Pediatric NCLEX Questions

Pediatric NCLEX Questions Related

Review Pediatric NCLEX Questions related questions and content

A 39 y.o. homemaker sees her physician after she falls twice for seemingly no reason. Diagnostic tests are done, and she is diagnosed with multiple sclerosis. Which of the ff. explanations will help her understand her disease?

  • A. "You have a build-up of myelin in your nervous system, causing congestion and muscle weakness."
  • B. "You are missing a neurotransmitter that is important to muscle contraction."
  • C. "The receptor sites on your muscles are damaged, so they can't contract correctly."
  • D. "The insulation on your nerve cells is damaged, which slows the impulses to the muscles."
Correct Answer: D

Rationale: Option D, "The insulation on your nerve cells is damaged, which slows the impulses to the muscles," is the most accurate explanation for multiple sclerosis. Multiple sclerosis is a chronic autoimmune disorder where the body's immune system mistakenly attacks the myelin sheath, the protective covering of nerve fibers in the central nervous system. This damage disrupts the normal flow of electrical impulses along the nerves, leading to various symptoms such as muscle weakness, coordination problems, and balance issues. By understanding that the insulation on her nerve cells is damaged, the patient can better comprehend why she is experiencing symptoms like muscle weakness and falls.

You may also like to solve these questions

minutes of birth may be as high as:

  • A. 50
  • B. 60
  • C. 80
  • D. 100
Correct Answer: D

Rationale: The number of minutes in an hour is 60. Therefore, the maximum number of minutes at birth can only be 60 minutes in an hour. Since the options provided are all above 60, the highest plausible option is 100 minutes, making option D the correct answer.

Potential sources of mercury include all of the following EXCEPT

  • A. swordfish
  • B. old teething powders
  • C. quicksilver
  • D. milk
Correct Answer: D

Rationale: Mercury is not typically found in milk. It is commonly found in fish, old teething powders, quicksilver, and other sources.

A one-month-old patient, who has developmental dysplasia of the hip, is placed in a hip spica cast. The patient's mother expresses the desire to continue breastfeeding. What is the pediatric nurse's best response?

  • A. After breastfeeding, hold your baby upright for 45 minutes.
  • B. Due to the weight of the cast, breastfeeding is not encouraged. I recommend that you bottle-feed.
  • C. Breastfeeding can continue without significant changes; ensure proper positioning to accommodate the cast.
  • D. none of the above.
Correct Answer: C

Rationale: Breastfeeding can continue even with a hip spica cast, but proper positioning is essential to ensure comfort for both the infant and the mother.

Which is an important nursing consideration in the care of the newborn with PKU?

  • A. Suggest ways to make formula more palatable.
  • B. Teach proper administration of phenylalanine hydroxylase.
  • C. Encourage the breastfeeding mother to adhere to a low-phenylalanine diet.
  • D. Give reassurance that dietary restrictions are a temporary inconvenience.
Correct Answer: C

Rationale: Encouraging the breastfeeding mother to adhere to a low-phenylalanine diet is an important nursing consideration in the care of the newborn with PKU. Phenylketonuria (PKU) is an inborn error of metabolism in which the body cannot metabolize phenylalanine properly. If a newborn with PKU consumes formula or breast milk that contains high levels of phenylalanine, it can lead to severe intellectual disability and other health complications. By encouraging the breastfeeding mother to follow a low-phenylalanine diet, the newborn's exposure to phenylalanine can be minimized, helping to prevent the negative effects of PKU.

The child begins to understand right and left by age of

  • A. 3 yr
  • B. 4 yr
  • C. 5 yr
  • D. 6 yr
Correct Answer: C

Rationale: Understanding right and left typically develops around age 5.

Copyright © 2025 Nokea. All rights reserved.