NCLEX Pediatric Thrush Assessment & Management
Test your knowledge of pediatric oral candidiasis (thrush) assessment, treatment, and safety considerations for nursing care.
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Quiz Questions & Answers
Review every prompt, the correct responses, and helpful context to prep for your own run-through.
Question 1: A nurse is assessing a 2-week-old infant for possible thrush. Which finding best differentiates thrush from milk residue?
White patches that easily wipe away
Cottage cheese-like appearance on tongue
White patches that bleed when scraped
Symmetrical patches on both cheeks
Question 2: When should oral nystatin suspension be administered to an infant with thrush?
Immediately before feeding
After each feeding
Every 6 hours regardless of feeding
Only at bedtime
Question 3: A breastfeeding mother and infant are both being treated for thrush. Which nursing intervention is most important to prevent reinfection?
Stop breastfeeding until infection clears
Treat only the infant with antifungal medication
Simultaneous treatment of mother and infant
Switch to formula feeding temporarily
Question 4: Which infant is at highest risk for developing oral thrush?
6-month-old exclusively formula-fed infant
Newborn delivered via planned C-section
2-week-old on antibiotics for ear infection
4-month-old starting solid foods
Question 5: How should the nurse instruct a mother to clean her infant's pacifiers to prevent thrush recurrence?
Rinse with tap water after each use
Boil for 5 minutes daily
Wipe with baby wipes
Clean with soap and water
Question 6: An infant using a steroid inhaler for asthma develops thrush. What should the nurse teach the parent?
Discontinue the inhaler immediately
Rinse mouth with water after inhaler use
Use the inhaler less frequently
Switch to oral steroids
Question 7: Which statement by a parent indicates correct understanding of nystatin administration?
I'll give the medicine before each feeding
I'll rinse it out after application
I'll continue for 2 days after symptoms resolve
I'll stop when the white patches fade
Question 8: A nurse observes thrush in a 3-month-old infant. Which additional assessment is most important?
Check diaper area for rash
Measure temperature
Count respiratory rate
Assess feeding volume
Question 9: A mother reports her infant's thrush isn't improving after 5 days of treatment. What is the most appropriate nursing action?
Suggest switching to formula
Assess medication administration technique
Immediately change antifungal medication
Recommend stopping treatment