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RN Pediatrics NCLEX Priority Only)

Question 1 of 52

A nurse is caring for a child with suspected epiglottitis. What is the PRIORITY action?

Select one answer.

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RN Pediatrics NCLEX Priority Only) Practice Questions

Review these RN Pediatrics NCLEX Priority Only) nursing practice questions with answer choices and explanations.

Question 1

A nurse is caring for a child with suspected epiglottitis. What is the PRIORITY action?

  1. Inspect throat
  2. Prepare for intubation
  3. Give oral fluids
  4. Place supine
View answer and explanation

Correct answer:

  1. Prepare for intubation

Explanation: Airway is priority; avoid throat inspection.

Question 2

A child with DKA arrives with Kussmaul respirations. What is the PRIORITY intervention?

  1. Administer insulin
  2. Start IV fluids
  3. Give potassium
  4. Check glucose
View answer and explanation

Correct answer:

  1. Start IV fluids

Explanation: Fluids are first priority in DKA.

Question 3

A child post-tonsillectomy is restless and swallowing frequently. What is PRIORITY?

  1. Give fluids
  2. Assess for bleeding
  3. Administer pain meds
  4. Reassure
View answer and explanation

Correct answer:

  1. Assess for bleeding

Explanation: Frequent swallowing suggests hemorrhage.

Question 4

A nurse is assessing a child with asthma. Which finding is PRIORITY?

  1. Wheezing
  2. Accessory muscle use
  3. Cough
  4. RR 24
View answer and explanation

Correct answer:

  1. Accessory muscle use

Explanation: Accessory muscle use indicates severe distress.

Question 5

A child with increased ICP shows bradycardia. What is PRIORITY?

  1. Give fluids
  2. Notify provider
  3. Elevate HOB
  4. Administer oxygen
View answer and explanation

Correct answer:

  1. Notify provider

Explanation: Bradycardia is a late, critical sign.

Question 6

A child with sickle cell crisis reports pain 9/10. What is PRIORITY?

  1. Hydration
  2. Pain control
  3. Oxygen
  4. Rest
View answer and explanation

Correct answer:

  1. Pain control

Explanation: Pain management is priority.

Question 7

A child with dehydration has delayed cap refill. What is PRIORITY?

  1. Monitor weight
  2. Start IV fluids
  3. Encourage PO
  4. Educate
View answer and explanation

Correct answer:

  1. Start IV fluids

Explanation: Fluid resuscitation is priority.

Question 8

A newborn is grunting and retracting. What is PRIORITY?

  1. Warm infant
  2. Provide oxygen
  3. Feed infant
  4. Check glucose
View answer and explanation

Correct answer:

  1. Provide oxygen

Explanation: Respiratory distress requires oxygen.

Question 9

A child with meningitis becomes less responsive. What is PRIORITY?

  1. Check temp
  2. Assess LOC changes
  3. Give fluids
  4. Dim lights
View answer and explanation

Correct answer:

  1. Assess LOC changes

Explanation: Altered LOC signals deterioration.

Question 10

A child with burns has decreased urine output. What is PRIORITY?

  1. Pain control
  2. Increase fluids
  3. Dress wound
  4. Monitor temp
View answer and explanation

Correct answer:

  1. Increase fluids

Explanation: Low urine output indicates hypovolemia.

Question 11

A child with seizure is actively convulsing. What is PRIORITY?

  1. Restrain
  2. Protect airway
  3. Insert object
  4. Give oral meds
View answer and explanation

Correct answer:

  1. Protect airway

Explanation: Airway protection is priority.

Question 12

A child with heart failure has tachycardia and poor feeding. What is PRIORITY?

  1. Encourage activity
  2. Administer meds
  3. Monitor weight
  4. Educate
View answer and explanation

Correct answer:

  1. Administer meds

Explanation: Medication improves cardiac output.

Question 13

A child with hypoglycemia is unconscious. What is PRIORITY?

  1. Give insulin
  2. Administer glucose
  3. Give fluids
  4. Monitor
View answer and explanation

Correct answer:

  1. Administer glucose

Explanation: Immediate glucose needed.

Question 14

A child with hyperkalemia shows arrhythmia. What is PRIORITY?

  1. Monitor labs
  2. Administer calcium
  3. Give fluids
  4. Educate
View answer and explanation

Correct answer:

  1. Administer calcium

Explanation: Calcium stabilizes cardiac membrane.

Question 15

A child with appendicitis suddenly reports no pain. What is PRIORITY?

  1. Give analgesics
  2. Notify provider
  3. Encourage fluids
  4. Reassure
View answer and explanation

Correct answer:

  1. Notify provider

Explanation: Pain relief may indicate rupture.

Question 16

A child with pneumonia has SpO2 88%. What is PRIORITY?

  1. Give antibiotics
  2. Provide oxygen
  3. Encourage fluids
  4. Monitor
View answer and explanation

Correct answer:

  1. Provide oxygen

Explanation: Oxygenation is priority.

Question 17

A child with nephrotic syndrome develops fever. What is PRIORITY?

  1. Give diuretics
  2. Assess for infection
  3. Restrict fluids
  4. Monitor weight
View answer and explanation

Correct answer:

  1. Assess for infection

Explanation: Infection risk is high.

Question 18

A child with hemophilia has joint swelling. What is PRIORITY?

  1. Apply heat
  2. Administer factor
  3. Encourage movement
  4. Give aspirin
View answer and explanation

Correct answer:

  1. Administer factor

Explanation: Factor replacement prevents bleeding.

Question 19

A child with croup has stridor at rest. What is PRIORITY?

  1. Give fluids
  2. Administer epinephrine
  3. Encourage coughing
  4. Observe
View answer and explanation

Correct answer:

  1. Administer epinephrine

Explanation: Severe airway obstruction requires epinephrine.

Question 20

A child with UTI has fever and flank pain. What is PRIORITY?

  1. Encourage fluids
  2. Administer antibiotics
  3. Monitor output
  4. Educate
View answer and explanation

Correct answer:

  1. Administer antibiotics

Explanation: Infection treatment is priority.

Question 21

A nurse is caring for a child with suspected epiglottitis. What is the PRIORITY action?

  1. Inspect throat
  2. Prepare for intubation
  3. Give oral fluids
  4. Place supine
View answer and explanation

Correct answer:

  1. Prepare for intubation

Explanation: Airway is priority; avoid throat inspection.

Question 22

A child with DKA arrives with Kussmaul respirations. What is the PRIORITY intervention?

  1. Administer insulin
  2. Start IV fluids
  3. Give potassium
  4. Check glucose
View answer and explanation

Correct answer:

  1. Start IV fluids

Explanation: Fluids are first priority in DKA.

Question 23

A child post-tonsillectomy is restless and swallowing frequently. What is PRIORITY?

  1. Give fluids
  2. Assess for bleeding
  3. Administer pain meds
  4. Reassure
View answer and explanation

Correct answer:

  1. Assess for bleeding

Explanation: Frequent swallowing suggests hemorrhage.

Question 24

A nurse is assessing a child with asthma. Which finding is PRIORITY?

  1. Wheezing
  2. Accessory muscle use
  3. Cough
  4. RR 24
View answer and explanation

Correct answer:

  1. Accessory muscle use

Explanation: Accessory muscle use indicates severe distress.

Question 25

A child with increased ICP shows bradycardia. What is PRIORITY?

  1. Give fluids
  2. Notify provider
  3. Elevate HOB
  4. Administer oxygen
View answer and explanation

Correct answer:

  1. Notify provider

Explanation: Bradycardia is a late, critical sign.

Question 26

A child with sickle cell crisis reports pain 9/10. What is PRIORITY?

  1. Hydration
  2. Pain control
  3. Oxygen
  4. Rest
View answer and explanation

Correct answer:

  1. Pain control

Explanation: Pain management is priority.

Question 27

A child with dehydration has delayed cap refill. What is PRIORITY?

  1. Monitor weight
  2. Start IV fluids
  3. Encourage PO
  4. Educate
View answer and explanation

Correct answer:

  1. Start IV fluids

Explanation: Fluid resuscitation is priority.

Question 28

A newborn is grunting and retracting. What is PRIORITY?

  1. Warm infant
  2. Provide oxygen
  3. Feed infant
  4. Check glucose
View answer and explanation

Correct answer:

  1. Provide oxygen

Explanation: Respiratory distress requires oxygen.

Question 29

A child with meningitis becomes less responsive. What is PRIORITY?

  1. Check temp
  2. Assess LOC changes
  3. Give fluids
  4. Dim lights
View answer and explanation

Correct answer:

  1. Assess LOC changes

Explanation: Altered LOC signals deterioration.

Question 30

A child with burns has decreased urine output. What is PRIORITY?

  1. Pain control
  2. Increase fluids
  3. Dress wound
  4. Monitor temp
View answer and explanation

Correct answer:

  1. Increase fluids

Explanation: Low urine output indicates hypovolemia.

Question 31

A child with seizure is actively convulsing. What is PRIORITY?

  1. Restrain
  2. Protect airway
  3. Insert object
  4. Give oral meds
View answer and explanation

Correct answer:

  1. Protect airway

Explanation: Airway protection is priority.

Question 32

A child with heart failure has tachycardia and poor feeding. What is PRIORITY?

  1. Encourage activity
  2. Administer meds
  3. Monitor weight
  4. Educate
View answer and explanation

Correct answer:

  1. Administer meds

Explanation: Medication improves cardiac output.

Question 33

A child with hypoglycemia is unconscious. What is PRIORITY?

  1. Give insulin
  2. Administer glucose
  3. Give fluids
  4. Monitor
View answer and explanation

Correct answer:

  1. Administer glucose

Explanation: Immediate glucose needed.

Question 34

A child with hyperkalemia shows arrhythmia. What is PRIORITY?

  1. Monitor labs
  2. Administer calcium
  3. Give fluids
  4. Educate
View answer and explanation

Correct answer:

  1. Administer calcium

Explanation: Calcium stabilizes cardiac membrane.

Question 35

A child with appendicitis suddenly reports no pain. What is PRIORITY?

  1. Give analgesics
  2. Notify provider
  3. Encourage fluids
  4. Reassure
View answer and explanation

Correct answer:

  1. Notify provider

Explanation: Pain relief may indicate rupture.

Question 36

A child with pneumonia has SpO2 88%. What is PRIORITY?

  1. Give antibiotics
  2. Provide oxygen
  3. Encourage fluids
  4. Monitor
View answer and explanation

Correct answer:

  1. Provide oxygen

Explanation: Oxygenation is priority.

Question 37

A child with nephrotic syndrome develops fever. What is PRIORITY?

  1. Give diuretics
  2. Assess for infection
  3. Restrict fluids
  4. Monitor weight
View answer and explanation

Correct answer:

  1. Assess for infection

Explanation: Infection risk is high.

Question 38

A child with hemophilia has joint swelling. What is PRIORITY?

  1. Apply heat
  2. Administer factor
  3. Encourage movement
  4. Give aspirin
View answer and explanation

Correct answer:

  1. Administer factor

Explanation: Factor replacement prevents bleeding.

Question 39

A child with croup has stridor at rest. What is PRIORITY?

  1. Give fluids
  2. Administer epinephrine
  3. Encourage coughing
  4. Observe
View answer and explanation

Correct answer:

  1. Administer epinephrine

Explanation: Severe airway obstruction requires epinephrine.

Question 40

A child with UTI has fever and flank pain. What is PRIORITY?

  1. Encourage fluids
  2. Administer antibiotics
  3. Monitor output
  4. Educate
View answer and explanation

Correct answer:

  1. Administer antibiotics

Explanation: Infection treatment is priority.

Question 41

A nurse is caring for a child with suspected epiglottitis. What is the PRIORITY action?

  1. Inspect throat
  2. Prepare for intubation
  3. Give oral fluids
  4. Place supine
View answer and explanation

Correct answer:

  1. Prepare for intubation

Explanation: Airway is priority; avoid throat inspection.

Question 42

A child with DKA arrives with Kussmaul respirations. What is the PRIORITY intervention?

  1. Administer insulin
  2. Start IV fluids
  3. Give potassium
  4. Check glucose
View answer and explanation

Correct answer:

  1. Start IV fluids

Explanation: Fluids are first priority in DKA.

Question 43

A child post-tonsillectomy is restless and swallowing frequently. What is PRIORITY?

  1. Give fluids
  2. Assess for bleeding
  3. Administer pain meds
  4. Reassure
View answer and explanation

Correct answer:

  1. Assess for bleeding

Explanation: Frequent swallowing suggests hemorrhage.

Question 44

A nurse is assessing a child with asthma. Which finding is PRIORITY?

  1. Wheezing
  2. Accessory muscle use
  3. Cough
  4. RR 24
View answer and explanation

Correct answer:

  1. Accessory muscle use

Explanation: Accessory muscle use indicates severe distress.

Question 45

A child with increased ICP shows bradycardia. What is PRIORITY?

  1. Give fluids
  2. Notify provider
  3. Elevate HOB
  4. Administer oxygen
View answer and explanation

Correct answer:

  1. Notify provider

Explanation: Bradycardia is a late, critical sign.

Question 46

A child with sickle cell crisis reports pain 9/10. What is PRIORITY?

  1. Hydration
  2. Pain control
  3. Oxygen
  4. Rest
View answer and explanation

Correct answer:

  1. Pain control

Explanation: Pain management is priority.

Question 47

A child with dehydration has delayed cap refill. What is PRIORITY?

  1. Monitor weight
  2. Start IV fluids
  3. Encourage PO
  4. Educate
View answer and explanation

Correct answer:

  1. Start IV fluids

Explanation: Fluid resuscitation is priority.

Question 48

A newborn is grunting and retracting. What is PRIORITY?

  1. Warm infant
  2. Provide oxygen
  3. Feed infant
  4. Check glucose
View answer and explanation

Correct answer:

  1. Provide oxygen

Explanation: Respiratory distress requires oxygen.

Question 49

A child with meningitis becomes less responsive. What is PRIORITY?

  1. Check temp
  2. Assess LOC changes
  3. Give fluids
  4. Dim lights
View answer and explanation

Correct answer:

  1. Assess LOC changes

Explanation: Altered LOC signals deterioration.

Question 50

A child with burns has decreased urine output. What is PRIORITY?

  1. Pain control
  2. Increase fluids
  3. Dress wound
  4. Monitor temp
View answer and explanation

Correct answer:

  1. Increase fluids

Explanation: Low urine output indicates hypovolemia.

Question 51

A child with seizure is actively convulsing. What is PRIORITY?

  1. Restrain
  2. Protect airway
  3. Insert object
  4. Give oral meds
View answer and explanation

Correct answer:

  1. Protect airway

Explanation: Airway protection is priority.

Question 52

A child with heart failure has tachycardia and poor feeding. What is PRIORITY?

  1. Encourage activity
  2. Administer meds
  3. Monitor weight
  4. Educate
View answer and explanation

Correct answer:

  1. Administer meds

Explanation: Medication improves cardiac output.