NCLEX-PN
NCLEX Pediatric Questions
Extract:
Question 1 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.
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 2 of 5
Cardiac output is highest in:
Correct Answer: E
Rationale: Cardiac output peaks during delivery due to increased demand from uterine contractions and maternal effort. It rises progressively during pregnancy but is highest at delivery.
Question 3 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 4 of 5
The full-term newborn is placed under phototherapy lights to treat hyperbilirubinemia. The nurse should assess the newborn for dehydration due to which effect of phototherapy?
Correct Answer: D
Rationale: Phototherapy increases insensible water loss risking dehydration. It breaks down bilirubin for excretion not absorption and doesn’t directly affect sodium or urinary output.
Question 5 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.