NCLEX-RN & NCLEX-PN Licensing Exams – Pediatric Nursing Questions (New)

This document is a comprehensive NCLEX-style pediatric nursing practice exam featuring 74 multiple-choice questions with correct answers and rationales. Topics include: varicella (chickenpox) care – apply calamine lotion (aspirin contraindicated due to Reye's syndrome), infant heart failure sign – diaphoresis during feeding, infection prevention in chemotherapy – strict hand hygiene, meningitis assessment – positive Kernig sign, type 1 diabetes insulin teaching – do not reuse syringes (risk of infection/inaccurate dosing), 4-year-old milestone – riding a tricycle, MMR vaccine first dose at 12 months, oral medication administration for 2-year-old – syringe to side of mouth, asthma acute symptoms – albuterol, most reliable indicator of infant dehydration – weight loss, pain assessment for 5-year-old post-tonsillectomy – Wong-Baker FACES scale, choking hazard for 2-year-old – hot dogs, ventricular septal defect (VSD) finding – harsh murmur at lower left sternal border, heart defect with increased pulmonary blood flow – atrial septal defect (ASD), Kawasaki disease complication – coronary artery aneurysms, 8-month-old physical development – sits alone and pulls to standing, aspirin ingestion priority – time of ingestion, mild intellectual disability (ID) – academic skills up to 6th grade level, cystitis finding – dysuria (painful urination), peritonitis manifestation – abdominal rigidity, sickle cell disease education – avoiding cold temperatures and dehydration, Hirschsprung's disease with fever and watery explosive diarrhea – notify provider immediately (possible enterocolitis), acute poststreptococcal glomerulonephritis earliest sign of improvement – increased urine output, preoperative priority for newborn with meningomyelocele – minimize risk for infection, child denies pain to nurse but admits to parent – child may fear injection, croup home management – sit with child in bathroom with hot shower running (steam), intussusception finding – red currant jelly stools, 2-year-old cognitive development – uses short sentences to express self, age group most prone to otitis media – toddler, normal infant growth and development – birth weight doubles by 5 months and triples by 1 year, dehydration therapy monitoring – weigh infant daily at same time, appendicitis finding requiring immediate report – sudden relief of abdominal pain (possible rupture), post-tonsillectomy discharge teaching – avoid red-colored fluids or foods (can be mistaken for blood), post-tonsillectomy pain assessment for 3-year-old – FACES pain rating scale, anaphylaxis from cefazolin – epinephrine first, 6-month-old finding requiring further assessment – legs remain crossed and extended when supine (scissoring – possible cerebral palsy), Bryant's traction proper setup – weights hanging freely, child abuse indicator – parent offers conflicting stories about how injury occurred, parallel play age group – toddlers, 12-month-old physical development – birth weight doubles by 5 months and triples by 1 year, infant recognizes familiar faces at 3 months, anterior fontanel closure at 14 months – normal finding, sodium polystyrene sulfonate effectiveness – serum potassium level 4.1 mEq/L (normal), change-of-shift priority – toddler with concussion and forceful vomiting (possible increased ICP), cystic fibrosis nutrition – high-protein meals and snacks, CHF with wide QRS and peaked T waves – clarify potassium chloride prescription (hyperkalemia signs), ibuprofen dose calculation (17.6 lb infant = 8 kg → 40 mg → 2 mL of 100 mg/5 mL), 6-month-old finding to report – presence of strabismus (crossed eyes beyond 4–6 months), bicycle safety – child should be able to stand on balls of feet when sitting on bike, epiglottitis priority – monitor oxygen saturation (avoid throat manipulation),