NCLEX-PN
NCLEX Pediatric Questions
Extract:
Question 1 of 5
The nurse assesses that the 8-hour-old infant’s axillary temperature is 97°F (36.1°C). Which intervention should the nurse implement first?
Correct Answer: B
Rationale: An axillary temperature of 97°F is below the normal range (97.7°F–98.9°F). The infant should be gradually rewarmed under a radiant warmer. Documentation follows intervention feeding warm formula is unnecessary and HCP notification is needed only if warming fails.
Question 2 of 5
The nurse advises the parents that, in most cases, children who have had an appendectomy usually return to school within what time frame?
Correct Answer: B
Rationale: Most children recover from an uncomplicated appendectomy within 1-2 weeks, allowing a return to school in about 2 weeks, depending on individual healing.
Question 3 of 5
The nurse is caring for the newborn infant. The nurse should prepare to assess the newborn’s anterior fontanel by which method?
Correct Answer: D
Rationale: The anterior fontanel is assessed with the infant in a sitting position (45°–90°) to evaluate size and abnormalities. Supine positioning or crying may cause bulging and parietal/occipital bones locate the posterior fontanel.
Question 4 of 5
Which nursing interventions should be included in the care plan of a child in skeletal traction? Select all that apply.
Correct Answer: B,D,E
Rationale: Cleaning pin sites every 8 hours prevents infection, monitoring for cloudy urine detects urinary tract infections due to immobility, and covering pin tips ensures safety. Prone position is not standard, and weights should not be released.
Question 5 of 5
The physician orders I.V. insulin, and the registered nurse (RN) prepares to give it. The licensed practical nurse (LPN) is assisting the RN with the unstable client. Which of the following types of insulin should the LPN anticipate that the physician will order?
Correct Answer: A
Rationale: Regular insulin (Humulin R) is used for I.V. administration in DKA because it has a rapid onset and can be titrated to manage hyperglycemia effectively. Other insulins, like NPH or aspart, are not suitable for I.V. use.