NCLEX RN Pediatrics
Collection of 800+ Rigorously
Crafted Questions
Expert-Verified Explanations & Solutions
Clinical Case Studies to Pass the Exam
, **Content and Structure**
The pediatric section of the NCLEX places significant emphasis on the care of
children and adolescents, addressing a diverse array of topics such as growth
and development, health promotion and maintenance, pediatric diseases and
disorders, pharmacological and non-pharmacological interventions, family-
centered care, and developmental milestones. An "800 QS Comprehensive" set
refers to a robust collection of 800 rigorously crafted questions encompassing
all major pediatric concepts and clinical scenarios that a candidate might
encounter on the NCLEX. These questions are typically formulated in various
formats, including but not limited to, multiple-choice, select-all-that-apply
(SATA), prioritization, and clinical case studies.
NCLEX PEDIATRICS COMPREHENSIVE TEST
,A nurse is teaching an adolescent with inflammatory bowel disease about treatment with
corticosteroids. Which adverse effects are concerns for this client? Select all that apply.
1. Acne
2. Hirsutism
3. Mood swings
4. Osteoporosis
5. Growth spurts
6. Adrenal suppression
1. Acne
2. Hirsutism
3. Mood swings
4. Osteoporosis
6. Adrenal suppression
RATIONALE: Adverse effects of corticosteroids include acne, hirsutism, mood swings, osteoporosis, and
adrenal suppression. Steroid use in children and adolescents may cause delayed growth, not growth
spurts.
A nurse is conducting an examination of a 6-month-old baby. During the examination, the nurse
should be able to elicit which reflex?
1. Babinski's
2. Startle
3. Moro's
4. Dance
1. Babinski's
RATIONALE:
The nurse should be able to elicit the Babinski's reflex because it may be present the entire first year of life.
The startle reflex actually disappears around 4 months of age; the Moro's reflex, by 3 or 4 months of age;
and the dance reflex, after the third or fourth week.
When teaching a parent of a school-age child about signs and symptoms of fever that require
immediate notification of the physician, which description should the nurse include?
1. Burning or pain with urination
2. Complaints of a stiff neck
3. Fever disappearing for longer than 24 hours, then returning
4. History of febrile seizures
2. Complaints of a stiff neck
RATIONALE: The nurse should discuss complaints of a stiff neck because fever and a stiff neck indicate
, possible meningitis. Burning or pain with urination, fever that disappears for 24 hours then returns, and a
history of febrile seizures should be addressed by the physician but can wait until office hours.
After being hospitalized for status asthmaticus, a child, age 5, is discharged with prednisone
(Deltasone) and other oral medications. Two weeks later, when the child comes to the clinic for a
checkup, the nurse instructs the mother to gradually decrease the dosage of prednisone, which will
be discontinued. The mother asks why prednisone must be discontinued. How should the nurse
respond?
1. "Steroids increase the appetite, leading to obesity with prolonged use."
2. "Long-term steroid therapy
2. "Long-term steroid therapy may interfere with a child's growth."
RATIONALE: Steroids suppress release of adrenocorticotropic hormone from the pituitary gland, stopping
production of endogenous hormones by the adrenal cortex. Because prolonged adrenal suppression may
cause growth retardation in a child, the duration and dosage of steroid therapy must be kept to a minimum.
Steroids also may cause central nervous system effects, such as euphoria, insomnia, and mood swings.
Although steroids increase the appetite, this effect isn't the reason for limiting their use in children. Steroids
are present in the body, so hypersensitivity isn't a problem, and they're likely to cause euphoria, not
depression.
A hospitalized infant, age 10 months, begins to choke while eating and quickly becomes
unconscious. A foreign object isn't visible in the infant's airway, but respirations are absent and the
pulse is 50 beats/minute and thready. The nurse attempts rescue breathing, but the ventilations are
unsuccessful. What should the nurse do next?
1. Deliver five back blows.
2. Deliver five chest thrusts.
3. Perform chest compressions.
4. Deliver five abdominal thrusts.
1. Deliver five back blows.
RATIONALE: If rescue breathing is unsuccessful in a child younger than age 1, the nurse should deliver
five back blows, followed by five chest thrusts, to try to expel the object from the obstructed airway. The
nurse shouldn't perform chest compressions because the infant has a pulse and because chest
compressions are ineffective without a patent airway for ventilation. The nurse shouldn't use abdominal
thrusts for a child younger than age 1 because they can injure the abdominal organs.
An adolescent is admitted for treatment of bulimia nervosa. When developing the care plan, the
nurse anticipates including interventions that address which metabolic disorder?
1. Hypoglycemia
2. Metabolic alkalosis
Collection of 800+ Rigorously
Crafted Questions
Expert-Verified Explanations & Solutions
Clinical Case Studies to Pass the Exam
, **Content and Structure**
The pediatric section of the NCLEX places significant emphasis on the care of
children and adolescents, addressing a diverse array of topics such as growth
and development, health promotion and maintenance, pediatric diseases and
disorders, pharmacological and non-pharmacological interventions, family-
centered care, and developmental milestones. An "800 QS Comprehensive" set
refers to a robust collection of 800 rigorously crafted questions encompassing
all major pediatric concepts and clinical scenarios that a candidate might
encounter on the NCLEX. These questions are typically formulated in various
formats, including but not limited to, multiple-choice, select-all-that-apply
(SATA), prioritization, and clinical case studies.
NCLEX PEDIATRICS COMPREHENSIVE TEST
,A nurse is teaching an adolescent with inflammatory bowel disease about treatment with
corticosteroids. Which adverse effects are concerns for this client? Select all that apply.
1. Acne
2. Hirsutism
3. Mood swings
4. Osteoporosis
5. Growth spurts
6. Adrenal suppression
1. Acne
2. Hirsutism
3. Mood swings
4. Osteoporosis
6. Adrenal suppression
RATIONALE: Adverse effects of corticosteroids include acne, hirsutism, mood swings, osteoporosis, and
adrenal suppression. Steroid use in children and adolescents may cause delayed growth, not growth
spurts.
A nurse is conducting an examination of a 6-month-old baby. During the examination, the nurse
should be able to elicit which reflex?
1. Babinski's
2. Startle
3. Moro's
4. Dance
1. Babinski's
RATIONALE:
The nurse should be able to elicit the Babinski's reflex because it may be present the entire first year of life.
The startle reflex actually disappears around 4 months of age; the Moro's reflex, by 3 or 4 months of age;
and the dance reflex, after the third or fourth week.
When teaching a parent of a school-age child about signs and symptoms of fever that require
immediate notification of the physician, which description should the nurse include?
1. Burning or pain with urination
2. Complaints of a stiff neck
3. Fever disappearing for longer than 24 hours, then returning
4. History of febrile seizures
2. Complaints of a stiff neck
RATIONALE: The nurse should discuss complaints of a stiff neck because fever and a stiff neck indicate
, possible meningitis. Burning or pain with urination, fever that disappears for 24 hours then returns, and a
history of febrile seizures should be addressed by the physician but can wait until office hours.
After being hospitalized for status asthmaticus, a child, age 5, is discharged with prednisone
(Deltasone) and other oral medications. Two weeks later, when the child comes to the clinic for a
checkup, the nurse instructs the mother to gradually decrease the dosage of prednisone, which will
be discontinued. The mother asks why prednisone must be discontinued. How should the nurse
respond?
1. "Steroids increase the appetite, leading to obesity with prolonged use."
2. "Long-term steroid therapy
2. "Long-term steroid therapy may interfere with a child's growth."
RATIONALE: Steroids suppress release of adrenocorticotropic hormone from the pituitary gland, stopping
production of endogenous hormones by the adrenal cortex. Because prolonged adrenal suppression may
cause growth retardation in a child, the duration and dosage of steroid therapy must be kept to a minimum.
Steroids also may cause central nervous system effects, such as euphoria, insomnia, and mood swings.
Although steroids increase the appetite, this effect isn't the reason for limiting their use in children. Steroids
are present in the body, so hypersensitivity isn't a problem, and they're likely to cause euphoria, not
depression.
A hospitalized infant, age 10 months, begins to choke while eating and quickly becomes
unconscious. A foreign object isn't visible in the infant's airway, but respirations are absent and the
pulse is 50 beats/minute and thready. The nurse attempts rescue breathing, but the ventilations are
unsuccessful. What should the nurse do next?
1. Deliver five back blows.
2. Deliver five chest thrusts.
3. Perform chest compressions.
4. Deliver five abdominal thrusts.
1. Deliver five back blows.
RATIONALE: If rescue breathing is unsuccessful in a child younger than age 1, the nurse should deliver
five back blows, followed by five chest thrusts, to try to expel the object from the obstructed airway. The
nurse shouldn't perform chest compressions because the infant has a pulse and because chest
compressions are ineffective without a patent airway for ventilation. The nurse shouldn't use abdominal
thrusts for a child younger than age 1 because they can injure the abdominal organs.
An adolescent is admitted for treatment of bulimia nervosa. When developing the care plan, the
nurse anticipates including interventions that address which metabolic disorder?
1. Hypoglycemia
2. Metabolic alkalosis
