Questions 49

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Pediatric Questions Questions

Extract:


Question 1 of 5

The nurse is concerned that a newborn may have congenital hydrocephalus. Which finding did the nurse likely observe on assessment?

Correct Answer: A

Rationale: A bulging anterior fontanel suggests hydrocephalus due to increased intracranial pressure. Equal head/chest circumferences narrow posterior fontanel and low-set ears are normal or unrelated.

Question 2 of 5

The parents are visiting their newborn,who is in the neonatal intensive care unit (NICU) after being diagnosed with a terminal cardiac condition. Which statement best reflects the nurse’s judgment about interventions to promote parental attachment?

Correct Answer: B

Rationale: Encouraging parents to provide care promotes attachment aiding coping if the infant dies. Delaying interventions limiting to touch/naming or assuming guilt are less supportive.

Question 3 of 5

Which finding documented by the nurse is most indicative of a client with rheumatic fever?

Correct Answer: D

Rationale: Generalized migrating joint tenderness (polyarthritis) is a hallmark symptom of rheumatic fever, reflecting the inflammatory process affecting multiple joints. An elevated ASO titer (not decreased) would indicate a recent streptococcal infection, and the other options are less specific.

Question 4 of 5

Which statement by the parents best indicates that the nurse's teaching has been effective?

Correct Answer: D

Rationale: Effective teaching about rheumatic fever emphasizes preventing recurrent streptococcal infections, which can trigger relapse. Notifying the physician about a sore throat ensures prompt treatment of potential streptococcal infections, reducing recurrence risk.

Question 5 of 5

When is the correct time for the nurse to administer the child's morning dose of a combination regular and NPH insulin?

Correct Answer: A

Rationale: Regular insulin peaks in 2-4 hours, and NPH peaks in 4-12 hours. Administering the combination 30 minutes before breakfast aligns insulin onset with food intake, controlling postprandial glucose levels effectively.

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