NCLEX-PN
Pediatrics NCLEX Questions Questions
Extract:
Question 1 of 5
Which intervention is most appropriate for a child with a musculoskeletal disability using a wheelchair?
Correct Answer: B
Rationale: A firm mattress helps distribute weight evenly, reducing the risk of pressure ulcers in a child with limited mobility due to a musculoskeletal disability.
Question 2 of 5
The nurse meets the frantic father at an ED door. He says he just delivered his wife’s full-term newborn in the car when the temperature outside is only 10°F (—12.2°C). In response to the cold environment,the nurse knows that the infant’s body will immediately begin to produce heat by which mechanism?
Correct Answer: B
Rationale: When skin receptors of full-term newborns perceive a drop in environmental temperature the sympathetic nervous system is stimulated. This in turn stimulates metabolism of brown fat thus producing heat that is transferred to the peripheral circulation. Shivering is rarely seen in newborns and it does little to produce heat. Newborns conserve heat by constricting not dilating blood vessels. Decreasing flexion promotes heat loss by exposing more skin surface.
Question 3 of 5
The nurse advises the parents that the child is due to receive which of the following immunization boosters?
Correct Answer: D
Rationale: A 14-year-old is due for a tetanus-diphtheria-pertussis (Tdap) booster, typically recommended at 11-12 years if not received since age 6, to maintain immunity.
Question 4 of 5
The nurse correctly advises the adolescent that the brace has to be worn during which time period?
Correct Answer: A
Rationale: The Milwaukee brace is typically worn 23 hours a day, except during bathing, to effectively correct scoliosis by maintaining spinal alignment.
Question 5 of 5
An infant had four wet diapers during the 8-hour shift. The weight of a dry diaper is 15 g. The four wet diapers weighed 30 g, 24 g, 21 g, and 25 g. What amount in milliliters should the nurse record for the total 8-hour urine? _______ mL (Record your answer as a whole number.)
Correct Answer: 40
Rationale: Subtract dry diaper weight (15 g): 30–15=15 g 24–15=9 g 21–15=6 g 25–15=10 g.
Total: 15+9+6+10=40 g equaling 40 mL urine output.