NCLEX-PN
Pediatrics NCLEX Questions Questions
Extract:
Question 1 of 5
For the teenager recovering from an appendectomy, which nursing measure is most appropriate to prevent respiratory complications during the postoperative period?
Correct Answer: D
Rationale: Using an incentive spirometer encourages deep breathing, preventing atelectasis and pneumonia, common respiratory complications post-surgery due to immobility and anesthesia.
Question 2 of 5
Which diversional activity suggested by the nurse is most appropriate for the child during the acute phase of rheumatic fever?
Correct Answer: C
Rationale: During the acute phase of rheumatic fever, the child is on bed rest to reduce cardiac workload. Reading an adventure story is a quiet, non-physically demanding activity appropriate for a 7-year-old, promoting rest while keeping the child engaged.
Question 3 of 5
The nurse is caring for the full-term newborn male who is 24 hours old and was circumcised with a Gomco clamp 30 minutes ago. Which interventions should the nurse plan for care of the newborn’s circumcision? Select all that apply.
Correct Answer: A,B,D
Rationale: Monitor the penis for swelling/bleeding document first void to rule out obstruction and apply petroleum ointment to prevent bleeding. Commercial wipes may irritate and tight diapers cause pain.
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
The postpartum client (G2P2) asks the nurse for suggestions to help facilitate her 3-year-old’s attachment and acceptance of their newborn. Which action should the nurse suggest?
Correct Answer: A
Rationale: Providing a doll encourages the 3-year-old to mimic parental care reducing jealousy. Hospital visits shared parental attention and accepting regression promote bonding.