Pediatric Nurse Exam Pediatric Nursing NCLEX 2

Question 1

A 4-year-old is admitted with epiglottitis. Which intervention is the PRIORITY?

Accepted Answer

Keep the child calm and upright

Answer

Keeping the child calm and upright minimizes airway obstruction; any agitation or throat examination can cause complete obstruction.

Question 2

A nurse is caring for a 2-year-old with Kawasaki disease. Which finding is MOST concerning?

Accepted Answer

Coronary artery aneurysm

Answer

Coronary artery aneurysm is the most serious complication of Kawasaki disease and can lead to myocardial infarction.

Question 3

Which urine output is considered adequate for an infant weighing 8 kg?

Accepted Answer

4 mL/hr

Answer

Adequate urine output for infants is 1–2 mL/kg/hr, so 8 kg × 0.5 mL/kg/hr minimum = 4 mL/hr minimum.

Question 4

A 10-year-old with sickle cell disease presents with sudden severe headache and left-sided weakness. The nurse suspects:

Accepted Answer

Stroke

Answer

Sudden neurological deficits such as severe headache and focal weakness indicate stroke, a known complication of sickle cell disease.

Question 5

When teaching a parent about administering oral iron supplements to a toddler, the nurse should include:

Accepted Answer

Administer through a straw to protect tooth enamel

Answer

Iron can stain teeth, so using a straw or dropper placed toward the back of the mouth protects enamel.

Pediatric Nurse Exam Practice Test