NCLEX-PN
NCLEX Pediatric Questions
Extract:
Question 1 of 5
A 24 years old G2P1A0 had last menstrual period 9 weeks ago. She presents with bleeding and passage of tissues pervaginum. Bleeding is associated with lower abdominal pain. The most likely diagnosis is:
Correct Answer: C
Rationale: Incomplete abortion occurs when products of conception are partially expelled leading to vaginal bleeding passage of tissue and lower abdominal pain as seen in this case. Threatened abortion involves bleeding without tissue passage or cervical dilation. Inevitable abortion implies an open cervix but not necessarily tissue passage. Ectopic pregnancy typically presents with unilateral pain and no tissue passage. Twin pregnancy is unrelated to these symptoms.
Question 2 of 5
Which instruction is essential to give the parents before the child's discharge?
Correct Answer: D
Rationale: Awakening the child every 4 hours during the first night allows monitoring for neurological deterioration, such as altered consciousness, critical after a head injury.
Question 3 of 5
The nurse is reviewing the following labor history of a postpartum mother: “Mother positive for group B streptococcal (GBS) infection at 37 weeks’ gestation. Membranes ruptured at home 14 hours before presentation to the hospital at 40 weeks’ gestation. Precipitous labor,no antibiotic given.” Considering this information the nurse should observe her 15-hour-old newborn closely for which finding?
Correct Answer: A
Rationale: GBS infection risk increases with prolonged membrane rupture and no antibiotics with temperature instability as an early symptom. Pink stains meconium and erythema toxicum are normal.
Question 4 of 5
Which of the following is the priority nursing action if the child shows symptoms of hypoglycemic reaction?
Correct Answer: A
Rationale: For hypoglycemia, the priority is to rapidly raise blood glucose. Giving orange juice or milk provides quick-acting carbohydrates, the first-line treatment for conscious patients with mild to moderate hypoglycemia.
Question 5 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.