Pediatric NCLEX Questions

Extract:

Question 1 of 5

A 30 years old G3P2 at 28 weeks of gestation presents with severe pain in the right flank radiating to her groin. She also complaints of rigors and chills. Urine analysis reveals numerous pus cells. The most likely diagnosis is:

Correct Answer: B

Rationale: Pyelonephritis a urinary tract infection affecting the kidneys presents with flank pain fever,chills,and pus cells in urine,as described. Appendicitis typically involves right lower quadrant pain and other options lack urinary findings or are less likely in pregnancy.

Question 2 of 5

While supervising the LPN,the RN determines that the LPN needs additional instruction in newborn care. Which action by the LPN prompted the nurse’s conclusion?

A. Assessed the newborn’s heart rate apically B. Covered the newborn’s head with a stocking cap C. Checked the newborn’s temperature rectally D. Positioned the newborn supine while sleeping

Correct Answer: C

Rationale: Rectal temperature checks risk mucosal irritation or perforation. Apical HR assessment stocking caps and supine positioning (to reduce SIDS risk) are correct practices.

Question 3 of 5

The nurse is caring for the client who has just given birth to a baby boy. The mother is O negative. The nurse should assess for ABO incompatibility and hyperbilirubinemia if the infant’s blood type is which type?

A. O positive B. O negative C. A negative D. Any type

Correct Answer: C

Rationale: ABO incompatibility occurs when a mother with type O blood (no antigens A/B antibodies) has an infant with A or B blood (e.g. A negative) leading to hemolysis and hyperbilirubinemia. O blood types are compatible.

Question 4 of 5

While preparing parents of a 2-day-old,bottle-feeding newborn for discharge the nurse recognizes the parents’ need for additional teaching about formula feeding. Which statement prompted the nurse’s conclusion?

A. “We plan to clean our baby’s bottles in the dishwasher.” B. “Placing the formula in a bowl of warm water will warm it.” C. “We will put the bottle of unfinished formula in the refrigerator.” D. “Using our city tap water to mix the powdered formula is safe.”

Correct Answer: C

Rationale: Unfinished formula mixed with saliva should be discarded due to bacterial growth risk. Dishwasher cleaning warming in water and municipal tap water use are safe.

Question 5 of 5

Which medication instruction provided by the nurse is most accurate?

A. Taking your acyclovir as prescribed will prevent the recurrence of lesions. B. Your sex partners also need to be treated for 10 days with oral acyclovir. C. Use a glove to apply topical acyclovir. D. Take the oral acyclovir even when the disease is in remission.

Correct Answer: C

Rationale: Using a glove to apply topical acyclovir prevents self-contamination and virus spread, making it an accurate and safe instruction.

Pediatric NCLEX Questions | Nurselytic

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