emergency
department are
vital signstress of
starting nursery
school may
trigger a return to
a level of
successful
behavior from
earlier A child¶s
poor progress in
school may
indicate a visual
disturbance. The
other options are
morereal is the
first solid food an
infant should
receive because it
is easy to digest
and is
associate
dSuccinycholine is
an ultra-short-
acting
depolarizing
agent used for
rapid-sequence
intubation
.Bryant¶s traction
is used to treat
femoral fractures
of congenital hip
dislocation in
children under
age 2Because
adolescents
absorb less
information
through reading,
providing age-
appropriate
readinglly the top
of the ear aligns
with an imaginary
line drawn across
the inner and
outer canthus
of 3, gross motor
development and
refinement in
eye-hand
coordination
enable a child to
ride as are short
and lie in a
horizontal plane,
promoting entry
of
nasopharyngea
lsign of improving
kidney function,
typically is the
first sign that a
child withurpose
of administering
corticosteroids to
a child with
nephritic
syndrome is to
decreaseinfant,
signs of fluid
volume deficit
(dehydration)
include sunken
fontanels,
increased pulse
rate,should shake
a suspension
before
administration to
dispersed drug
particles
uniformly.
ment must be
calculated to the
child¶s weight to
avoid over-
hydration. Initial
fluidAmerican
Association on
Mental Deficiency,
a person with an
intelligence
quotien
trelationship
patterns focus on
body image and
the patient¶s
relationship with
others, whichk
and 1 year of age.
The incidence
peaks at 2 to 4
months
of demonstrates a
preoccupation
with death (such
as by talking
about deathmost
common sign of
Wilms¶ tumor is a
painless, palpable
abdominal mass,
sometimes
In a 6-year-old
child, a precarious
sense of self
causes
overreaction to
criticism and a
sense of The
nurse always
should reinforce
safety guidelines
when teaching
parents how to
care for their
child.
nurse should start
screening a child
for lead poisoning
at age 18 months
and perform
repeatThe body
compensates for
metabolic
acidosis via the
respiratory
system, which
tries to eliminate
theA patient with
celiac disease
must maintain
dietary
restrictions
lifelong to avoid
recurrence of
clinicalBy age 18
months, the
anterior and
posterior
fontanels should
be closed. The
diamond-
shapedBecause of
the inflammation
of the meninges,
the client is
vulnerable to
developing
cerebral
edemaThe nurse
caring for an
infant with
nonorganic failure
to thrive should
maintain a
consistent,
structuredith
spina bifida often
develop an
allergy to latex
and shouldn¶t be
exposed to it. If a
child
i
srecommendation
is to allow the
child to feed
herself because
the child¶s stage
of mount of
glucose that¶s
considered safe
for peripheral
veins while still
providing
adequatethe most
valuable clues to
pain is a behavior
change: A child
who¶s pain-free
likes to play.
AC.major cause of
death and
disability during
the school-age
years. Therefore,
accident
take top priority.
Documentation is
the only way the
nurse can legally
claim thatl of one
hand and
compress 1´ to
1½ ³. The nurse
should use the
heelsnewly
admitted infant
with
meningococcal
meningitis.tally
ready, child and
parent will
become
frustrated.
Consistency
isminors and
aren¶t
emancipated,
their parents or
designated legal
guardians
aremassive cell
destruction
resulting from
chemotherapy
may place the
client at risk for
developingThe
transmission
of layed
hypersensitivity. If
the test results
are positive, a
reaction
shouldmerican
Academy of
Pediatrics
recommends that
infants at age 5
months receive
iron-richoff while
the infant sleeps
helps to promote
air circulation to
the area,
improving the,
the parents
should call the
poison control
center for specific
directions.the
hospital for burns,
the primary focus
is on
assessingther
signs of
respiratory
distress signify
fluid volume
excess (overload),
which can
teroid-dependent
asthma, a
contributing
factor to this
client¶s high-risk
status, requires
thecircumference
is the most
important
assessment
technique for
recognizing
possiblecast can
be relieved by
directing blow-
dyer, set, on the
cool setting,
toward the
A recent episode
of pharyngitis is
the most
important factor
in establishing the
diagnosis of
rheumaticIn an
emergency,
intraosseous drug
administration is
typically used
when a child is
critically ill andA
family¶s
behavioral
patterns and
values are passed
from one
generation to the
next.
CulturalBecause
the anterior
fontanel normally
closes between
ages 12 and 18
months, the nurse
shouldUlcerative
colitis causes
profuse diarrhea,
intense
abdominal
cramps, anal
fissures, and
abdominalThe
recommended
injection site for
an infant is the
vastus lateralis or
rectus femoris
muscles. TheA
negative nitrogen
balance may
result from
inadequate
protein intake and
is best detected
byAccording to
Erikson, the
primary
psychosocial task
during
adolescence is to
establish a
persona
lPreschool-age
children are most
likely to view
illness as a
punishment for
misdeeds.
Separation
should obtain
objective
information about
the child¶s
nutritional intake,
such as by
askingThe most
important data to
obtain on a
child¶s arrival in
the emergency
department are
vital signstress of
starting nursery
school may
trigger a return to
a level of
successful
behavior from
earlier A child¶s
poor progress in
school may
indicate a visual
disturbance. The
other options are
morereal is the
first solid food an
infant should
receive because it
is easy to digest
and is
associate
dSuccinycholine is
an ultra-short-
acting
depolarizing
agent used for
rapid-sequence
intubation
.Bryant¶s traction
is used to treat
femoral fractures
of congenital hip
dislocation in
children under
age 2Because
adolescents
absorb less
information
through reading,
providing age-
appropriate
readinglly the top
of the ear aligns
with an imaginary
line drawn across
the inner and
outer canthus
of 3, gross motor
development and
refinement in
eye-hand
coordination
enable a child to
ride as are short
and lie in a
horizontal plane,
promoting entry
of
nasopharyngea
lsign of improving
kidney function,
typically is the
first sign that a
child withurpose
of administering
corticosteroids to
a child with
nephritic
syndrome is to
decreaseinfant,
signs of fluid
volume deficit
(dehydration)
include sunken
fontanels,
increased pulse
rate,
should shake a
suspension before
administration to
dispersed drug
particles
uniformly.ment
must be
calculated to the
child¶s weight to
avoid over-
hydration. Initial
fluidAmerican
Association on
Mental Deficiency,
a person with an
intelligence
quotien
trelationship
patterns focus on
body image and
the patient¶s
relationship with
others, whichk
and 1 year of age.
The incidence
peaks at 2 to 4
months
of demonstrates a
preoccupation
with death (such
as by talking
about deathmost
common sign of
Wilms¶ tumor is a
painless, palpable
abdominal mass,
sometimes