NCLEX PEDIATRICS PROCTORED EXAM LATEST
VERSION 2023/A+ GRADE
1. The nurse is monitoring a child with burns during treatment for burn shock. The nurse
... [Show More] understands that
which assessment provides the most accurate guide to determine the adequacy of fluid resuscitation?
a. Skin turgor
b. Neurological assessment
c. Level of edema at burn site
d. Quality of peripheral pulses
2. The mother of a 3-year-old child arrives at a clinic and tells the nurse that the child has been scratching
the skin continuously and has developed a rash. The nurse assesses the child and suspects the presence
of scabies. The nurse bases this suspicion on which finding noted on assessment of the child’s skin?
a. Fine grayish red lines
b. Purple colored lesions
c. Thick honey-colored crusts
d. Clustered of fluid filled vesicles
3. Permethrin (Elimite) is prescribed for a child with a diagnosis of scabies. The nurse should give which
instruction to the parents regarding the use of this treatment?
a. Apply the lotion to areas of the rash only
b. Apply the lotion and leave it on for 6 hours
c. Avoid putting clothes on the child over the loton
d. Apply the lotion to cool, dry skin at least 30 minutes after bathing
4. The school nurse has provided an instructional session about impetigo to parents of the children
attending the school. Which statement, if made by a parent, indicates a need for further instruction?
a. “It’s extremely contagious”
b. “It is most common in humid weather”
c. “Lesions most often are located on the arms and chest”
d. “It might show up in an area of broken skin, such as an insect bite”
5. The clinic nurse is reviewing the health care providers prescription for a child who has been diagnosed
with scabies. Lindane has been prescribed for the child. The nurse questions the prescription if which is
noted in the child’s record?
a. The child is 18 months old
b. The child is being bottle fed
c. A sibling is using lindane for the treatment of scabies
d. The child has a history of frequent respiratory infections
6. A topical corticosteroid is prescribed by a health care provider for a child with atopic dermatitis
(eczema). Which instruction should the nurse give the parent about applying the cream?
a. Apply the cream over the entire body
b. Apply a thick layer of cream to the affected areas only
c. Avoid cleansing the area before application of the cream
d. Apply a thin layer of cream and rub it into the area thoroughly
7. The school nurse is conducting pediculosis capitis (head lice) assessments. Which finding indicates a
child has a positive head check?
a. Maculopapular lesions behind the ears
b. Lesions in the scalp that extend to the hairline or neck
c. White flaky particles throughout the entire scalp region
d. White sacs attached to the hair shafts in the occipital area
8. The nurse caring for a child who sustained a burn injury plans car based on which pediatric
considerations associated with this injury? (Select all)
a. Scarring is less severe in a child than in an adult
b. A delay in growth may occur after a burn injury
c. An immature immune system presents an increased risk of infection for infants and young
children
d. The lower proportion of body fluid to mass in a child increases the risk of cardiovascular
problems
e. Fluid resuscitation is unnecessary unless the burned area is more than 25% of the total body
surface area
f. Infants and young children are at increased risk for protein and calorie deficiency because they
have smaller muscle mass and less body fat than adults
Hematological Disorders
1. The nurse analyzes the lab results of a child with hemophilia. The nurse understands that which result
will most likely be abnormal in this child?
a. Platelet count
b. Hematocrit level
c. Hemoglobin level
d. Partial thromboplastin time (results will be prolonged PTT – the other 3 will be normal)
2. The nurse is providing home care instructions to the parents o [Show Less]