NCLEX-PN
Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the client who has just given birth to a baby boy. The mother is O negative. The nurse should assess for ABO incompatibility and hyperbilirubinemia if the infant’s blood type is which type?
Correct Answer: C
Rationale: ABO incompatibility occurs when a mother with type O blood (no antigens A/B antibodies) has an infant with A or B blood (e.g. A negative) leading to hemolysis and hyperbilirubinemia. O blood types are compatible.
Question 2 of 5
Which statement by the nurse is most therapeutic in addressing the teen's behavior?
Correct Answer: C
Rationale: Acknowledging the teen's fear and encouraging bravery validates their emotions while gently motivating them to proceed with ambulation, fostering trust and cooperation.
Question 3 of 5
Pregnancy induced hypertension is diagnosed when:
Correct Answer: A
Rationale: Pregnancy-induced hypertension (gestational hypertension) is diagnosed when hypertension (BP ≥140/90 mmHg) appears after 20 weeks gestation without proteinuria or other preeclampsia features.
Question 4 of 5
Which question is most important for the nurse to ask the adolescent girl in preparation for X-rays?
Correct Answer: A
Rationale: Asking about pregnancy is critical before X-rays, as radiation can harm a fetus, making it the most important question to ensure safety.
Question 5 of 5
Which nursing instruction concerning ice applications is appropriate to give the parents of a 12-year-old child with a sprained ankle?
Correct Answer: B
Rationale: Ice should be applied intermittently (e.g., 20-30 minutes on, then off) to prevent tissue damage and allow skin assessment, making removal every 30 minutes to 1 hour appropriate.