Pediatric Nurse Exam Pediatric Nursing NCLEX 3

Question 1

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?

Accepted Answer

Lumbar puncture preparation

Answer

Signs of bacterial meningitis require immediate lumbar puncture preparation for diagnosis and prompt antibiotic administration.

Question 2

Which immunization is CONTRAINDICATED in an immunocompromised 18-month-old?

Accepted Answer

MMR vaccine

Answer

MMR is a live attenuated vaccine and is contraindicated in immunocompromised children due to risk of vaccine-strain infection.

Question 3

A nurse is calculating maintenance IV fluids for a 25 kg child using the Holliday-Segar method. What is the correct daily fluid requirement?

Accepted Answer

1,600 mL/day

Answer

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.

Question 4

A 6-year-old with croup presents with a barking cough and stridor at rest. Which treatment is MOST appropriate?

Accepted Answer

Nebulized racemic epinephrine

Answer

Nebulized racemic epinephrine rapidly reduces subglottic edema and is indicated for moderate-to-severe croup with stridor at rest.

Question 5

A nurse is assessing a 5-year-old for pain. Which scale is MOST appropriate?

Accepted Answer

Wong-Baker FACES scale

Answer

The Wong-Baker FACES scale is validated for children ages 3–7 who can self-report pain using facial expressions.

Pediatric Nurse Exam Practice Test