Questions 48

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Pediatric Questions

Extract:


Question 1 of 5

The nurse is caring for a 30-year-old,single female who delivered a term newborn. What is the best way for the nurse to assess the impact of the newborn on the client’s lifestyle?

Correct Answer: C

Rationale: Open-ended questions about newborn care plans encourage sharing of lifestyle adjustments especially for single parents. Visitors prenatal records or father involvement are less direct.

Question 2 of 5

The nurse and student nurse are caring for the postpartum client who delivered a term newborn 24 hours previously. The nurse recognizes that the student needs more information on newborn nutrition when making which statement?

Correct Answer: D

Rationale: Breast milk and formula (~90% water) meet infant water needs. Supplemental water risks hyponatremia. Fat (~50% calories) lactose and adequate calcium are correct.

Question 3 of 5

The nurse is assessing the infant who may have FAS. Which findings,if observed,should the nurse associate with FAS? Select all that apply.

Correct Answer: A,B,C,D

Rationale: FAS features include broad nasal bridge flat midface growth deficits irritability hypotonia and poor feeding/vomiting due to alcohol’s effects. The jaw is small not large.

Question 4 of 5

The nurse is caring for a preterm infant who must be fed via bolus gavage feeding. The infant has a 5 French feeding tube already secured in the left naris. The nurse has aspirated the infant’s stomach contents, noting color, amount, and consistency, and has reinserted the residual amount because it was less than one-fourth the previous feeding. Prioritize the remaining steps that the nurse should take to complete this feeding.

Order the Items

Source Container

Elevate the syringe 6 to 8 inches over the infant’s head.
Position the infant on the right side.
Uncrimp the tubing and allow the feeding to flow by gravity at a slow rate.
Crimp the feeding tube and pour the specified amount of formula or breast milk into the barrel.
Cap the lavage feeding tube.

Correct Answer: D, A, F, C, E, B, G

Rationale: Sequence: Position infant on right side (
D) to reduce aspiration risk connect syringe barrel (
A) crimp tube and pour formula (F) elevate syringe (
C) uncrimp for gravity flow (E) clear tubing with air (
B) cap tube (G).

Question 5 of 5

The nurse is reviewing the following labor history of a postpartum mother: “Mother positive for group B streptococcal (GBS) infection at 37 weeks’ gestation. Membranes ruptured at home 14 hours before presentation to the hospital at 40 weeks’ gestation. Precipitous labor,no antibiotic given.” Considering this information the nurse should observe her 15-hour-old newborn closely for which finding?

Correct Answer: A

Rationale: GBS infection risk increases with prolonged membrane rupture and no antibiotics with temperature instability as an early symptom. Pink stains meconium and erythema toxicum are normal.

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