NCLEX-PN
Pediatrics NCLEX Questions Questions
Extract:
Question 1 of 5
Which client symptoms documented by the nurse best indicate that the child is having a hypoglycemic reaction? Select all that apply.
Correct Answer: D,E,F
Rationale: Hypoglycemia causes shakiness, light-headedness, and tachycardia due to low blood glucose triggering the sympathetic nervous system. Thirst and hunger are less specific, and labored breathing is unrelated.
Question 2 of 5
The nurse evaluates that the newborn’s Moro reflex is WNL. Which response by the newborn prompted the nurse’s conclusion?
Correct Answer: A
Rationale: An intact Moro reflex involves extremity extension then flexion in response to a loud noise. Other options describe tonic neck rooting and stepping reflexes.
Question 3 of 5
Which of the following test is used in screening for Down's syndrome:
Correct Answer: C
Rationale: The triple screen (β-hCG AFP serum estriol) is used in the second trimester to screen for Down syndrome. Other tests are not relevant for this purpose.
Question 4 of 5
If the child weighs 30 kg, what is the hourly flow rate in milliliters? Use the standard 100 mL/kg/day for the first 10 kg of body weight, 50 mL/kg/day for the next 10 kg of body weight, and 20 mL/kg/day for each kilogram above 20 kg of body weight for daily maintenance.
Correct Answer: 70.83 mL/hour
Rationale: Calculation: First 10 kg = 100 mL/kg/day × 10 = 1000 mL/day; Next 10 kg = 50 mL/kg/day × 10 = 500 mL/day; Last 10 kg = 20 mL/kg/day × 10 = 200 mL/day.
Total = 1000 + 500 + 200 = 1700 mL/day. Hourly rate = 1700 ÷ 24 = 70.83 mL/hour. Since no exact option is provided, the closest reasonable answer is assumed as correct based on standard practice.
Question 5 of 5
How should the nurse position a child who is about to undergo a lumbar puncture?
Correct Answer: D
Rationale: The side-lying position with the back curved and knees flexed maximizes spinal flexion, facilitating access to the subarachnoid space for a lumbar puncture.