NCLEX-PN
NCLEX Pediatric Questions
Extract:
Question 1 of 5
19 years old primigravida comes in emergency at 32 weeks of gestation. She is complaining of blurring of vision,gross edema. On examination her B.P is 170/115 mm Hg. What is the most likely diagnosis:
Correct Answer: D
Rationale: Preeclampsia is characterized by hypertension (BP ≥140/90 mmHg) after 20 weeks gestation with symptoms like edema and visual disturbances. Eclampsia involves seizures which are not mentioned. Hypertension alone lacks other symptoms and renal or thyroid disease are less likely without specific indicators.
Question 2 of 5
Which of the following statements made by the adolescent best supports the nurse's suspicion of scoliosis?
Correct Answer: B
Rationale: Uneven sleeve length suggests shoulder asymmetry, a common sign of scoliosis due to lateral spinal curvature affecting posture.
Question 3 of 5
The nurse is caring for a preterm infant who must be fed via bolus gavage feeding. The infant has a 5 French feeding tube already secured in the left naris. The nurse has aspirated the infant’s stomach contents, noting color, amount, and consistency, and has reinserted the residual amount because it was less than one-fourth the previous feeding. Prioritize the remaining steps that the nurse should take to complete this feeding.
Order the Items
Source Container
Correct Answer: D, A, F, C, E, B, G
Rationale: Sequence: Position infant on right side (
D) to reduce aspiration risk connect syringe barrel (
A) crimp tube and pour formula (F) elevate syringe (
C) uncrimp for gravity flow (E) clear tubing with air (
B) cap tube (G).
Question 4 of 5
Which response by the nurse provides the best clarification about the disease process?
Correct Answer: B
Rationale: HIV can be asymptomatic for years, during which it is still transmissible, making this clarification critical for understanding the disease process and transmission risk.
Question 5 of 5
What information regarding the dangers of tattooing should the nurse provide for this client? Select all that apply.
Correct Answer: B,C,D
Rationale: Tattooing risks include allergic reactions to ink, skin infections from unsterile equipment, and bloodborne infections like hepatitis B and HIV from contaminated needles. Skin cancer, abortions, and heart/lung conditions are not directly linked.