Pediatric Nurse Exam Pediatric Nursing NCLEX 4

Question 1

A 4-week-old presents with projectile vomiting after every feeding and a palpable olive-shaped mass in the epigastric region. The nurse suspects:

Accepted Answer

Pyloric stenosis

Answer

Pyloric stenosis causes progressive projectile non-bilious vomiting and a palpable pyloric 'olive' in young infants around 2–6 weeks of age.

Question 2

A child with hemophilia A requires emergency dental surgery. Which factor replacement should the nurse anticipate administering?

Accepted Answer

Factor VIII concentrate

Answer

Hemophilia A is a deficiency of factor VIII, so factor VIII concentrate is required before and after surgical procedures.

Question 3

A 2-year-old ingests a button battery. Which action is the nurse's PRIORITY?

Accepted Answer

Prepare the child for emergent endoscopic removal

Answer

Button batteries in the esophagus generate an electrical current that causes rapid tissue necrosis; emergent endoscopic removal is required within 2 hours.

Question 4

When teaching a parent about acetaminophen dosing for a 3-year-old, the nurse emphasizes:

Accepted Answer

The maximum dose is 15 mg/kg every 4 hours not exceeding 5 doses in 24 hours

Answer

Pediatric acetaminophen dosing is weight-based at 10–15 mg/kg every 4–6 hours with a maximum of 5 doses per 24 hours.

Question 5

A nurse notes that a 9-month-old has not begun to babble and does not turn toward sounds. Which referral is MOST appropriate?

Accepted Answer

Audiology

Answer

Absence of babbling and response to sound by 9 months warrants immediate audiology evaluation to rule out hearing impairment.

Pediatric Nurse Exam Practice Test

Pediatric Nurse Exam Practice Test

Pediatric Nurse Exam Pediatric Nursing NCLEX 4