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 4-week-old presents with projectile vomiting after every feeding and a palpable olive-shaped mass in the epigastric region. The nurse suspects:
Answer: Pyloric stenosis
Pyloric stenosis causes progressive projectile non-bilious vomiting and a palpable pyloric 'olive' in young infants around 2–6 weeks of age.
A child with hemophilia A requires emergency dental surgery. Which factor replacement should the nurse anticipate administering?
Answer: Factor VIII concentrate
Hemophilia A is a deficiency of factor VIII, so factor VIII concentrate is required before and after surgical procedures.
A 2-year-old ingests a button battery. Which action is the nurse's PRIORITY?
Answer: Prepare the child for emergent endoscopic removal
Button batteries in the esophagus generate an electrical current that causes rapid tissue necrosis; emergent endoscopic removal is required within 2 hours.
When teaching a parent about acetaminophen dosing for a 3-year-old, the nurse emphasizes:
Answer: The maximum dose is 15 mg/kg every 4 hours not exceeding 5 doses in 24 hours
Pediatric acetaminophen dosing is weight-based at 10–15 mg/kg every 4–6 hours with a maximum of 5 doses per 24 hours.
A nurse notes that a 9-month-old has not begun to babble and does not turn toward sounds. Which referral is MOST appropriate?
Answer: Audiology
Absence of babbling and response to sound by 9 months warrants immediate audiology evaluation to rule out hearing impairment.
A 16-year-old athlete collapses during practice with a suspected heat stroke (core temp 41°C). The nurse's FIRST action is:
Answer: Begin rapid external cooling with ice packs to groin and axilla
Heat stroke is a life-threatening emergency; immediate external cooling to reduce core temperature is the first priority intervention.
A premature infant at 32 weeks gestation is at highest risk for which respiratory complication?
Answer: Respiratory distress syndrome due to surfactant deficiency
Premature infants lack sufficient surfactant, which reduces alveolar surface tension, leading to respiratory distress syndrome (RDS).
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