NCLEX-PN
NCLEX Pediatric Questions Questions
Extract:
Question 1 of 5
A breastfeeding mother is being discharged with her 2-day-old,full-term newborn. The nurse recognizes that the mother understands how to determine if her newborn is getting enough breast milk when making which statement?
Correct Answer: A
Rationale: A 3-day-old should have at least three wet diapers indicating adequate intake. Breastfed infants stool 3–10 times daily lose 5–10% birth weight initially and nurse 10–20 minutes per breast.
Question 2 of 5
The nurse reviews the labor and delivery record of the 2-hour-old male newborn and sees this notation: “40 weeks’ gestation,large for gestational (LGA) age.” In response to this information it is most important for the nurse to plan to assess the infant carefully for which condition?
Correct Answer: C
Rationale: LGA infants risk birth trauma like fractured clavicles due to macrosomia. Acrocyanosis is normal testicles are typically descended at term and LGA infants are less prone to hypothermia.
Question 3 of 5
Which statement by the parents indicates they understand the home care needs for a child with sickle cell anemia?
Correct Answer: B
Rationale: Encouraging rest during sickle cell crises reduces oxygen demand and prevents exacerbation of vaso-occlusive episodes, indicating understanding of home care needs.
Question 4 of 5
Which activity is most appropriate for the child with juvenile rheumatoid arthritis?
Correct Answer: C
Rationale: Swimming is a low-impact activity that promotes joint mobility and muscle strength without stressing inflamed joints, making it ideal for a child with JRA.
Question 5 of 5
Thyrotoxicosis is pregnancy is treated with:
Correct Answer: C
Rationale: Neomercazole (carbimazole) is used to treat thyrotoxicosis in pregnancy as it controls thyroid hormone production safely. Radioiodine is contraindicated and surgery is avoided unless absolutely necessary.