NCLEX-PN
NCLEX Pediatric Questions
Extract:
Question 1 of 5
Which of the following statements made by the adolescent best supports the nurse's suspicion of scoliosis?
Correct Answer: B
Rationale: Uneven sleeve length suggests shoulder asymmetry, a common sign of scoliosis due to lateral spinal curvature affecting posture.
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
The nurse is caring for a preterm infant who must be fed via bolus gavage feeding. The infant has a 5 French feeding tube already secured in the left naris. The nurse has aspirated the infant’s stomach contents, noting color, amount, and consistency, and has reinserted the residual amount because it was less than one-fourth the previous feeding. Prioritize the remaining steps that the nurse should take to complete this feeding.
Order the Items
Source Container
Correct Answer: D, A, F, C, E, B, G
Rationale: Sequence: Position infant on right side (
D) to reduce aspiration risk connect syringe barrel (
A) crimp tube and pour formula (F) elevate syringe (
C) uncrimp for gravity flow (E) clear tubing with air (
B) cap tube (G).
Question 4 of 5
The full-term newborn is placed under phototherapy lights to treat hyperbilirubinemia. The nurse should assess the newborn for dehydration due to which effect of phototherapy?
Correct Answer: D
Rationale: Phototherapy increases insensible water loss risking dehydration. It breaks down bilirubin for excretion not absorption and doesn’t directly affect sodium or urinary output.
Question 5 of 5
Which finding best indicates that a school-age child has acute glomerular nephritis?
Correct Answer: A
Rationale: Periorbital edema is a classic sign of acute glomerular nephritis due to fluid retention from impaired glomerular filtration, reflecting reduced sodium and water excretion.