NCLEX-PN
Pediatric NCLEX Questions Questions
Extract:
Question 1 of 5
Which response by the nurse best explains why aspirin is preferred to acetaminophen (Tylenol) in the treatment of rheumatic fever?
Correct Answer: C
Rationale: Aspirin is preferred in rheumatic fever due to its anti-inflammatory properties, which relieve joint inflammation and pain associated with polyarthritis. Acetaminophen lacks significant anti-inflammatory effects, making aspirin more effective.
Question 2 of 5
The nurse evaluates a preterm infant after a gavage feeding. The nurse determines that feeding intolerance has developed when which finding is noted during assessment?
Correct Answer: C
Rationale: Increased abdominal girth indicates feeding intolerance suggesting issues like paralytic ileus or NEC. Sleeping zero residual and loose stools are normal.
Question 3 of 5
Which question is most important for the nurse to ask the adolescent girl in preparation for X-rays?
Correct Answer: A
Rationale: Asking about pregnancy is critical before X-rays, as radiation can harm a fetus, making it the most important question to ensure safety.
Question 4 of 5
Which nursing actions are most appropriate to include in the care plan of a child with nephrotic syndrome? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Daily weighing monitors fluid status, range-of-motion exercises prevent immobility complications, measuring abdominal circumference tracks ascites, collecting urine assesses proteinuria, and monitoring BUN/creatinine evaluates kidney function. Protein restriction is not typical.
Question 5 of 5
Pregnancy induced hypertension is diagnosed when:
Correct Answer: A
Rationale: Pregnancy-induced hypertension (gestational hypertension) is diagnosed when hypertension (BP ≥140/90 mmHg) appears after 20 weeks gestation without proteinuria or other preeclampsia features.