NCLEX-PN
NCLEX Pediatric Questions Questions
Extract:
Question 1 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.
Question 2 of 5
Which response by the nurse would be most helpful in this situation?
Correct Answer: C
Rationale: The success of drug treatment relies on the adolescent's motivation to recover, making it important to discuss their willingness and readiness for treatment.
Question 3 of 5
What percentage of Polyhydramnios is associated with congenital malformations:
Correct Answer: C
Rationale: Approximately 20-30% of polyhydramnios cases are associated with congenital malformations such as gastrointestinal or neural tube defects which impair fetal swallowing or increase fluid production.
Question 4 of 5
The client with oligohydramnios and possible intrauterine growth restriction gives birth. The newborn’s 1-minute Apgar score was 6,and the 5-minute Apgar score is 7. Which conclusion should the nurse make from this information?
Correct Answer: B
Rationale: A 5-minute Apgar score at or above 7 is considered normal. A low 1-minute score is not associated with mortality but a low 5-minute score is. Apgar scores are poor predictors of neurological outcomes and oligohydramnios can affect scores.
Question 5 of 5
Which assessment finding should the nurse report immediately to the charge nurse or physician?
Correct Answer: A
Rationale: Clear, watery nasal drainage may indicate cerebrospinal fluid (CSF) leakage, a serious complication of head injury requiring immediate reporting to prevent infection or neurological damage.