NCLEX-PN
NCLEX Pediatric Questions Questions
Question 1 of 5
Which finding documented by the nurse is most indicative of a client with rheumatic fever?
Correct Answer: D
Rationale: Generalized migrating joint tenderness (polyarthritis) is a hallmark symptom of rheumatic fever, reflecting the inflammatory process affecting multiple joints. An elevated ASO titer (not decreased) would indicate a recent streptococcal infection, and the other options are less specific.
Question 2 of 5
Which statement by the parents best indicates that the nurse's teaching has been effective?
Correct Answer: D
Rationale: Effective teaching about rheumatic fever emphasizes preventing recurrent streptococcal infections, which can trigger relapse. Notifying the physician about a sore throat ensures prompt treatment of potential streptococcal infections, reducing recurrence risk.
Question 3 of 5
When is the correct time for the nurse to administer the child's morning dose of a combination regular and NPH insulin?
Correct Answer: A
Rationale: Regular insulin peaks in 2-4 hours, and NPH peaks in 4-12 hours. Administering the combination 30 minutes before breakfast aligns insulin onset with food intake, controlling postprandial glucose levels effectively.
Question 4 of 5
Which clinical manifestation of the client's full-thickness burns would the nurse detect during an assessment?
Correct Answer: D
Rationale: Full-thickness burns involve destruction of all skin layers, including the subcutaneous layer, resulting in a leathery or charred appearance. Pain is minimal due to nerve destruction, and blisters are characteristic of partial-thickness burns.
Question 5 of 5
Which of the following assessment findings would alert the nurse that the child may be exhibiting early signs of sepsis?
Correct Answer: B
Rationale: Disorientation can indicate early sepsis in burn patients, reflecting systemic infection affecting the central nervous system. Other signs like fever or tachycardia may also occur, but disorientation is a critical early warning.