NCLEX QUESTIONS AND REVIEWED
ANSWERS. 2024 REVISION MATERIAL
FOR PEDIATRIC NURSING.
1. The nurse is reviewing the immunization record of a 3-month-
old. Which immunization does the nurse expect the child to have
received by this age?
1. First Hepatitis B vaccination
2. Second diphtheria vaccination
3. Third Hib vaccination
4. Influenza vaccination: 1
In the US the first dose is recommended at birth. In Canada, the first
dose is recommended between birth and two months.
Diphtheria vacc is recommended at 2 months, and the second at 4
months
The first Hib is recommended at 2 months, then 4 months, and then at 6
months
2. A what age does the nurse expect to see a child build a
tower of blocks? Three
By the age of 3 years, the nurse would expect the child to build a
tower of 9-10 blocks.
3. A child diagnosed with gastroenteritis is being given fluids in
the ER for severe dehydration. Prior to discharge, the nurse
instruction the mother to prepare a BRATT diet. The nurse
knows the teaching was successful when the mother selects
what foods for the child? Bananas Toast
Rice
Tea
1/8
, NCLEX QUESTIONS AND REVIEWED
ANSWERS. 2024 REVISION MATERIAL
FOR PEDIATRIC NURSING.
The Bratt diet is useful for children following any type of gastroenteritis
which includes nausea, diarrhea, or severe vomiting. The bland diet is
used in the first 24 hours to allow the gut to rest and readjust slowly to
foods that are low protein, low fat and low fiber. The BRATT diet is short
term use only and consists of bananas, rice apple sauce, toast & tea.
4. The nurse is talking to the parents of a 4-year-old who is
suspected to have iron deficiency anemia. What statement by the
parents would suggest the cause of this anemia to the nurse? Our
child drinks 30 oz of mild a day. Drinking excess amounts of mild may
lead to iron deficiency because the calcium in the milk blocks iron
absorption.
5. A child weighing 75 lbs. (34.1 kg) is admitted to the unit with
a diagnosis of bacterial meningitis. The child has been started on
an IV of D5 NS at 100 mL per hour and IV antibiotic therapy has
been initiated. Which assessment finding would need to be
reported immediately to the healthcare provider? Urinary
output of 28 mL/hr. Change is LOC
Sodium level of 130 me/L
The urinary output should be at least 1 mL/kg/hr. for a child. This child,
who weighs 34.1 kg should have an output of at least 34 mL/hr. A change
in the level of consciousness in this client with meningitis could indicate
a worsening of the condition, resulting in neurologic changes, or could
indicate the development of FVE and worsening cerebral edema. Careful
management of fluid and electrolyte balance is always a very important
aspect in the care of clients with meningitis. The sodium level is too low
2/8
ANSWERS. 2024 REVISION MATERIAL
FOR PEDIATRIC NURSING.
1. The nurse is reviewing the immunization record of a 3-month-
old. Which immunization does the nurse expect the child to have
received by this age?
1. First Hepatitis B vaccination
2. Second diphtheria vaccination
3. Third Hib vaccination
4. Influenza vaccination: 1
In the US the first dose is recommended at birth. In Canada, the first
dose is recommended between birth and two months.
Diphtheria vacc is recommended at 2 months, and the second at 4
months
The first Hib is recommended at 2 months, then 4 months, and then at 6
months
2. A what age does the nurse expect to see a child build a
tower of blocks? Three
By the age of 3 years, the nurse would expect the child to build a
tower of 9-10 blocks.
3. A child diagnosed with gastroenteritis is being given fluids in
the ER for severe dehydration. Prior to discharge, the nurse
instruction the mother to prepare a BRATT diet. The nurse
knows the teaching was successful when the mother selects
what foods for the child? Bananas Toast
Rice
Tea
1/8
, NCLEX QUESTIONS AND REVIEWED
ANSWERS. 2024 REVISION MATERIAL
FOR PEDIATRIC NURSING.
The Bratt diet is useful for children following any type of gastroenteritis
which includes nausea, diarrhea, or severe vomiting. The bland diet is
used in the first 24 hours to allow the gut to rest and readjust slowly to
foods that are low protein, low fat and low fiber. The BRATT diet is short
term use only and consists of bananas, rice apple sauce, toast & tea.
4. The nurse is talking to the parents of a 4-year-old who is
suspected to have iron deficiency anemia. What statement by the
parents would suggest the cause of this anemia to the nurse? Our
child drinks 30 oz of mild a day. Drinking excess amounts of mild may
lead to iron deficiency because the calcium in the milk blocks iron
absorption.
5. A child weighing 75 lbs. (34.1 kg) is admitted to the unit with
a diagnosis of bacterial meningitis. The child has been started on
an IV of D5 NS at 100 mL per hour and IV antibiotic therapy has
been initiated. Which assessment finding would need to be
reported immediately to the healthcare provider? Urinary
output of 28 mL/hr. Change is LOC
Sodium level of 130 me/L
The urinary output should be at least 1 mL/kg/hr. for a child. This child,
who weighs 34.1 kg should have an output of at least 34 mL/hr. A change
in the level of consciousness in this client with meningitis could indicate
a worsening of the condition, resulting in neurologic changes, or could
indicate the development of FVE and worsening cerebral edema. Careful
management of fluid and electrolyte balance is always a very important
aspect in the care of clients with meningitis. The sodium level is too low
2/8
