NCLEX Peds Questions (1-5)

Let us try to answer nclex peds questions . . .

1. A mother of a 1-month old infant expresses concern because one of the infant's eye appears to be crossed. The most appropriate and supportive response by the nurse is which of the following?
a) this is normal in the young infant but should not be present after about age 4 months
b) this condition is probably permanent
c) the infant will probably need surgery
d) it needs observation because this thing may happen to the other eye

2. The nurse is taking good care of a one-day old newborn. Which of the following assessment findings does the nurse expect?

a) temp-37.7C, apical rate-100 bpm, RR-45, BP-65/41 mmHg
b) temp-37.4C, apical rate-120 bpm, RR-28, BP-65/41 mmHg
c) temp-36.7C, apical rate-130 bpm, RR-irregular, BP-65/41 mmHg
d) temp-36.5C, apical rate-140 bpm, RR-regular, BP-95/58 mmHg

3. Who among the following pediatric client should be assessed first by the nurse?

a) the child with 2 episodes of soft stools during the shift
b) the child who had cough for the past three days, with clear nasal discharge and is irritable
c) the child with 2 episodes of inconsolable crying while the knees are drawn over the abdomen and plays between the episodes
d) the child with skin rashes on his face and trunk

4. The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?

a) uneven head shape
b) respirations are irregular, abdominal, 30-60 bpm
c) (+) moro reflex
d) heart rate is 80 bpm

5. The nurse is caring for several infants who are 2-day old. Who among these infants should be given highest priority by the nurse?

a) a bottlefed infant who takes 1-ounce of milk every 3 to 5 hours
b) a breastfed infant who lost 0.5 ounce of his weight
c) a bottlefed infant who takes 2 to 3 ounces of milk every 2 to 4 hours
d) a breastfed infant who feeds every 2 to 4 hours






NCLEX PEDS QUESTIONS
ANSWERS AND RATIONALE

1) A
- strabismus is normal in an infant and it normally resolves before age 4 months

2) C
- the body temperature of the newborn is slightly lower than 37C, apical rate is 120-160 bpm, respiration are irregular (30-60 per min)

3) C
- this indicates appendicitis. The pattern of abdominal pain in appendicitis is as follows: pain occurs for 2 to 3 hours, pain is relieved in 2 to 3 hours, the n pain recurs and persists. During the time that pain subsides, it is when rupture of appendicitis may occur unnoticed.

4) D
- normal heart rate of the newborn is 120 to 160 bpm. Choices A, B, and C are normal assessment findings (uneven head shape is molding).

5) A
- the client experiences poor feeding (1 ounce = 30 ml) which indicates specific problems. The infant normally looses weight during the first week of life and he/she usually gains weight on the second week.


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NCLEX Peds Questions (6-10)

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