NCLEX Pediatric Questions

Extract:

Question 1 of 5

If the following snacks are available, which one is best to meet the child's need for protein?

Correct Answer: D

Rationale: Warmed beef broth is a high-protein snack suitable for a burn patient, providing protein needed for tissue repair and wound healing, unlike the other options, which are lower in protein.

Question 2 of 5

Which statement by the parents best indicates that the nurse's teaching has been effective?

A. We'll give our child the penicillin for the full 10 days. B. We will keep our child at home until fully recovered. C. We will make sure that our child stays out of the sun with being treated. D. We'll notify the physician if our child has a sore throat.

Correct Answer: D

Rationale: Effective teaching about rheumatic fever emphasizes preventing recurrent streptococcal infections, which can trigger relapse. Notifying the physician about a sore throat ensures prompt treatment of potential streptococcal infections, reducing recurrence risk.

Question 3 of 5

During an assessment of the full-term,1-hour-old newborn the nurse obtains an apical HR of 120 bpm and auscultates a soft murmur at the left sternal border third intercostal space. In response to these assessment findings which action should be taken by the nurse?

A. Immediately report the findings to the HCP. B. Document the heart rate and murmur. C. Recheck the murmur in the left side-lying position. D. Stimulate crying and then reassess the cardiac status.

Correct Answer: B

Rationale: An apical HR of 120 bpm (normal: 100–160 bpm) and a murmur at the sternal border (likely due to delayed foramen ovale closure) are normal findings. Documentation is sufficient. Reporting repositioning or stimulating crying is unnecessary.

Question 4 of 5

The first-time mother of the 2-hour-old full-term newborn worriedly tells the nurse,“Something black is coming out of my baby.” After determining that the newborn has passed stool which statement by the nurse is most appropriate?

A. “Black stools could be from bleeding. I will notify your provider now.” B. “Breastfeeding will cause all the baby’s stools to be this dark in color.” C. “Babies normally pass this type of stool initially; it is called meconium.” D. “I’ll check the baby’s temperature; this occurs when babies need warming.”

Correct Answer: C

Rationale: Meconium a greenish-black stool is normal within 24 hours after birth formed from amniotic fluid and intestinal secretions. It’s not related to bleeding breastfeeding or temperature.

Question 5 of 5

The nurse reviews the labor and delivery record of the 2-hour-old male newborn and sees this notation: “40 weeks’ gestation,large for gestational (LGA) age.” In response to this information it is most important for the nurse to plan to assess the infant carefully for which condition?

A. Acrocyanosis B. Undescended testicles C. Intact clavicles D. Hypothermia

Correct Answer: C

Rationale: LGA infants risk birth trauma like fractured clavicles due to macrosomia. Acrocyanosis is normal testicles are typically descended at term and LGA infants are less prone to hypothermia.

NCLEX Pediatric Questions | Nurselytic

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NCLEX-PN

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