Pediatric NCLEX Questions | Nurselytic

Questions 49

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Extract:


Question 1 of 5

During early postburn care of the child, it is essential for the nurse to closely monitor which of the following?

Correct Answer: C

Rationale: I.V. fluid therapy is critical in the early postburn phase to prevent hypovolemic shock and maintain organ perfusion. Close monitoring ensures adequate resuscitation and prevents complications like over- or under-hydration.

Question 2 of 5

The nurse evaluates a preterm infant after a gavage feeding. The nurse determines that feeding intolerance has developed when which finding is noted during assessment?

Correct Answer: C

Rationale: Increased abdominal girth indicates feeding intolerance suggesting issues like paralytic ileus or NEC. Sleeping zero residual and loose stools are normal.

Question 3 of 5

The mother of a healthy 15-hour-old term newborn asks the nurse if the PKU blood test could be completed now on her infant because she and her infant are being discharged to home. Which statement should be the basis for the nurse’s response?

Correct Answer: C

Rationale: The PKU test is most accurate after 24 hours and before 7 days allowing sufficient protein intake. Early discharge requires follow-up testing and feeding tolerance doesn’t exempt testing.

Question 4 of 5

A primipara presents one week after delivery. She is tearful,has spells of cry and lack of appetite and sleep. What is the most likely diagnosis:

Correct Answer: B

Rationale: Post-natal depression is common in the first weeks postpartum presenting with tearfulness appetite loss and sleep disturbances. Other diagnoses are less likely without specific symptoms.

Question 5 of 5

Organogenesis is complete at:

Correct Answer: C

Rationale: Organogenesis the process of organ formation occurs during the embryonic period primarily between weeks 3 to 8 after ovulation (or 5 to 10 weeks gestational age). By 8 weeks post-ovulation major organ systems are formed making this the correct answer. Earlier or later weeks do not align with this developmental milestone.

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