NCLEX-PN
Pediatrics NCLEX Questions Questions
Extract:
Question 1 of 5
Which of the following test is used in screening for Down's syndrome:
Correct Answer: C
Rationale: The triple screen (β-hCG AFP serum estriol) is used in the second trimester to screen for Down syndrome. Other tests are not relevant for this purpose.
Question 2 of 5
If the child develops shortness of breath when ambulating to the bathroom in the hospital, which intervention should the nurse add to the care plan?
Correct Answer: A
Rationale: Shortness of breath during ambulation may indicate carditis, a serious complication of rheumatic fever. Using a bedside commode minimizes physical exertion, reducing cardiac workload and the risk of worsening symptoms.
Question 3 of 5
Which nursing action should be avoided when giving care to a child diagnosed with Wilms' tumor?
Correct Answer: A
Rationale: Palpating the abdomen in a child with Wilms' tumor risks dislodging tumor cells, potentially causing metastasis, and should be avoided to ensure safety.
Question 4 of 5
The nurse correctly advises the client that she is still considered infectious until which time?
Correct Answer: C
Rationale: A negative culture after completing antibiotics and being off them for at least 7 days confirms the infection is cleared, ensuring the client is no longer infectious.
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.