Peds NCLEX Questions and Correct Detailed Answers
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1. Apnea of infancy has been diagnosed in an infant who will soon be
discharged with home monitoring. Part of the discharge teaching by the
nurse for the parents includes:
A. administration of IV fluids.
B. cardiopulmonary resuscitation.
C. reassurance that the infant cannot be electrocuted during monitoring.
D. advisement that the infant not be left with other caretakers, such as
babysitters.
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Ans: B. cardiopulmonary resuscitation.
CPR is essential for parents and caregivers to know.
Approved By:
A. administration of IV fluids.
Most likely, the child will not have venous access, so home IV therapy is
not necessary.
C. reassurance that the infant cannot be electrocuted during monitoring.
The monitor is insulated and grounded.
D. advisement that the infant not be left with other caretakers, such as
babysitters.
The parents should arrange for other caregivers to help out. All need to be
taught how to use the monitoring equipment and how to perform CPR.
2. A humidified atmosphere is recommended for a young child with an
upper respiratory tract infection because this environment facilitates:
A. liquefying secretions.
B. improving oxygenation.
C. promoting ventilation.
D. soothing inflamed mucous membrane.
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Ans: D. soothing inflamed mucous membrane.
By humidifying the inspired air, the membranes inflamed by the infection
and dry air are soothed.
A. liquefying secretions.
The size of the droplets is too large to liquefy secretions.
B. improving oxygenation.
No additional oxygen is provided with humidified air.
C. promoting ventilation.
The humidity has no effect on ventilation.
3. A child with acute streptococcal pharyngitis should be treated with
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antibiotics to prevent:
Approved By:
A. otitis media.
B. diabetes insipidus.
C. nephrotic syndrome.
D. acute rheumatic fever.
Ans: D. acute rheumatic fever.
Children with group A beta-hemolytic streptococci (GABHS) infection are
at risk for acute rheumatic fever and acute glomerulonephritis.
A. otitis media.
Otitis media is not a sequela to GABHS.
B. diabetes insipidus.
Diabetes insipidus is not a sequela to GABHS.
C. nephrotic syndrome.
Children are at risk for glomerulonephritis, not nephrotic syndrome.
4. The mother of a 20-month-old child tells the nurse that the child has a
barking cough at night. The child's temperature is 37° C (98.6° F). Based on
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the nurse's knowledge of upper respiratory infections, this is a symptom of
croup. The nurse should recommend to:
A. control the fever with acetaminophen and call if the cough gets worse
tonight.
B. try a cool-mist vaporizer at night and watch for signs of difficulty
breathing.
C. try over-the-counter cough medicine and come to the clinic tomorrow if
there is no improvement.
D. admit to the hospital and observe for impending epiglottitis.
Ans: B. try a cool-mist vaporizer at night and watch for signs of difficulty
breathing.
Because the child is not having difficulty breathing, the nurse should teach
the parents the signs of respiratory distress and tell them to come to the
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emergency department if they develop. Cool mist is recommended to
provide relief.
Approved By:
A. control the fever with acetaminophen and call if the cough gets worse
tonight.
The child does not have a temperature to manage.
C. try over-the-counter cough medicine and come to the clinic tomorrow if
there is no improvement.
Cough suppressants are not indicated.
D. admit to the hospital and observe for impending epiglottitis.
A barking cough and temperature of 37° C are characteristic of
laryngotracheobronchitis, not epiglottitis.
5. An infant with a congenital heart defect is receiving palivizumab
(Synagis). The purpose of this is to:
A. prevent RSV infection.
B. prevent secondary bacterial infection.
C. decrease toxicity of antiviral agents.
D. make isolation of infant with RSV unnecessary.