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NCLEX-RN Pediatric Nursing Flashcards

Master 64 pediatric nursing concepts for the NCLEX-RN.

Question

According to Erikson, what is the developmental crisis for an infant (birth to 1 year)?


Question

According to Erikson, what is the developmental crisis for a toddler (1 to 3 years)?


Question

Select the correct closure timeline for infant fontanels:


The posterior fontanel closes by . The anterior fontanel closes by .

Question

Select the correct milestones for infant birth weight progression:


Infant birth weightby 6 months and by 12 months.

Question

At what age is it recommended to introduce solid foods to an infant?


Question

Which finding indicates a toddler is physically ready for toilet training?


Question

During which age range does separation anxiety typically begin to emerge?


Question

Why does a child with Tetralogy of Fallot instinctively squat during a hypercyanotic spell ("Tet spell")?


Question

Complete the assessment findings for Coarctation of the Aorta:


Assessment shows blood pressure in upper extremities and blood pressure in lower extremities.

Question

What specific recent infection is the primary risk factor for developing Rheumatic Fever?


Question

Which medication is uniquely indicated for Kawasaki Disease despite the general contraindication in children due to Reye's Syndrome risk?


Question

Which positioning is the priority for an infant immediately following Cleft Lip repair?


Question

What are the two hallmark physical assessment findings of pyloric stenosis?


Question

How is the stool described in a child with intussusception?


Question

How is the stool described in a child with Hirschsprung's disease (congenital aganglionic megacolon)?


Question

According to Erikson, what is the developmental crisis for a preschooler (3 to 6 years)?


Question

According to Erikson, what is the developmental crisis for a school-age child (6 to 12 years)?


Question

According to Erikson, what is the developmental crisis for an adolescent (12 to 18 years)?


Question

Match the Piaget cognitive development stage to the age group:


0-2 years:. 2-7 years:. 7-11 years:.

Question

Select the correct timing for grasp reflex development/disappearance:


Palmar grasp disappears at. Pincer grasp develops at.

Question

Which of the following congenital heart defects is classified as Cyanotic (Right-to-Left Shunt)?


Question

Name one of the "3 C's" that indicate Tracheoesophageal Fistula (TEF) during feeding.


Think about respiratory distress during feeding.

Question

Which assessment finding in an infant under 4 weeks suggests Developmental Dysplasia of the Hip (DDH)?


Question

What is the primary initial treatment method for congenital clubfoot (Talipes Equinovarus)?


Question

A child presents with drooling, dysphagia, and stridor. Which nursing action is contraindicated?


Question

What is the hallmark sound associated with the cough in Laryngotracheobronchitis (Croup)?


Question

Which transmission-based precautions are required for a child hospitalized with Respiratory Syncytial Virus (RSV)?


Question

When should pancreatic enzymes be administered to a child with Cystic Fibrosis?


Question

What are the priority nursing interventions for a child in a vaso-occlusive Sickle Cell crisis?


Question

What is the immediate intervention for hemarthrosis (bleeding into the joint) in a child with Hemophilia?


Question

A child is diagnosed with Wilms Tumor. What specific warning sign should be placed at the bedside?


Question

Select the characteristics associated with Acute Glomerulonephritis (AGN):


History of infection; Urine appearance is.

Question

Select the hallmark findings of Nephrotic Syndrome:


Massivecauses urine to appear.

Question

Which instruction is critical for a family treating a child with scabies using permethrin cream?


Question

When can a child with Varicella (chickenpox) return to school?


Question

What are the small, blue-white spots found on the buccal mucosa characteristic of Rubeola (Measles)?


Question

Select the correct technique for administering ear drops based on age:


Under 3 years: pull pinna . Over 3 years: pull pinna .

Question

What is the most serious long-term systemic effect of lead poisoning in children?


Question

Which assessment finding in an infant is most suggestive of bacterial meningitis?


Question

Because Type 1 Diabetes involves the destruction of beta cells, what medication is mandatory for survival?


Question

What is the primary trigger for a simple febrile seizure in a child?


Question

What eye assessment finding is characteristic of severe hydrocephalus in infants?


Question

Which nursing intervention is appropriate for a newborn with a myelomeningocele (spina bifida) prior to surgery?


Question

Name one physical or medical characteristic commonly associated with Down Syndrome (Trisomy 21).


Think about hand creases, muscle tone, or heart conditions.

Question

A nurse observes bruises in various stages of healing on a toddler. The parent's explanation does not match the injuries. What is the nurse's legal responsibility?


Question

Select the correct emergency intervention for a choking victim based on age:


Infant (<1 year):. Child (>1 year):.

Question

What subtle behavioral sign in a child following a tonsillectomy indicates post-operative hemorrhage?


Question

Which assessment finding is the most reliable indicator of moderate to severe dehydration in an infant?


Question

Is Cerebral Palsy a progressive or nonprogressive disorder?


Question

A child with Acute Lymphocytic Leukemia (ALL) has severe thrombocytopenia. Which intervention is indicated?


Question

Identify the correct medication classification for asthma management:


Rescue medication:. Controller/Maintenance:.

Question

To prevent Reye Syndrome, which medication class must be avoided in children recovering from viral infections (flu/chickenpox)?


Question

When is the first dose of the Hepatitis B vaccine administered to a newborn?


Question

Select the correct vaccine formulation for the specific age group:


The vaccine is administered at 2, 4, and 6 months, while the booster is typically given at 11-12 years.

Question

The nurse is screening a 15-month-old for the MMR vaccine. Which finding is a contraindication?


Question

What type of vaccine is Varicella and when is the first dose typically administered?


Question

A 9-month-old infant presents to the clinic for catch-up vaccines. Why does the nurse withhold the Rotavirus vaccine?


Question

Name one vaccine that contains a live virus.


Think of vaccines contraindicated in pregnancy or immunocompromised patients.

Question

Which assessment finding warrants deferring a scheduled immunization?


Question

Select the appropriate medication management for post-vaccination side effects:


For post-vaccination fussiness or fever, parents may administer . They should strictly avoid due to the risk of Reye's syndrome.

Question

When can a child be switched from a rear-facing to a forward-facing car seat?


Question

A parent calls the nurse reporting their toddler just swallowed dish soap. What is the priority instruction?


Question

What are the two most effective strategies to prevent drowning in a home swimming pool?


Question

Is the Inactivated Polio Vaccine (IPV) a live vaccine, and how is it administered?