Want to test your pediatrics knowledge before the NCLEX-RN exam? Below are free sample flashcards from the 70-card pediatrics section of our 1030-card NCLEX-RN (National Council Licensure Examination for Registered Nurses) deck, which covers TGA, Great Arteries, HUS, Hemolytic Uremic Syndrome and more.
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A newborn at 1 minute of life has a HR of 110, slow/irregular respirations, some flexion of extremities, a grimace when suctioned, and a pink body with blue hands/feet. What is the APGAR score?
Show answer →Score: 6 (HR >100 = 2; Resp slow/irreg = 1; Flexion = 1; Grimace = 1; Acrocyanosis = 1). Rationale: APGAR is assessed at 1 and 5 minutes. 0-3 indicates severe distress, 4-6 moderate difficulty, 7-10 stable. NCLEX Tip: Distinguish between grimace (1 pt) and cough/sneeze/cry (2 pts) for Reflex Irritability (Grimace).
A newborn with hyperbilirubinemia is receiving phototherapy. Which nursing action is essential to maintain safety and treatment efficacy?
Show answer →1. Cover eyes with opaque shields to protect the retina. 2. Remove all clothing except a diaper to maximize skin exposure. 3. Monitor temperature every 2-4 hours to prevent hyperthermia. 4. Encourage frequent feedings to promote bilirubin excretion via stool/urine. NCLEX Distractor: Do NOT apply lotions or oils to the skin, as these can cause burns under the lights. Monitor for Bronze Baby syndrome.
A nurse is assessing a 22-month-old for toilet training readiness. Which set of findings indicates the child is developmentally ready to begin?
Show answer →Readiness is multifaceted and usually occurs between 18-24 months. Signs of Readiness: 1. Physical: Stays dry for at least 2 hours; has regular bowel movements; can sit, walk, and remove clothing. 2. Mental: Can follow two-step directions; communicates the urge to go. 3. Psychological: Expresses a desire to please parents; dislikes the feeling of a wet diaper; shows interest in the toilet. NCLEX Strategy: If the child screams or resists, they are NOT ready. Forcing the issue leads to power struggles. Ritualism (toddler trait) can be used positively by establishing a bathroom routine.
A neonate with Transposition of the Great Arteries (TGA) is receiving a Prostaglandin E1 (alprostadil) infusion. What is the primary therapeutic goal of this medication?
Show answer →To maintain patency of the ductus arteriosus (PDA). In ductal-dependent cyanotic defects like TGA, the PDA allows for essential mixing of oxygenated and deoxygenated blood to maintain systemic oxygenation until surgical repair (Arterial Switch). Nursing Alert: Closely monitor for apnea and hypotension, which are common side effects of Prostaglandin E1 infusions.
A child with a recent E. coli O157:H7 infection presents with pallor, bruising, and oliguria. Which laboratory findings are most consistent with Hemolytic Uremic Syndrome (HUS)?
Show answer →The HUS triad: 1. Hemolytic Anemia (low Hgb/Hct), 2. Thrombocytopenia (low platelets), 3. Acute Kidney Injury (elevated BUN/Creatinine). Strategy: HUS is the leading cause of acquired AKI in children. Monitoring for neurological changes (seizures) is also vital as toxins can affect the CNS. Avoid anti-motility agents in E. coli diarrhea.
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Try 30 free NCLEX-RN cards firstThe full NCLEX-RN deck contains 1030 flashcards, and 70 of them focus on pediatrics. This page shows 5 free samples.
Our NCLEX-RN deck dedicates 70 of 1030 cards (7%) to pediatrics — always cross-check the official NCSBN exam outline for the current blueprint weighting.
Yes — the samples on this page are free, and the NCLEX-RN preview page has 30 more free cards. Full access to all 1030 cards is a one-time $7.
Management
90 cards
Obstetrics
70 cards
Pathology
210 cards
Pharmacology
120 cards
Procedures
120 cards
Psychology
90 cards
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