NCLEX-PN
NCLEX Pediatric Questions Questions
Question 1 of 5
During an assessment of the full-term,1-hour-old newborn the nurse obtains an apical HR of 120 bpm and auscultates a soft murmur at the left sternal border third intercostal space. In response to these assessment findings which action should be taken by the nurse?
Correct Answer: B
Rationale: An apical HR of 120 bpm (normal: 100–160 bpm) and a murmur at the sternal border (likely due to delayed foramen ovale closure) are normal findings. Documentation is sufficient. Reporting repositioning or stimulating crying is unnecessary.
Question 2 of 5
The nurse would be correct to set the infusion pump for which hourly rate?
Correct Answer: D
Rationale: The order is 1,000 mL over 8 hours. Dividing 1,000 by 8 gives 125 mL/hour, the correct rate for the infusion pump.
Question 3 of 5
Thyrotoxicosis is pregnancy is treated with:
Correct Answer: C
Rationale: Neomercazole (carbimazole) is used to treat thyrotoxicosis in pregnancy as it controls thyroid hormone production safely. Radioiodine is contraindicated and surgery is avoided unless absolutely necessary.
Question 4 of 5
The nurse completes teaching in preparation to discharge a mother and her 48-hour-old,full-term newborn. The nurse determines there is a need for further instruction about infant car safety when the newborn’s father is overheard making which statement?
Correct Answer: B
Rationale: The rear seat is safest for infants; air bags should not be disarmed for front-seat placement. Rear-facing 45-degree angle and car seat use until 20 lb are correct.
Question 5 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.