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 nurse is caring for a child post-tonsillectomy. Which finding requires IMMEDIATE intervention?
Answer: Frequent swallowing and restlessness
Frequent swallowing in a post-tonsillectomy patient is a sign of hemorrhage, as the child may be swallowing blood.
Which positioning is CORRECT for a child with increased intracranial pressure (ICP)?
Answer: Head of bed elevated 30 degrees with head in midline
Elevating the head of bed 30 degrees and keeping the head midline promotes cerebral venous drainage and reduces ICP.
A 5-year-old with leukemia develops a temperature of 38.5°C with an ANC of 400 cells/mm³. The nurse anticipates:
Answer: Broad-spectrum IV antibiotics after blood cultures are drawn
Febrile neutropenia (ANC <500) is an oncologic emergency requiring immediate blood cultures and broad-spectrum IV antibiotics.
A 3-year-old swallowed a coin 20 minutes ago and is drooling and refusing to swallow. The coin is most likely located in the:
Answer: Esophagus
Drooling and dysphagia indicate the coin is lodged in the esophagus; tracheal foreign bodies cause respiratory symptoms instead.
When administering digoxin to a pediatric patient, the nurse should withhold the dose and notify the provider if the apical pulse is:
Answer: Less than 100 bpm in an infant
In infants, digoxin should be held if the apical pulse is below 100 bpm due to the higher baseline heart rate and risk of bradycardia.
A nurse is assessing a 6-month-old for developmental red flags. Which finding warrants further evaluation?
Answer: Does not respond to own name
By 6 months, infants should respond to their own name; failure to do so is a red flag for hearing loss or autism spectrum disorder.
Which action by a nursing student caring for a child in Bryant's traction indicates a need for further education?
Answer: Placing the child in a prone position for comfort
Bryant's traction requires the child to remain supine; prone positioning disrupts traction alignment and is incorrect.
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