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\adol
escents,\addressing\a\diverse\array\of\topics\such\as\growth\and\develop
ment,\health\promotion\and\maintenance,\pediatric\diseases\and\disorde
rs,\pharmacological\and\non-pharmacological\interventions,\family-
centered\care,\and\developmental\milestones.\An\"800\QS\Comprehensi
ve"\set\refers\to\a\robust\collection\of\800\rigorously\crafted\questions\enc
ompassing\all\major\pediatric\concepts\and\clinical\scenarios\that\a\candi
date\might\encounter\on\the\NCLEX.\These\questions\are\typically\formu
lated\in\various\formats,\including\but\not\limited\to,\multiple-
choice,\select-all-that-apply\(SATA),\prioritization,\and\clinical\case\studies.
,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,\osteop
orosis,\and\adrenal\suppression.\Steroid\use\in\children\and\adolescents\may\cause\delayed\gr
owth,\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\month
s\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\p
hysician,\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\t
hen\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\prednis
one\(Deltasone)\and\other\oral\medications.\Two\weeks\later,\when\the\child\comes\to\th
e\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\disco
ntinued.\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\gla
nd,\stopping\production\of\endogenous\hormones\by\the\adrenal\cortex.\Because\prolonged\a
drenal\suppression\may\cause\growth\retardation\in\a\child,\the\duration\and\dosage\of\steroid\t
herapy\must\be\kept\to\a\minimum.\Steroids\also\may\cause\central\nervous\system\effects,\su
ch\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\hypersensiti
vity\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\abs
, ent\and\the\pulse\is\50\beats/minute\and\thready.\The\nurse\attempts\rescue\breathing,\b
ut\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\shoul
d\deliver\five\back\blows,\followed\by\five\chest\thrusts,\to\try\to\expel\the\object\from\the\obstruc
ted\airway.\The\nurse\shouldn't\perform\chest\compressions\because\the\infant\has\a\pulse\an
d\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\abdo
minal\organs.
An\adolescent\is\admitted\for\treatment\of\bulimia\nervosa.\When\developing\the\care\pl
an,\the\nurse\anticipates\including\interventions\that\address\which\metabolic\disorder
?
1.\Hypoglycemia
2.\Metabolic\alkalosis
3.\Metabolic\acidosis
4.\Hyperkalemia
2.\Metabolic\alkalosis
RATIONALE:\In\a\client\with\bulimia\nervosa,\metabolic\alkalosis\may\occur\secondary\to\hydr
ogen\loss\caused\by\frequent,\self-
induced\vomiting.\Typically,\the\blood\glucose\level\is\within\normal\limits,\making\hypoglycemi
a\unlikely.\In\bulimia\nervosa,\hypokalemia\is\more\common\than\hyperkalemia\and\typically\re
sults\from\potassium\loss\related\to\frequent\vomiting.
An\infant\is\hospitalized\for\treatment\of\inorganic\failure\to\thrive.\Which\nursing\action
\is\most\appropriate\for\this\child?
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\adol
escents,\addressing\a\diverse\array\of\topics\such\as\growth\and\develop
ment,\health\promotion\and\maintenance,\pediatric\diseases\and\disorde
rs,\pharmacological\and\non-pharmacological\interventions,\family-
centered\care,\and\developmental\milestones.\An\"800\QS\Comprehensi
ve"\set\refers\to\a\robust\collection\of\800\rigorously\crafted\questions\enc
ompassing\all\major\pediatric\concepts\and\clinical\scenarios\that\a\candi
date\might\encounter\on\the\NCLEX.\These\questions\are\typically\formu
lated\in\various\formats,\including\but\not\limited\to,\multiple-
choice,\select-all-that-apply\(SATA),\prioritization,\and\clinical\case\studies.
,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,\osteop
orosis,\and\adrenal\suppression.\Steroid\use\in\children\and\adolescents\may\cause\delayed\gr
owth,\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\month
s\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\p
hysician,\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\t
hen\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\prednis
one\(Deltasone)\and\other\oral\medications.\Two\weeks\later,\when\the\child\comes\to\th
e\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\disco
ntinued.\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\gla
nd,\stopping\production\of\endogenous\hormones\by\the\adrenal\cortex.\Because\prolonged\a
drenal\suppression\may\cause\growth\retardation\in\a\child,\the\duration\and\dosage\of\steroid\t
herapy\must\be\kept\to\a\minimum.\Steroids\also\may\cause\central\nervous\system\effects,\su
ch\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\hypersensiti
vity\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\abs
, ent\and\the\pulse\is\50\beats/minute\and\thready.\The\nurse\attempts\rescue\breathing,\b
ut\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\shoul
d\deliver\five\back\blows,\followed\by\five\chest\thrusts,\to\try\to\expel\the\object\from\the\obstruc
ted\airway.\The\nurse\shouldn't\perform\chest\compressions\because\the\infant\has\a\pulse\an
d\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\abdo
minal\organs.
An\adolescent\is\admitted\for\treatment\of\bulimia\nervosa.\When\developing\the\care\pl
an,\the\nurse\anticipates\including\interventions\that\address\which\metabolic\disorder
?
1.\Hypoglycemia
2.\Metabolic\alkalosis
3.\Metabolic\acidosis
4.\Hyperkalemia
2.\Metabolic\alkalosis
RATIONALE:\In\a\client\with\bulimia\nervosa,\metabolic\alkalosis\may\occur\secondary\to\hydr
ogen\loss\caused\by\frequent,\self-
induced\vomiting.\Typically,\the\blood\glucose\level\is\within\normal\limits,\making\hypoglycemi
a\unlikely.\In\bulimia\nervosa,\hypokalemia\is\more\common\than\hyperkalemia\and\typically\re
sults\from\potassium\loss\related\to\frequent\vomiting.
An\infant\is\hospitalized\for\treatment\of\inorganic\failure\to\thrive.\Which\nursing\action
\is\most\appropriate\for\this\child?
