NCLEX-PN
Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
A primigravida is in second stage of labour for the past two hours. Fetal head is at +1 station. Inspite of effective uterine contractions,mother is unable to push as she is exhausted. What will be the next step in her management:
Correct Answer: D
Rationale: Instrumental delivery (e.g. forceps or vacuum) is indicated for prolonged second stage due to maternal exhaustion provided the fetal head is engaged (+1 station). Cesarean section is considered if instrumental delivery is not feasible.
Question 2 of 5
Which information reported by the parents indicates a high risk for the presence of a brain tumor?
Correct Answer: A
Rationale: Morning vomiting is a classic sign of increased intracranial pressure from a brain tumor, as pressure is highest after lying flat overnight, making it a high-risk indicator.
Question 3 of 5
Which nursing actions are most appropriate to include in the care plan of a child with nephrotic syndrome? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Daily weighing monitors fluid status, range-of-motion exercises prevent immobility complications, measuring abdominal circumference tracks ascites, collecting urine assesses proteinuria, and monitoring BUN/creatinine evaluates kidney function. Protein restriction is not typical.
Question 4 of 5
Which information regarding the use of aspirin is best for the nurse to discuss with the client?
Correct Answer: D
Rationale: Taking aspirin with food reduces the risk of gastrointestinal upset, a common side effect, making it a key point for safe use.
Question 5 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?
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.