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NCLEX RN· RN Pediatrics · Free NCLEX RN Pediatric Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 7-year-old has had an appendectomy on November 12. He has had pain for the last 24 hours. There is an order to administer Tylenol with Codeine every 3 to 4 hours as needed. The nurse is beginning the shift and reviews the chart below for pain history. Based on the information in the chart, what should the nurse do next?

A. Administer the Tylenol with Codeine.

B. Distract the child by giving him breakfast.

C. Instruct the child to take deep breaths and blow his pain away.

D. Assess the child again in 1 hour.

Expert Explanatory Rationale

Correct Answer: Administer the Tylenol with Codeine.

Question 2 of 5

The mother of a 6-month-old states that she started her infant on 2% milk. The nurse should first ask the mother:

A. Do you think your baby will be fine with this milk?

B. Is it possible for you to switch your baby to whole milk?

C. Can you tell me more about the reason you switched your baby to 2% milk?

D. You cannot switch to 2% milk right now. Did your pediatrician tell you to do this?

Expert Explanatory Rationale

Correct Answer: Can you tell me more about the reason you switched your baby to 2% milk?

Question 3 of 5

A nasogastric tube is ordered to be inserted for a child with severe head trauma. Diagnostic testing reveals that the child has a basilar skull fracture. What should the nurse do next?

A. Ask for the order to be changed to oral gastric tube.

B. Attempt to place the tube into the duodenum.

C. Test the gastric aspirate for blood.

D. Use extra lubrication when inserting the nasogastric tube.

Expert Explanatory Rationale

Correct Answer: Ask for the order to be changed to oral gastric tube.

Question 4 of 5

Which development is necessary for toilet training readiness for a 2-year-old? Select all that apply.

A. Adequate neuromuscular development for sphincter control.

B. Appropriate chronological age.

C. Ability to communicate the need to use the toilet.

D. Desire to please the parents.

E. Ability to play with other 2-year-olds.

Expert Explanatory Rationale

Correct Answer:

Question 5 of 5

A male adolescent who underwent repair of an inguinal hernia earlier today and is getting ready to go home receives instructions about resuming physical activities. Which of the following statements would indicate that he has understood the instructions?

A. I can start riding my bike next week.

B. I have to skip physical education classes for 2 weeks.

C. I can start wrestling again in 3 weeks.

D. I can return to my weight-lifting class in 2 weeks.

Expert Explanatory Rationale

Correct Answer: I have to skip physical education classes for 2 weeks.

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