In this NCLEXnursing test bank, test your knowledge about pediatric nursing! Enjoy learning from our reviewer and 200+ practice questions about pediatric nursing.
Pediatric Nursing NCLEX Practice Quiz
Included topics in this practice quiz for pediatric nursing are: nursing care management of pediatric clients and common disorders affecting them. Covers pediatric disorders that are cardiovascular, respiratory, gastrointestinal, genitourinary, neurologic, cognitive, endocrine, musculoskeletal, hematologic, and psychiatric. Additionally, you’ll see nursing pharmacology questions (medical administration) for pediatric clients.
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4.Pediatric Nursing NCLEX Practice (Quiz 4: 55 Questions)
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Question 1 of 55
1. Question
While examining a 2-year-old child, the nurse in charge sees that the anterior fontanel is open. The nurse should:
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Question 2 of 55
2. Question
When developing a plan of care for a male adolescent, the nurse considers the child’s psychosocial needs. During adolescence, psychosocial development focuses on:
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Question 3 of 55
3. Question
A mother asks the nurse how to handle her 5-year-old child, who recently started wetting the pants after being completely toilet trained. The child just started attending nursery school 2 days a week. Which principle should guide the nurse’s response?
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Question 4 of 55
4. Question
A 1-year-and 2-month-old child weighing 26 lb (11.8 kg) is admitted for traction to treat congenital hip dislocation. When preparing the patient’s room, the nurse anticipates using which traction system?
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Question 5 of 55
5. Question
Nurse Kim is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?
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Question 6 of 55
6. Question
Parents bring their infant to the clinic, seeking treatment for vomiting and diarrhea that has lasted for 2 days. On assessment, the nurse in charge detects dry mucous membranes and lethargy. What other findings suggest a fluid volume deficit?
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Question 7 of 55
7. Question
Lily , age 5, with an intelligence quotient of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child is:
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Question 8 of 55
8. Question
When evaluating a severely depressed adolescent, the nurse knows that one indicator of a high risk for suicide is:
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Question 9 of 55
9. Question
Which of the following is the best method for performing a physical examination on a toddler?
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Question 10 of 55
10. Question
How does the nurse appropriately administer Mycostatin suspension in an infant?
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Question 11 of 55
11. Question
Which of the following situations increase the risk of lead poisoning in children?
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Question 12 of 55
12. Question
The nurse answers a call bell and finds a frightened mother whose child, the patient, is having a seizure. Which of these actions should the nurse take?
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Question 13 of 55
13. Question
Cherry, the mother of an 11-month-old girl, Elizabeth, is in the clinic for her daughter’s immunizations. She expresses concern to the nurse that Elizabeth cannot yet walk. The nurse correctly replies that, according to the Denver Developmental Screen, the median age for walking is:
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Question 14 of 55
14. Question
Kim is using bronchodilators for asthma. The side effects of these drugs that you need to monitor this patient for include:
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Question 15 of 55
15. Question
The twelve-year-old boy has fractured his arm because of a fall from his bike. After the injury has been casted, the nurse knows it is most important to perform all of the following assessments on the area distal to the injury except:
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Question 16 of 55
16. Question
A mother 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?
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Question 17 of 55
17. Question
An inborn error of metabolism that causes a premature destruction of RBC?
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Question 18 of 55
18. Question
At the community center, the nurse leads an adolescent health information group, which often expands into other areas of discussion. She knows that these youths are trying to find out “who they are,” and discussion often focuses on which directions they want to take in school and life, as well as peer relationships. According to Erikson, this stage is known as:
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Question 19 of 55
19. Question
Sunshine, age 13, has had a lumbar puncture to examine the CSF to determine if bacterial infection exists. The best position to keep her in after the procedure is:
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Question 20 of 55
20. Question
The adolescent patient has symptoms of meningitis: nuchal rigidity, fever, vomiting, and lethargy. The nurse knows to prepare for the following test:
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Question 21 of 55
21. Question
The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?
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Question 22 of 55
22. Question
Which of the following blood study results would the nurse expect as most likely when caring for the child with iron deficiency anemia?
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Question 23 of 55
23. Question
The nurse is assessing a 9-month-old boy for a well-baby check-up. Which of the following observations would be of most concern?
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Question 24 of 55
24. Question
Buck’s traction with a 10 lb. weight is securing a patient’s leg while she is waiting for surgery to repair a hip fracture. It is important to check circulation- sensation-movement:
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Question 25 of 55
25. Question
The nurse is drawing blood from the diabetic patient for a glycosylated hemoglobin test. She explains to the woman that the test is used to determine:
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Question 26 of 55
26. Question
The Foley Family is caring for their youngest child, Justin, who is suffering from tetralogy of Fallot. Which of the following are defects associated with this congenital heart condition?
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Question 27 of 55
27. Question
Which of the following instructions would Nurse Courtney include in a teaching plan that focuses on initial prevention for Sheri who is diagnosed with rheumatic fever?
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Question 28 of 55
28. Question
Mr. and Mrs. Baker’s only daughter is diagnosed with heart failure. Which of the following interventions would be appropriate to promote optimal nutrition for the infant?
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Question 29 of 55
29. Question
Which of these statements regarding the conduction system of the heart is NOT correct? Select all that apply.
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Question 30 of 55
30. Question
The ductus arteriosus is another fetal structure that is important in the intrauterine life. It functions to:
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Question 31 of 55
31. Question
Beta-adrenergic agonists such as albuterol are given to Reggie, a child with asthma. Such drugs are administered primarily to do which of the following?
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Question 32 of 55
32. Question
Fred is a 12-year-old boy diagnosed with pneumococcal pneumonia. Which of the following would Nurse Nica expect to assess?
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Question 33 of 55
33. Question
The Andrews family has been taking good care of their youngest, Archie, who was diagnosed with asthma. Which of the following statements indicate a need for further home care teaching?
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Question 34 of 55
34. Question
Which of the following respiratory conditions is always considered a medical emergency?
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Question 35 of 55
35. Question
Nurse Veronica is teaching a group of parents about otitis media. When discussing why children are predisposed to this disorder, the nurse should mention the significance of which anatomical feature?
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Question 36 of 55
36. Question
Veronica is a 14-year-old girl who wears a brace for structural scoliosis; which of the following statements indicate effective use of the brace?
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Question 37 of 55
37. Question
Nurse Cheryl is assessing Fred, a 14-year-old boy who had scoliosis; besides checking neurologic status directly after Harrington rod instrumentation and spinal fusion, she should be regarded with which of the following factors?
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Question 38 of 55
38. Question
Nurse Kevin is assessing a newborn for developmental dysplasia of the hip (DDH); he would expect to assess which of the following?
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Question 39 of 55
39. Question
Incomplete development of teeth, bones, and ligaments is the result of:
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Question 40 of 55
40. Question
Neurovascular assessment for a fracture patient includes: Select all that apply.
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Question 41 of 55
41. Question
Which of the following is TRUE about sickle cell disease (SCD)? Select all that apply.
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Question 42 of 55
42. Question
Mr. and Mrs. Smith’s child has hemophilia; which of the following actions would you instruct them to avoid?
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Question 43 of 55
43. Question
Nurse Olenna is performing community assessment; which of the following age-groups would be inappropriate for her to monitor iron deficiency anemia?
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Question 44 of 55
44. Question
Nurse Hannah is administering a steroid to a child diagnosed with idiopathic thrombocytopenic purpura (ITP); which of the following should the nurse monitor?
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Question 45 of 55
45. Question
It is a serious condition in which the bone marrow does not produce enough new blood cells. It may be passed down from the parents or develop sometime during childhood:
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Question 46 of 55
46. Question
Nurse Daya, a school nurse, is meeting with the school and health treatment team about a child who has been receiving methylphenidate (Ritalin) for two (2) months. The meeting is to evaluate the results of the child’s medication use. Which behavior change noted by the teacher will help determine the medication’s effectiveness.
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Question 47 of 55
47. Question
A 15-year-old boy was hospitalized in a psychiatric unit because he initiates frequent fights with peers. Which implementation is most appropriate?
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Question 48 of 55
48. Question
The parents of Suzanne, a child with attention deficit hyperactivity disorder, tell the nurse they have tried everything to calm their child and nothing has worked. Which action by the nurse is most appropriate initially?
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Question 49 of 55
49. Question
Nurse Sophia is teaching the parents of a child with pervasive developmental disorder about how to deal with the child when his behavior escalates and he begins throwing things and screaming. Which guideline would be most helpful for the parents to deal with the situation?
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Question 50 of 55
50. Question
Which of the following statements about Attention deficit hyperactivity disorder (ADHD) in children is false?
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Question 51 of 55
51. Question
A nurse is providing instructions to a mother who has a child with congestive heart failure regarding Digoxin (Lanoxin). Which statement made by the mother indicates further teaching?A. “I will administer the medication 1 hour before or 2 hours after meal”.
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Question 52 of 55
52. Question
A nurse is monitoring the intake and output of an infant receiving furosemide (Lasix) IV. Which of the following methods is the most appropriate in measuring the urine output?
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Question 53 of 55
53. Question
A child with β-thalassemia is undergoing a blood transfusion. To prevent organ damage from the excessive amount of iron, chelation therapy is prescribed. Which of the following medications will be added to this therapy?
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Question 54 of 55
54. Question
A 4 month-year-old infant has just received diphtheria, tetanus, and acellular pertussis (DtaP). Hours later, the mother reports to the clinic because her child develops redness and swelling at the injection site. The nurse instructs the mother to do which of the following?
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Question 55 of 55
55. Question
An unconscious child is brought to the emergency room due to Tylenol poisoning. Which of the following is the most appropriate nursing action?
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4.Pediatric Nursing NCLEX Practice (Quiz 4: 55 Questions)
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