NCLEX-PN
Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
Which finding documented by the nurse is most indicative of the presence of a Curling's ulcer in the burned child?
Correct Answer: B
Rationale: A positive hemoccult test indicates gastrointestinal bleeding, characteristic of a Curling's ulcer, a stress ulcer common in burn patients due to physiological stress and reduced mucosal protection.
Question 2 of 5
Which assessment finding is most indicative of a child with a protein deficiency?
Correct Answer: A
Rationale: Protein deficiency can lead to brittle hair and dry skin due to inadequate protein for tissue repair and maintenance, a hallmark of conditions like kwashiorkor.
Question 3 of 5
A primigravida is in second stage of labour for the past two hours. Fetal head is at +1 station. Inspite of effective uterine contractions,mother is unable to push as she is exhausted. What will be the next step in her management:
Correct Answer: D
Rationale: Instrumental delivery (e.g. forceps or vacuum) is indicated for prolonged second stage due to maternal exhaustion provided the fetal head is engaged (+1 station). Cesarean section is considered if instrumental delivery is not feasible.
Question 4 of 5
The nurse is completing the 1-minute Apgar assessment on the full-term newborn. The newborn’s HR is 80 bpm. What should the nurse do next?
Correct Answer: D
Rationale: A newborn HR of less than 100 bpm scores as a 1 on the HR criterion and indicates a need to begin positive pressure ventilation by bag mask or Neopuff® ventilation. A score of 2 requires HR above 100 bpm. Suctioning is not indicated and wrapping is done after assessment.
Question 5 of 5
The nurse is admitting a neonate after delivery who is diagnosed with a myelomeningocele. Which intervention should the nurse implement immediately?
Correct Answer: D
Rationale: Positioning prone with hips flexed and legs abducted minimizes sac tension and rupture risk. Sterile gauze risks adherence surgery follows stabilization and pressure dressings risk rupture.