Pediatric Nursing NCLEX Practice Quiz (200+ Questions)

Nurse Analiza is administering medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is:

When administering an I.M. injection to an infant, the nurse in charge should use which site?

Nurse Sunshine suspects that a child, age 4, is being neglected physically. To best assess the child’s nutritional status, the nurse should ask the parents which question?

During a well-baby visit, Liza asks the nurse when she should start giving her infant solid foods. The nurse should instruct her to introduce which solid food first?

When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This finding is associated with:

The nurse is evaluating a female child with acute post streptococcal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement?

How should the nurse prepare a suspension before administration?

Mandy, age 12, is brought to the clinic for evaluation for a suspected eating disorder. To best assess the effects of role and relationship patterns on the child’s nutritional intake, the nurse should ask:

A child is diagnosed with Wilms’ tumor. During assessment, the nurse in charge expects to detect:

Which of the following organisms is responsible for the development of rheumatic fever?

Nurse Nancy is assessing a child with pyloric stenosis; she is likely to note which of the following?

Baby Jonathan was born with cleft lip (CL); Nurse Barbara would be alert that which of the following will most likely be compromised?

Which of the following parameters would Nurse Max monitor to evaluate the effectiveness of thickened feedings for an infant with gastroesophageal REFLUX (GER)?

Nurse Karen is providing postoperative care for Dustin who has cleft palate (CP); she should position the child in which of the following?

Mrs. Byers tells the nurse that she is very worried because her 2-year old child does not finish his meals. What should the nurse advise the mother?

Niklaus was born with hypospadias; which of the following should be avoided when a child has such condition?

Alaric was diagnosed with minimal-change nephrotic syndrome; which of the following signs and symptoms are characteristics of the said disorder?

Patient S is a sexually active adolescent; which of the following instructions would be included in the preventive teaching plan about urinary tract infections?

12-year-old Caroline has recurring nephrotic syndrome; which of the following areas of potential disturbances should be a prime consideration when planning ongoing nursing care?

The following are considered functions of the Urinary System EXCEPT: Select all that apply.

Nurse Gloria is teaching Mr. and Mrs. Diaz about the early signs and symptoms of lead poisoning; which of the following if stated by the couple would indicate the need for further understanding of the case?

Reye’s syndrome is a rare and severe illness affecting children and teenagers. Its development has been linked with the use of aspirin and which of the following?

Nurse Maritza is caring for a child with Category A Near Drowning; she should do which of the following? Select all that apply.

Spina bifida is one of the possible neural tube defects that can occur during early embryological development. Which of the following definitions most accurately describes meningocele?

Bennett was rushed to the emergency department with possible increased intracranial pressure (ICP); which of the following is an early clinical manifestation of increased ICP in older children?

Katie is admitted to the intensive care unit of Nurseslabs Medical Center for diabetic ketoacidosis; which of the following is of primary importance when caring for the child?

Justine is admitted to the pediatric unit due to the occurrence of diabetic ketoacidosis signaling a new diagnosis of diabetes. The diabetes team explores the cause of the episode and takes steps to prevent a recurrence. Diabetic ketoacidosis (DKA) results from an excessive accumulation of which of the following?

Tara is an 11-year-old girl diagnosed with type 1 diabetes mellitus (DM). She asks her attending nurse why she can’t take a pill rather than shots like her grandmother does. Which of the following would be the nurse’s best reply?

Arvic who is diagnosed with diabetes mellitus type 1 displays symptoms of hypoglycemia; which of the following actions should the nurse instruct the parents?

Which of the following should the nurse include in the insulin administration instruction for the parents of a child being discharged on insulin?

A spica cast was put on Baby Betty after an unfortunate incident to immobilize her hips and thighs; which of the following is the priority nursing action immediately after application?

Among toddlers and children up to age five, femur fractures usually result from a low energy fall. In most cases, the orthopedic surgeon realigns the fracture using fluoroscopy or x-ray imaging as a guide and immobilizes the leg in a type of cast called a spica cast. Approximately how many weeks does it take for a fractured femur to heal in a 3-year-old?

Mrs. Lodge’s child requires the use of a Pavlik harness; which of the following would Nurse Betty do to best assess the mother’s ability to care for her child?

You have learned that in babies and children with developmental dysplasia (dislocation) of the hip (DDH), the hip joint has not formed normally. Which of the following is the most common form of DDH?

Match the traction methods to their corresponding descriptions:

Sickle cell disease (SCD) primarily affects:

Nurse Christine is planning a client education program for sickle cell disease (SCD) in children; which of the following interventions would be included in the care plan?

Mrs. Baker was instructed by the nurse on foods to encourage her child’s diet concerning the latter’s iron deficiency anemia; which of the following if stated by the mother would indicate the need for further instruction?

The long-term complications seen in thalassemia major are associated to which of the following?

Archie is a child with iron deficiency anemia. He is required to receive elemental iron therapy at 6 mg/kg/day in three divided doses. He weighs 44 lbs. How many milligrams of iron should he receive per dose?

Martin Sanchez is a nine (9)-year-old child admitted to a psychiatric treatment unit accompanied by Mr. and Mrs. Sanchez. To establish trust and position of neutrality, which action would the nurse take?

Which behavioral assessment in a child is most consistent with a diagnosis of conduct disorder?

The community nurse visits the home of George, a child recently diagnosed with autism. The parents express feelings of shame and guilt about having somehow caused this problem. Which statement by the nurse would best help alleviate parental guilt?

Nurse Gloria questions the parents of a child with oppositional defiant disorder about the roles of each parent in setting rules of behavior. The purpose of this type of questioning is to assess which element of the family system?

The school nurse assesses Brook, a child newly diagnosed with attention deficit hyperactivity disorder (ADHD). Which of the following symptoms are characteristic of the disorder? Select all that apply.

A nurse prepares to administer an intramuscular injection to a 6-month-old infant. The nurse selects which site to administer the medication?

A child was brought to the emergency department with complaints of nausea, vomiting, fruity-scented breath. The resident on duty diagnosed the child with diabetes ketoacidosis. Which of the following should the nurse expect to administer?

Hydrocortisone cream 1% is given to a child with eczema. The nurse gives instruction to the mother to apply the cream by?

A child with known hemophilia A was brought to the emergency room with complaints of nose bleeding and some bruises in the joints. Which of the following should the nurse anticipate to be given to the child?

Which of the following is not true regarding the varicella vaccine?