NCLEX-PN
Pediatrics NCLEX Questions Questions
Extract:
Question 1 of 5
How should the nurse position a child who is about to undergo a lumbar puncture?
Correct Answer: D
Rationale: The side-lying position with the back curved and knees flexed maximizes spinal flexion, facilitating access to the subarachnoid space for a lumbar puncture.
Question 2 of 5
When assessing the infant undergoing phototherapy for hyperbilirubinemia,the nurse notes a maculopapular rash over the infant’s buttocks and back. What action should the nurse take next?
Correct Answer: A
Rationale: A transient maculopapular rash is a common benign side effect of phototherapy requiring only documentation. No further action is needed.
Question 3 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.
Question 4 of 5
The nurse is assessing the full-term Caucasian infant who is 40 hours old. Which technique should the nurse use to evaluate the infant for jaundice?
Correct Answer: B
Rationale:
To differentiate jaundice from normal skin color apply pressure over a bony area like the forehead. A yellow blanched area indicates jaundice. Genitalia palms soles or oral mucosa are less reliable due to slower progression or darker pigmentation.
Question 5 of 5
A healthy postpartum mother who is breastfeeding her term infant tells the nurse that she has noticed that her roommate is feeding iron-enriched formula to her newborn. The mother asks if she should be giving her baby supplemental iron. Which response by the nurse is correct?
Correct Answer: A
Rationale: Breast milk provides sufficient highly bioavailable iron for term infants making supplementation unnecessary. Maternal iron supplements or formula feeding are not required.