Pediatric Nurse Exam Pediatric Nursing NCLEX 5

Question 1

A nurse is caring for a child post-tonsillectomy. Which finding requires IMMEDIATE intervention?

Accepted Answer

Frequent swallowing and restlessness

Answer

Frequent swallowing in a post-tonsillectomy patient is a sign of hemorrhage, as the child may be swallowing blood.

Question 2

Which positioning is CORRECT for a child with increased intracranial pressure (ICP)?

Accepted Answer

Head of bed elevated 30 degrees with head in midline

Answer

Elevating the head of bed 30 degrees and keeping the head midline promotes cerebral venous drainage and reduces ICP.

Question 3

A 5-year-old with leukemia develops a temperature of 38.5°C with an ANC of 400 cells/mm³. The nurse anticipates:

Accepted Answer

Broad-spectrum IV antibiotics after blood cultures are drawn

Answer

Febrile neutropenia (ANC <500) is an oncologic emergency requiring immediate blood cultures and broad-spectrum IV antibiotics.

Question 4

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:

Accepted Answer

Esophagus

Answer

Drooling and dysphagia indicate the coin is lodged in the esophagus; tracheal foreign bodies cause respiratory symptoms instead.

Question 5

When administering digoxin to a pediatric patient, the nurse should withhold the dose and notify the provider if the apical pulse is:

Accepted Answer

Less than 100 bpm in an infant

Answer

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.

Pediatric Nurse Exam Practice Test