NCLEX-PN
Pediatrics NCLEX Questions Questions
Extract:
Question 1 of 5
Breech extraction is only indicated in:
Correct Answer: A
Rationale: Breech extraction is indicated for a retained second twin to expedite delivery and prevent complications. Other breech presentations typically require cesarean section or external cephalic version.
Question 2 of 5
Which nursing action should be avoided when giving care to a child diagnosed with Wilms' tumor?
Correct Answer: A
Rationale: Palpating the abdomen in a child with Wilms' tumor risks dislodging tumor cells, potentially causing metastasis, and should be avoided to ensure safety.
Question 3 of 5
Which diversional activity is best for meeting the burned child's developmental needs?
Correct Answer: B
Rationale: Coloring simple designs is a developmentally appropriate activity for a school-age child, promoting fine motor skills and creativity while being feasible for a bedridden patient with burns.
Question 4 of 5
Crowning is best defined as:
Correct Answer: C
Rationale: Crowning occurs when the perineum bulges due to the fetal head’s largest diameter stretching the vaginal opening just before delivery. Other definitions describe different stages.
Question 5 of 5
If the child develops shortness of breath when ambulating to the bathroom in the hospital, which intervention should the nurse add to the care plan?
Correct Answer: A
Rationale: Shortness of breath during ambulation may indicate carditis, a serious complication of rheumatic fever. Using a bedside commode minimizes physical exertion, reducing cardiac workload and the risk of worsening symptoms.