NCLEX-PN
NCLEX Pediatric Questions Questions
Extract:
Question 1 of 5
The nurse reviews the labor and delivery record of the 2-hour-old male newborn and sees this notation: “40 weeks’ gestation,large for gestational (LGA) age.” In response to this information it is most important for the nurse to plan to assess the infant carefully for which condition?
Correct Answer: C
Rationale: LGA infants risk birth trauma like fractured clavicles due to macrosomia. Acrocyanosis is normal testicles are typically descended at term and LGA infants are less prone to hypothermia.
Question 2 of 5
The agitated father of the 12-hour-old newborn reports to the nurse that his baby’s hands and feet are blue. The nurse confirms acrocyanosis and intervenes by taking which action?
Correct Answer: B
Rationale: Acrocyanosis blueness of hands and feet is a normal newborn phenomenon in the first 24 to 48 hours after birth. The nurse should explain this to relieve anxiety. Stimulation temperature or cardiac assessments are unnecessary.
Question 3 of 5
If the client asks the nurse for instructions on safe condom use, which information needs to be stressed?
Correct Answer: D
Rationale: Leaving a ½†space at the condom's tip prevents breakage by allowing room for semen, a critical aspect of safe condom use to ensure effectiveness.
Question 4 of 5
The physician orders 500 mg of a medication to be given I.V. over 4 hours. The medication is diluted in 100 mL of fluid. What is the hourly flow rate in milliliters?
Correct Answer: 25 mL/hour
Rationale: Calculation: 100 mL over 4 hours = 100 ÷ 4 = 25 mL/hour. Since no options are provided, the calculated rate is noted for accuracy.
Question 5 of 5
The home-care nurse is educating the parents of a 1-week-old newborn. Which instruction should the nurse include about the care of the newborn’s umbilical cord?
Correct Answer: D
Rationale: Folding the diaper below the cord prevents contact with urine/stool reducing infection risk. Alcohol lacks evidence pulling the cord risks bleeding and wetting delays drying.