NCLEX Practice Questions Maternal Newborn

Extract:

Question 1 of 5

A child with a cyanotic heart defect has an elevated hematocrit. What is the most likely cause of the elevated hematocrit?

Correct Answer: D

Rationale: Chronic oxygen deficiency in cyanotic heart defects stimulates erythropoiesis, elevating hematocrit.

Question 2 of 5

A 3-year-old child is brought to the physician's office by the parent. The parent states that the child was completely toilet trained but has been 'having accidents' recently. The parent also tells the nurse that the child is voiding more often than usual and that the urine has a strong odor. What is the best response by the nurse?

A. These could be symptoms of a urinary tract infection. We should obtain a urine specimen for analysis.' B. Many preschool children regress when something stressful happens. Has your child been under any stress lately?' C. Accidents like these are not unusual. You have nothing to worry about as long as your child does not have a fever.' D. This is very unusual. Your child will probably need to be hospitalized to receive intravenous antibiotics.'

Correct Answer: A

Rationale: Frequent voiding, strong-smelling urine, and accidents suggest a urinary tract infection, requiring a urine specimen.

Question 3 of 5

The nurse is caring for a child who is diagnosed as having Lyme disease. The mother asks how the child got this disease. Which explanation about Lyme disease is correct?

A. It is transmitted by a mosquito. B. It is inherited through a recessive gene. C. It is caused by a deer tick bite. D. It is caused by contact with the oil from plant leaves.

Correct Answer: C

Rationale: Lyme disease is transmitted by the bite of an infected deer tick.

Question 4 of 5

The nurse is caring for a client who has had a right modified radical mastectomy this morning. Which exercise should the nurse encourage the client to perform this evening?

A. Hair combing exercises with the right arm B. Wall climbing exercises with the right arm C. Movement of the fingers and wrists of the right arm D. Exercises of the left arm only

Correct Answer: C

Rationale: Finger and wrist movements are safe early exercises to promote circulation without straining the surgical site.

Question 5 of 5

A 1-year-old child is admitted to the pediatric unit with the diagnosis of bacterial meningitis. Which room should the nurse assign to this child?

A. A room with a 2-year-old who had surgery for a hernia repair B. A room with a 1-year-old child who has pneumonia C. A room with a 2-year-old child who has cerebral palsy D. A private room with no roommates

Correct Answer: D

Rationale: A private room prevents the spread of bacterial meningitis, a highly contagious condition.

NCLEX Practice Questions Maternal Newborn | Nurselytic

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