10 Pediatric NCLEX® Questions

A nurse caring for a one-year-old knows that obtaining an accurate pulse includes which of the following actions?

• Palpate the brachial pulse for one minute
• Auscultate the apical pulse for one minute
• Auscultate the apical pulse for 15 seconds and multiply by four.
• Palpate the radial pulse for one minute.

The nurse is caring for a 7-year-old child with asthma. The nurse recognizes that which of the following observations would be the most concerning?

• The child has substernal and intercostal retractions
• The child flinches when you insert the IV
• The child’s SpO2 is reading 98 % on 2 L O2 via NC
• The child is unable to speak in complete sentences

The nurse caring for a four-year-old with leukemia notices a honey-colored crusty rash around the child’s nose. The nurse knows this rash is consistent with which of the following diagnoses?

• Impetigo
• Atopic Dermatitis
• Hand Foot Mouth Disease
• Contact Dermatitis

A school nurse is educating parents on what to look for when inspecting the hair of their children. The nurse accurately tells parents which of the following facts about lice? Select all that apply.

• Gloves should be worn when inspecting the scalp
• Nits are tiny whitish oval specks that adhere to the hair shaft
• Lice are small, gray or tan bugs with no wings that are visible to the naked eye
• The eggs may be confused with dandruff
• Bite marks and red areas may be visible on the scalp

The nurse is caring for a four-year-old that has been admitted to hospital after having a febrile seizure. When educating the parents on this diagnosis, which of the following statements would be appropriate for the nurse to include? Select all that apply.

• Febrile seizures do not usually cause any kind of brain damage
• Febrile seizures often cause brain damage
• Febrile seizures can be prevented by giving your child antipyretics like acetaminophen when they are sick
• Children usually outgrow this kind of seizure around age six
• Your child will need to take anti-seizure medications for the next couple of years

The nurse is caring for a child that is severely dehydrated. The nurse knows to expect an order for a fluid bolus. Which of the following formulas are used to calculate fluid boluses for children?

• 60 mL/kg
• 80 mL/kg
• 40 mL/kg
• 20 mL/kg

The nurse is caring for a child who has phenylketonuria. What should the nurse do in order to prevent complications?

• Feed the child a low protein diet
• Feed the child a high protein diet
• Feed the child a high fat diet
• Restrict calories

A 10-month-old child is recovering from a cleft lip repair, and the provider has determined the child would benefit from restraints post-operatively. Which kind of restraints would the nurse most likely apply to this child?

• None, unless the child demonstrated being uncooperative
• A jacket restraint
• Elbow restraints
• A mummy restraint

The nurse caring for a newborn with an umbilical hernia knows which of the following is often an associated condition?

• Down-syndrome
• Vesicoureteral reflux
• Tracheoesophageal fistulas
• Inflammatory bowel disease

A three-month-old infant needs an IM injection of palivizumab for prevention of RSV. Which site is most appropriate for the nurse to administer this medication?

• Ventrogluteal site
• Dorsogluteal site
• Deltoid site
• Vastus lateralis site