NCLEX-PN
NCLEX Maternal Newborn Questions
Extract:
Question 1 of 5
A 5-year-old child is admitted with his first asthma attack. Which of the following would have been least likely to have precipitated his asthma attack?
Correct Answer: D
Rationale: Eating fresh fruit salad is unlikely to trigger asthma, unlike allergens (pets), irritants (smoke), or weather changes.
Question 2 of 5
A 6-year-old child is admitted for a tonsillectomy. Considering the child's age, which of the following would be the most important to include in a preoperative physical assessment?
Correct Answer: C
Rationale: Assessing loose teeth is critical before a tonsillectomy to prevent dislodgement and aspiration during intubation in a 6-year-old.
Question 3 of 5
A child with an asthma attack has received epinephrine. The child is also to receive isoproterenol (Isuprel) via intermittent positive pressure breathing. When should the isoproterenol be given in relation to the epinephrine?
Correct Answer: C
Rationale: Isoproterenol should be delayed at least one hour after epinephrine to avoid additive cardiovascular effects.
Question 4 of 5
A 6-month-old child is being seen for a well-baby visit. The child has received all immunizations as recommended so far. What immunizations does the nurse expect to give at this visit?
Correct Answer: B
Rationale: At 6 months, DTP, hepatitis B, and HIB are standard immunizations, per CDC guidelines, while MMR and varicella are given later.
Question 5 of 5
A laboring woman is to be transferred to the delivery room. The nurse is positioning her on the table when she has a very strong contraction and starts to bear down. What should the nurse tell her to do?
Correct Answer: A
Rationale: Panting prevents premature pushing during transfer, avoiding potential cervical or perineal trauma.