NCLEX-PN
NCLEX Pediatric Questions Questions
Extract:
Question 1 of 5
The nurse is administering surfactant via ET tube to a 48-hour-old preterm infant with respiratory distress syndrome (RDS). The father asks the nurse how this treatment will help his baby. The nurse should explain that the preterm infant is unable to produce adequate amounts of surfactant and that giving it to his baby will have what effect?
Correct Answer: B
Rationale: Surfactant prevents alveolar collapse in RDS improving gas exchange decreasing PaCO2 and increasing PaO2. Pleural effusion is unrelated.
Question 2 of 5
Which clinical manifestation of the client's full-thickness burns would the nurse detect during an assessment?
Correct Answer: D
Rationale: Full-thickness burns involve destruction of all skin layers, including the subcutaneous layer, resulting in a leathery or charred appearance. Pain is minimal due to nerve destruction, and blisters are characteristic of partial-thickness burns.
Question 3 of 5
Which suggestion by the nurse would be most helpful in relieving the teenager's menstrual pain and discomfort?
Correct Answer: D
Rationale: Applying heat to the abdomen relaxes uterine muscles, reducing cramping, while adequate sleep and a balanced diet support overall health, alleviating dysmenorrhea symptoms.
Question 4 of 5
Which nursing action is most appropriate when caring for a school-age child who is experiencing a nosebleed?
Correct Answer: B
Rationale: Positioning the head forward and pinching the nostrils applies pressure to stop bleeding while preventing blood from flowing down the throat, which could cause choking or nausea.
Question 5 of 5
While caring for the small-for-gestational-age newborn (SGA),the nurse notes slight tremors of the extremities a high-pitched cry and an exaggerated Moro reflex. In response to these assessment findings what should be the nurse’s first action?
Correct Answer: A
Rationale: SGA infants risk hypoglycemia due to low glycogen stores causing tremors high-pitched cry and exaggerated reflexes. Checking blood sugar is the priority action.