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Pediatric Nursing NCLEX 2023/2024 Practice Tests (100 Questions and Answers)

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The questions in these practice sets comprise of nursing care management of pediatric clients and common disorders affecting them. The pediatric disorders covered are cardiovascular, gastrointestinal, respiratory, genitourinary, neurologic, cognitive, musculoskeletal, hematologic, endocrine, and psychiatric. Also included are nursing pharmacology questions (medical administration) for pediatric clients.

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2023 Pediatric Nursing NCLEX Practice Exams.

INTRODUCTION
The questions in these practice sets comprise of nursing care management of
pediatric clients and common disorders affecting them. The pediatric disorders
covered are cardiovascular, gastrointestinal, respiratory, genitourinary,
neurologic, cognitive, musculoskeletal, hematologic, endocrine, and psychiatric.

Also included are nursing pharmacology questions (medical administration) for
pediatric clients.

You can use this document as you would like but we advise to take the exam as
you would in exam situation conditions in order to well test your mastery and
readiness.

The time to be taken for each Quiz is 1hr 40min (an average is 2min per question)

Pediatric Nursing NCLEX Practice Quiz
1. Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When
obtaining the child’s history, the nurse considers which information to
be most important?
A. A fever that started 3 days ago
B. Lack of interest in food
C. A recent episode of pharyngitis
D. Vomiting for 2 days
2. The nurse is aware that the most common assessment finding in a child with
ulcerative colitis is:
A. Intense abdominal cramps
B. Profuse diarrhea
C. Anal fissures
D. Abdominal distention

, 2023 Pediatric Nursing NCLEX Practice Exams.
3. When developing a plan of care for a hospitalized child, nurse Mary knows that
children in which age group is most likely to view illness as a punishment for
misdeeds?
A. Infancy
B. Preschool age
C. School age
D. Adolescence
4. A female child, age 6, is brought to the health clinic for a routine checkup. To
assess the child’s vision, the nurse should ask:
A. “Do you have any problems seeing different colors?”
B. “Do you have trouble seeing at night?”
C. “Do you have problems with glare?”
D. “How are you doing in school?”
5. Hannah, age 12, is 7 months pregnant. When teaching parenting skills to an
adolescent, the nurse knows that which teaching strategy is least effective?
A. Providing a one-on-one demonstration and requesting a return demonstration,
using a live infant model
B. Initiating a teenage parent support group with first and second-time mothers
C. Using audiovisual aids that show discussions of feelings and skills
D. Providing age-appropriate reading materials
6. A 5-year-old girl Hannah is recently diagnosed with Kawasaki disease. Apart from
the identified symptoms of the disease, she may also likely develop which of the
following?
A. Sepsis
B. Meningitis
C. Mitral valve disease

, 2023 Pediatric Nursing NCLEX Practice Exams.
D. Aneurysm formation
7. When creating a teaching program for the parents of Jessica who is diagnosed
with pulmonic stenosis (PS), Nurse Alex would keep in mind that this disorder
involves which of the following?
A. A single vessel arising from both ventricles
B. Obstruction of blood flow from the left ventricle
C. Obstruction of blood flow from the right ventricle
D. Return of blood to the heart without entry to the left atrium
8. Which of the following would Nurse Tony suppose to regard as a cardinal
manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with
heart failure?
A. Headache
B. Respiratory distress
C. Extreme bradycardia
D. Constipation
9. It is considered as the bluntly rounded portion of the heart.
A. Base
B. Pericardium
C. Aorta
D. Apex
10. Which of the following disorders leads to cyanosis from deoxygenated blood
entering the systemic arterial circulation?
A. Aortic stenosis (AS)
B. Coarctation of aorta
C. Patent ductus arteriosus (PDA)
D. Tetralogy of Fallot

, 2023 Pediatric Nursing NCLEX Practice Exams.
11. Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following
must Nurse Archie keep in mind when developing a care plan for the child?
A. Pulmonary secretions are abnormally thick.
B. Elevated levels of potassium are found in sweat.
C. CF is an autosomal dominant hereditary disorder.
D. Obstruction of the endocrine glands occurs.
12. Alice is rushed to the emergency department during an acute, severe
prolonged asthma attack and is unresponsive to usual treatment. The condition is
referred to as which of the following?
A. Status asthmaticus
B. Reactive airway disease
C. Intrinsic asthma
D. Extrinsic asthma
13. Baby Melody is a neonate who has a very-low-birth-weight. Nurse Josie
carefully monitors inspiratory pressure and oxygen (O2) concentration to prevent
which of the following?
A. Meconium aspiration syndrome
B. Bronchopulmonary dysplasia (BPD)
C. Respiratory syncytial virus (RSV)
D. Respiratory distress syndrome (RDS)
14. Which of the following instructions should Nurse Cheryl include in her teaching
plan for the parents of Reggie with otitis media?
A. Placing the child in the supine position to bottle-feed
B. Giving prescribed amoxicillin (Amoxil) on an empty stomach
C. Cleaning the inside of the ear canals with cotton swabs
D. Avoiding contact with people who have upper respiratory tract infections

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