NCLEX-PN
NCLEX Pediatric Questions Questions
Extract:
Question 1 of 5
Which instruction is most appropriate to give to the client regarding doxycycline?
Correct Answer: B
Rationale: Doxycycline should be taken on an empty stomach (1 hour before or 2 hours after a meal) to ensure optimal absorption, making this the most appropriate instruction.
Question 2 of 5
Diabetic control is important before conception to reduce the incidence of:
Correct Answer: C
Rationale: Preconception glycemic control in diabetes reduces the risk of congenital anomalies which are significantly increased with poor control (e.g. neural tube defects cardiac anomalies). Other complications are less directly tied to preconception control.
Question 3 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.
Question 4 of 5
35 years old woman who is now in her 5th pregnancy with 4 alive children presented in the antenatal clinic and in diagnosed as a case of anaemia. Cause of anaemia in her case is:
Correct Answer: C
Rationale: Iron deficiency is the most common cause of anemia in pregnancy especially in a multiparous woman with multiple pregnancies as iron stores are depleted due to increased demand. Folate deficiency is less common and typically presents with megaloblastic anemia. Sickle cell anemia and thalassemia require genetic predisposition and pernicious anemia is rare in pregnancy.
Question 5 of 5
The agitated father of the 12-hour-old newborn reports to the nurse that his baby’s hands and feet are blue. The nurse confirms acrocyanosis and intervenes by taking which action?
Correct Answer: B
Rationale: Acrocyanosis blueness of hands and feet is a normal newborn phenomenon in the first 24 to 48 hours after birth. The nurse should explain this to relieve anxiety. Stimulation temperature or cardiac assessments are unnecessary.