NCLEX Practice Questions Maternal Newborn

Extract:

Question 1 of 5

A 2-year-old child has just been diagnosed with a Wilms' tumor. Surgery is recommended. The parents tell the nurse that they feel they are being pushed into surgery and wonder if they should wait and get more opinions. What information is essential for the nurse to include when responding to the parents?

Correct Answer: B

Rationale: Surgery is a critical and urgent component of Wilms' tumor treatment to remove the tumor and prevent metastasis.

Question 2 of 5

A 6-year-old with tetralogy of Fallot has open heart surgery. The septal defect was closed, and the pulmonic valve was replaced. When the child returns to the unit, he has oxygen, IVs, and closed chest drainage. How should the nurse position the chest drainage system?

A. Above the level of the bed B. At the level of the heart C. Below the level of the bed D. Alternating above and below the bed every two hours

Correct Answer: C

Rationale: The chest drainage system must be below the bed to facilitate gravity-dependent drainage of fluid and air.

Question 3 of 5

A 6-year-old child is in the terminal stage of leukemia. The child appears helpless and afraid. How can the nurse best help the child?

A. Allow the child to make the major decisions for her care B. Make all decisions for the child C. Discuss with the child the fears that dying children usually have D. Discuss with the child the reasons for her fears

Correct Answer: D

Rationale: Discussing the reasons for her fears allows the nurse to address specific concerns, providing comfort and reducing anxiety in a terminally ill child.

Question 4 of 5

The mother of a child who has pediculosis says that she plans to use kerosene to wash the child's hair just like her grandmother did for her. What is the best response for the nurse to make?

A. Your grandmother was a wise woman. Kerosene is the major ingredient in the special shampoo we recommend.' B. Kerosene will work, but the shampoo we recommend is less irritating.' C. Kerosene can cause serious injury to your child. Try using the shampoos that are not dangerous.' D. Your grandmother was not a physician. Please do what the doctor recommends.'

Correct Answer: C

Rationale: Kerosene is toxic and dangerous; safe, effective pediculicides should be used instead.

Question 5 of 5

The parents of an infant who has esophageal atresia ask the nurse how the baby will eat. Which response by the nurse is most accurate?

A. A tube will be passed from the nose to the stomach.' B. The doctor will place a tube through the abdomen into the baby's stomach.' C. Your baby will be given nutrients through a vein.' D. Your baby can tolerate small feedings given frequently.'

Correct Answer: B

Rationale: A gastrostomy tube is typically placed surgically to allow feeding in esophageal atresia until repair.

NCLEX Practice Questions Maternal Newborn | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN