NCLEX-PN
NCLEX Pediatric Questions
Extract:
Question 1 of 5
Which instruction is essential to give the parents before the child's discharge?
Correct Answer: D
Rationale: Awakening the child every 4 hours during the first night allows monitoring for neurological deterioration, such as altered consciousness, critical after a head injury.
Question 2 of 5
Calculating from the date of the mother’s last menstrual period,the nurse determines that her newborn’s gestational age is 40 weeks. Which normal findings should the nurse expect when assessing this newborn at birth? Select all that apply.
Correct Answer: A,C,E
Rationale: Full-term newborns (40 weeks) exhibit hypertonic flexion well-defined ear pinna incurving and momentary head support. Sole creases over two-thirds indicate ~37 weeks and a prominent clitoris is seen at 30–32 weeks.
Question 3 of 5
19 years old primigravida comes in emergency at 32 weeks of gestation. She is complaining of blurring of vision,gross edema. On examination her B.P is 170/115 mm Hg. What is the most likely diagnosis:
Correct Answer: D
Rationale: Preeclampsia is characterized by hypertension (BP ≥140/90 mmHg) after 20 weeks gestation with symptoms like edema and visual disturbances. Eclampsia involves seizures which are not mentioned. Hypertension alone lacks other symptoms and renal or thyroid disease are less likely without specific indicators.
Question 4 of 5
If the parents of a child with Duchenne's muscular dystrophy are having a difficult time accepting the diagnosis, which nursing action is most beneficial to the family?
Correct Answer: C
Rationale: Connecting with other parents who have children with Duchenne's muscular dystrophy provides emotional support and practical insights, helping the family cope with the diagnosis.
Question 5 of 5
Which dietary recommendation should the nurse provide to the parents of a child with iron deficiency anemia?
Correct Answer: A
Rationale: Red meat and leafy greens are rich in iron, which is essential for correcting iron deficiency anemia by boosting hemoglobin production.