NCLEX-PN
NCLEX Pediatric Questions
Extract:
Question 1 of 5
Which nursing action would best promote the adolescent's compliance with wearing the brace?
Correct Answer: B
Rationale: Helping the adolescent find stylish clothing to conceal the brace addresses body image concerns, promoting compliance by making the brace less noticeable.
Question 2 of 5
The nurse is reviewing the following labor history of a postpartum mother: “Mother positive for group B streptococcal (GBS) infection at 37 weeks’ gestation. Membranes ruptured at home 14 hours before presentation to the hospital at 40 weeks’ gestation. Precipitous labor,no antibiotic given.” Considering this information the nurse should observe her 15-hour-old newborn closely for which finding?
Correct Answer: A
Rationale: GBS infection risk increases with prolonged membrane rupture and no antibiotics with temperature instability as an early symptom. Pink stains meconium and erythema toxicum are normal.
Question 3 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 4 of 5
The nurse would expect to withhold penicillin V (Pen-Vee-K) and notify the physician if the child had a previous allergic reaction to a medication from which drug group?
Correct Answer: B
Rationale: Penicillin V is a penicillin antibiotic, and cephalosporins have a similar beta-lactam structure, which can lead to cross-reactivity in patients with penicillin allergies. Withholding penicillin and notifying the physician is necessary if the child has a cephalosporin allergy.
Question 5 of 5
The nurse advises the parents that, in most cases, children who have had an appendectomy usually return to school within what time frame?
Correct Answer: B
Rationale: Most children recover from an uncomplicated appendectomy within 1-2 weeks, allowing a return to school in about 2 weeks, depending on individual healing.