Pediatric Nursing NCLEX Flashcards
7 cards from real Pediatric Nurse Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pediatric Nursing NCLEX flashcards as text
A 3-month-old is brought to the ER with a bulging fontanelle, high-pitched cry, and fever. The nurse prepares for which PRIORITY intervention?
Answer: Lumbar puncture preparation
Signs of bacterial meningitis require immediate lumbar puncture preparation for diagnosis and prompt antibiotic administration.
Which immunization is CONTRAINDICATED in an immunocompromised 18-month-old?
Answer: MMR vaccine
MMR is a live attenuated vaccine and is contraindicated in immunocompromised children due to risk of vaccine-strain infection.
A nurse is calculating maintenance IV fluids for a 25 kg child using the Holliday-Segar method. What is the correct daily fluid requirement?
Answer: 1,600 mL/day
Holliday-Segar: 100 mL/kg for first 10 kg + 50 mL/kg for next 10 kg + 20 mL/kg for remaining kg = 1,000 + 500 + 100 = 1,600 mL/day.
A 6-year-old with croup presents with a barking cough and stridor at rest. Which treatment is MOST appropriate?
Answer: Nebulized racemic epinephrine
Nebulized racemic epinephrine rapidly reduces subglottic edema and is indicated for moderate-to-severe croup with stridor at rest.
A nurse is assessing a 5-year-old for pain. Which scale is MOST appropriate?
Answer: Wong-Baker FACES scale
The Wong-Baker FACES scale is validated for children ages 3–7 who can self-report pain using facial expressions.
A 14-year-old newly diagnosed with type 1 diabetes asks why she needs to check ketones when her blood sugar is high. The nurse responds:
Answer: Ketones indicate fat breakdown and risk of diabetic ketoacidosis
In insulin deficiency, the body breaks down fat for energy, producing ketones that can accumulate and cause DKA.
Which developmental milestone is expected for a typical 12-month-old?
Answer: Uses a pincer grasp
By 12 months, infants develop a mature pincer grasp (thumb and index finger) to pick up small objects.
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