- Details
- Category: NCLEX CAT
 1. A nurse is reviewing the laboratory report of a child with tetralogy of Fallot that indicates an elevated RBC count. What does the nurse identify as the cause of the polycythemia?
- Low blood pressure
- Tissue oxygen needs
- Diminished iron level
- Hypertrophic cardiac muscle
2. A 1-month-old infant is admitted to the pediatric unit with a tentative diagnosis of Hirschsprung disease (congenital aganglionic megacolon). What procedure does the nurse expect to be used to confirm the diagnosis?
- Colonoscopy
- Rectal biopsy
- Multiple saline enemas
- Fiberoptic nasoenteric tube
3. What should nursing care for an infant after the surgical repair of a cleft lip include?
- Preventing crying
- Placing in a semi-Fowler position
- Keeping NPO for 1 day after surgery
- Feeding with a spoon for 2 days after surgery
4. What should a nurse use to feed an infant born with a unilateral cleft lip and palate?
- Plastic spoon
- Cross-cut nipple
- Parenteral infusion
- Rubber-tipped syringe
5. A nurse is caring for an infant with a tentative diagnosis of hypertrophic pyloric stenosis (HPS). What is most important for the nurse to assess?
- Quality of the cry
- Signs of dehydration
- Coughing up of feedings
- Characteristics of the stool
- Details
- Category: NCLEX CAT
 1. A parent and 4-year-old child who recently emigrated from Colombia arrive at the pediatric clinic. The child has a temperature of 102° F, is irritable, and has a runny nose. Inspection reveals a rash and several small, red, irregularly shaped spots with blue-white centers in the mouth. What illness does the nurse suspect the child has?
- Measles
- Chickenpox
- Fifth disease
- Scarlet fever
2. A school nurse is teaching parents of school-age children about the importance of immunizations for the childhood communicable diseases. What preventable disease may cause the complication of encephalitis?
- Varicella
- Scarlet fever
- Poliomyelitis
- Whooping cough
3. A parent calls the outpatient clinic requesting information about the appropriate dose of acetaminophen for a 16-month-old child who has signs of an upper respiratory tract infection and fever. The directions on the bottle of acetaminophen elixir are 120 mg every 4 hours when needed. At the toddlerâs 15-month visit, the health care provider prescribed 150 mg. What is the nurseâs best response to the parent?
- âThe dose is close enough, and it doesnât really matter which one is given.â
- âFrom your description, the medications are not necessary. They should be avoided at this age.â
- âIt is appropriate to use dosages based on age. Children typically have weights consistent for their age groups.â
- âThe prescribed dose of the drug was based on weight, and this is a more accurate way of determining a therapeutic dose.â
4. A 13-year-old girl tells the nurse at the pediatric clinic that she took a pregnancy test and it was positive. She adds that her grandfather, with whom she, her younger sisters, and her mother live, has repeatedly molested her for the past 3 years. When the nurse asks the girl if she has told this to anyone, she replies, âYes, but my mother doesnât believe me.â Legally, who should the nurse notify?
- Police concerning a possible sex crime
- Health care provider to confirm the pregnancy
- Child Protective Services for immediate intervention
- Girlâs mother about the pregnancy testâs positive result
5. During a nap, a 3-year-old hospitalized child wets the bed. How should the nurse respond?
- Ask the child to help with remaking the bed.
- Put clean sheets on the bed over a rubber sheet.
- Change the childâs clothes without discussing the incident.
- Explain that children should call the nurse when they need to go to the bathroom.
- Details
- Category: NCLEX CAT
 1. An infant has a plaster cast applied for clubfoot correction. What nursing intervention will hasten drying of the cast?
- Using a blow dryer
- Opening the window
- Exposing the casted extremity
- Covering the cast with a light sheet
2. What should a nurse teach the parents of a toddler newly diagnosed with cystic fibrosis about the administration of vitamins A, D, E, and K?
- Offer them in a water-miscible form.
- Give them during meals and snack time.
- Calibrate them based on height and weight.
- Present them with fruit juice rather than milk.
3. The parents of a 4-year-old child are concerned about the effects of hospitalization on their child. Which behavior should the nurse expect the child to exhibit?
- Refuse to cooperate with the nurses when the parents are absent
- Demonstrate despair if the parents do not visit at least once a day
- Cry when the parents leave and return but not during their absence
- Be unable to relate to children in the playroom if other parents are present
4. When is the most appropriate time for the nurse to plan for chest percussion and postural drainage for a toddler with cystic fibrosis?
- After suctioning
- Before aerosol therapy
- One hour before meals
- Fifteen minutes after meals
5. A nurse is obtaining a health history from the parents of a child with celiac disease. What characteristic does the nurse expect when the parents describe their childâs stools?
- Small, pale, mucoid
- Large, frothy, green
- Large, pale, foul-smelling
- Moderate, green, foul-smelling
Read more: NCLEX CAT simulator - Examination for the licensing of nurses 2026
- Details
- Category: NCLEX CAT
 1. A 3-year-old child who has acute lymphoblastic leukemia (ALL) is scheduled to receive cranial radiation. The nurse should explain to the parents that radiation will:
- avoid the need for chemotherapy.
- reduce the risk for systemic infection.
- limit metastasis to the lymphatic system.
- prevent central nervous system involvement.
2. When planning discharge teaching for the parents of a child with asthma, what information should the nurse include?
- Avoid foods high in fat.
- Stay at home for two weeks.
- Increase the protein and calorie intake.
- Minimize exertion and exposure to cold.
3. A 10-year-old child is diagnosed with lymphocytic thyroid itis (Hashimoto disease). What should the nurse explain to the parents and child about this condition?
- It is chronic.
- Treatment is difficult.
- It is an inherited disorder.
- Regression occurs spontaneously.
4. The nurse observes that a 4-year-old child is having difficulty relating with some of the children in the playroom. What does the nurse identify is the reason that this problem is not unexpected with preschoolers?
- At this age they engage only in parallel play.
- At this age they are extremely dependent on their parents.
- Fierce temper tantrums and negativism are typical behaviors.
- Exaggerating and boasting to impress others are typical behaviors.
5. An 8-year-old child who has been receiving chemotherapy will soon return to school after a prolonged absence. Classmates are aware that the child is being treated for cancer. How should the school nurse prepare the class for the childâs return to school?
- Encourage the students to think about how they feel toward their classmate.
- Explain to the students why it is important to tolerate those who are different.
- Ask the students not to make fun of their classmate because of lost weight and having no hair.
- Initiate a discussion with the students about cancer treatments and the side effects of chemotherapy.
