NCLEX-PN
NCLEX Pediatric Questions
Question 1 of 5
Which statement by the client indicates a need for additional teaching about genital herpes?
Correct Answer: A
Rationale: Genital herpes is not associated with a need for yearly PSA tests in males, indicating a misconception. Regular Pap tests may be recommended for females due to increased cervical cancer risk with certain STIs, but the PSA statement is incorrect.
Question 2 of 5
The nurse assesses that the 8-hour-old infant’s axillary temperature is 97°F (36.1°C). Which intervention should the nurse implement first?
Correct Answer: B
Rationale: An axillary temperature of 97°F is below the normal range (97.7°F–98.9°F). The infant should be gradually rewarmed under a radiant warmer. Documentation follows intervention feeding warm formula is unnecessary and HCP notification is needed only if warming fails.
Question 3 of 5
The nurse advises the parents that, to detect possible complications of juvenile rheumatoid arthritis, the child will require which periodic evaluation?
Correct Answer: D
Rationale: JRA can cause uveitis, an eye inflammation that may lead to vision loss if untreated. Periodic eye examinations are essential to detect this complication early.
Question 4 of 5
Which intervention is most appropriate initially for an 8-year-old child who selects the fourth face on the Wong-Baker FACES Pain Rating Scale?
Correct Answer: D
Rationale: The fourth face on the Wong-Baker FACES Pain Rating Scale indicates moderate to severe pain, requiring administration of a prescribed analgesic for effective pain relief.
Question 5 of 5
The physician orders I.V. insulin, and the registered nurse (RN) prepares to give it. The licensed practical nurse (LPN) is assisting the RN with the unstable client. Which of the following types of insulin should the LPN anticipate that the physician will order?
Correct Answer: A
Rationale: Regular insulin (Humulin R) is used for I.V. administration in DKA because it has a rapid onset and can be titrated to manage hyperglycemia effectively. Other insulins, like NPH or aspart, are not suitable for I.V. use.