NCLEX-PN
NCLEX Pediatric Questions Questions
Extract:
Question 1 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.
Question 2 of 5
What is the diameter of fetal skull that presents at vulva during normal labour:
Correct Answer: C
Rationale: In normal vertex presentation the suboccipitobregmatic diameter (9.5 cm) is the smallest and presents at the vulva during delivery. Other diameters are larger or associated with abnormal presentations.
Question 3 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 4 of 5
Duration of latent phase in a multigravida is:
Correct Answer: C
Rationale: The latent phase in multigravida typically lasts 4-6 hours shorter than in primigravida due to prior cervical changes. Other durations are less common.
Question 5 of 5
Which finding by the nurse strongly indicates that a child is experiencing hypokalemia?
Correct Answer: B
Rationale: Hypokalemia causes muscle weakness due to impaired muscle contraction, a key manifestation resulting from low potassium levels affecting neuromuscular function.