NCLEX-PN
NCLEX Pediatric Questions Questions
Extract:
Question 1 of 5
If the physician orders a magnetic resonance imaging (MRI) study for the child with a brain tumor, which statement by the nurse would best prepare the child for the diagnostic test?
Correct Answer: A
Rationale: Explaining that MRI machines vary (tunnel-like or open) prepares the child for the procedure by addressing potential fears about the machine's appearance, ensuring they know what to expect.
Question 2 of 5
Which of the following assessment findings would alert the nurse that the child may be exhibiting early signs of sepsis?
Correct Answer: B
Rationale: Disorientation can indicate early sepsis in burn patients, reflecting systemic infection affecting the central nervous system. Other signs like fever or tachycardia may also occur, but disorientation is a critical early warning.
Question 3 of 5
The physician orders 500 mg of a medication to be given I.V. over 4 hours. The medication is diluted in 100 mL of fluid. What is the hourly flow rate in milliliters?
Correct Answer: 25 mL/hour
Rationale: Calculation: 100 mL over 4 hours = 100 ÷ 4 = 25 mL/hour. Since no options are provided, the calculated rate is noted for accuracy.
Question 4 of 5
35 years old woman who is now in her 5th pregnancy with 4 alive children presented in the antenatal clinic and in diagnosed as a case of anaemia. Cause of anaemia in her case is:
Correct Answer: C
Rationale: Iron deficiency is the most common cause of anemia in pregnancy especially in a multiparous woman with multiple pregnancies as iron stores are depleted due to increased demand. Folate deficiency is less common and typically presents with megaloblastic anemia. Sickle cell anemia and thalassemia require genetic predisposition and pernicious anemia is rare in pregnancy.
Question 5 of 5
18 years old P1 presents in outpatient department ten days after delivery with tender hot painful swelling in right breast. She also complains of fever with rigors. What will be the most likely management:
Correct Answer: C
Rationale: The symptoms suggest a breast abscess which requires incision and drainage for effective treatment especially with systemic symptoms like fever. Antibiotics alone are insufficient for an abscess and other options are inappropriate.