NCLEX-PN
NCLEX Pediatric Questions
Extract:
Question 1 of 5
The nurse completed discharge education to the Native American parents of a 48-hour-old,full-term infant. The nurse concludes that the mother needs additional teaching about jaundice when she makes which statement?
Correct Answer: B
Rationale: In Native American infants jaundice persists longer than in Caucasians with peak bilirubin at 3–5 days. Keeping warm frequent feeding and stool elimination of bilirubin are correct.
Question 2 of 5
Which findings by the nurse best indicate that the child is experiencing diabetic ketoacidosis? Select all that apply.
Correct Answer: B,E,F
Rationale: Diabetic ketoacidosis (DK
A) is characterized by hyperglycemia (blood glucose typically >250 mg/dL, so 120 mg/dL is incorrect), fruity-smelling breath due to acetone, deep and rapid breathing (Kussmaul respirations) to compensate for acidosis, and dry, flushed skin due to dehydration.
Question 3 of 5
Which response by the nurse provides the best clarification about the disease process?
Correct Answer: B
Rationale: HIV can be asymptomatic for years, during which it is still transmissible, making this clarification critical for understanding the disease process and transmission risk.
Question 4 of 5
Which of the following findings during a routine wellness checkup best indicates that a child has iron deficiency anemia?
Correct Answer: D
Rationale: Pallor and listlessness are hallmark signs of iron deficiency anemia due to reduced hemoglobin, leading to decreased oxygen delivery and fatigue.
Question 5 of 5
Which statement by the child indicates teaching about the use of ibuprofen (Motrin) has been effective?
Correct Answer: C
Rationale: Ibuprofen is used as needed for pain and inflammation in juvenile rheumatoid arthritis (JR
A). Taking it only for joint pain reflects correct understanding, as daily use is not typically required unless prescribed.