NCLEX-PN
NCLEX Pediatric Questions Questions
Extract:
Question 1 of 5
Which clinical manifestation of the client's full-thickness burns would the nurse detect during an assessment?
Correct Answer: D
Rationale: Full-thickness burns involve destruction of all skin layers, including the subcutaneous layer, resulting in a leathery or charred appearance. Pain is minimal due to nerve destruction, and blisters are characteristic of partial-thickness burns.
Question 2 of 5
Before beginning a newborn’s physical assessment,the nurse reviews the newborn’s medical record and sees this notation: “31 weeks’ gestation.” Considering this information the nurse determines that a physical assessment of the infant should reveal which finding?
Correct Answer: D
Rationale: "Preterm infants (31 weeks) are covered with vernix caseosa. Flexion is minimal sucking is absent before 33 weeks and lanugo is extensive."
Question 3 of 5
The nurse is administering surfactant via ET tube to a 48-hour-old preterm infant with respiratory distress syndrome (RDS). The father asks the nurse how this treatment will help his baby. The nurse should explain that the preterm infant is unable to produce adequate amounts of surfactant and that giving it to his baby will have what effect?
Correct Answer: B
Rationale: Surfactant prevents alveolar collapse in RDS improving gas exchange decreasing PaCO2 and increasing PaO2. Pleural effusion is unrelated.
Question 4 of 5
Maximum normal time for second stage of labour in primigravida without anaesthesia is about:
Correct Answer: C
Rationale: The second stage in primigravida without anesthesia is typically up to 2 hours (120 minutes). Beyond this intervention is considered due to risks of maternal or fetal distress.
Question 5 of 5
The first-time mother of the 2-hour-old full-term newborn worriedly tells the nurse,“Something black is coming out of my baby.” After determining that the newborn has passed stool which statement by the nurse is most appropriate?
Correct Answer: C
Rationale: Meconium a greenish-black stool is normal within 24 hours after birth formed from amniotic fluid and intestinal secretions. It’s not related to bleeding breastfeeding or temperature.