Pediatric NCLEX Questions

Pediatric NCLEX Questions Related

Review Pediatric NCLEX Questions related questions and content

Which is defined as a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery?

  • A. Caput succedaneum
  • B. Hydrocephalus
  • C. Cephalhematoma
  • D. Subdural hematoma
Correct Answer: A

Rationale: Caput succedaneum is the vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery. It is often caused by pressure from the vaginal wall during labor. This condition does not involve the calvarial bone and typically resolves on its own within a few days after birth. Hydrocephalus refers to the abnormal accumulation of cerebrospinal fluid within the brain, which can result in an enlarged head circumference. Cephalhematoma is a collection of blood between the periosteum and the skull bone, usually occurring after birth trauma. Subdural hematoma is bleeding between the dura mater and the arachnoid mater surrounding the brain and is typically seen in traumatic head injuries.

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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.

The serum alpha-fetoprotein (AFP) level is elevated with some malignant germ cell tumors (GCTs) especially endodermal sinus tumors; it can be used as a measure of treatment response and during follow-up after completion of chemotherapy. However, it is normally elevated during infancy. At which age does AFP physiologically fall to normal adult level?

  • A. three month
  • B. eight month
  • C. one year
  • D. three year
Correct Answer: C

Rationale: AFP levels typically normalize by around one year of age.

The best way to tell whether or not a patient is breathing, is for the nurse to watch the movement of the:

  • A. Extremities
  • B. Head
  • C. Eyeball
  • D. Chest and nostrils A1 PASSERS TRAINING, RESEARCH, REVIEW & DEVELOPMENT COMPANY MEDICAL SURGICAL NURSING SET L
Correct Answer: D

Rationale: The best way to assess whether a patient is breathing is to observe the movement of the chest and nostrils. Chest movement indicates inhalation and exhalation, while the nostrils may flare during breathing. Observing these two areas provides a more direct and accurate assessment of breathing compared to extremities, head, or eyeball movements. By focusing on the chest and nostrils, a nurse can quickly and effectively determine if a patient is breathing adequately.

Nursing intervention during the lumbar puncture procedure includes:

  • A. Monitoring Mrs. GC's color, pulse and respiration
  • B. Labeling all laboratory specimens in numerical order
  • C. Positioning Mrs. GC on her side with knees drawn up to her chest
  • D. All of the above
Correct Answer: C

Rationale: During a lumbar puncture procedure, it is important to position the patient correctly to facilitate the procedure and minimize the risk of complications. Placing the patient on their side with their knees drawn up to their chest helps open up the spaces in the lower spine, making it easier for the healthcare provider to access the appropriate area for the procedure. This position also helps to minimize the risk of post-procedure complications such as spinal headaches. Monitoring the patient's vital signs is important but does not specifically relate to the nursing intervention during the lumbar puncture procedure. Labeling laboratory specimens in numerical order is also a routine task but not directly related to the procedure itself. Thus, the correct intervention during the lumbar puncture procedure is positioning the patient on their side with knees drawn up to the chest.

A 6 months old boy presents with respiratory distress and feeding difficulty. On examination heart rate is 130/min and there is a pansystolic murmur at left lower sternal border. What is the most likely diagnosis?

  • A. Mitral regurgitation
  • B. Mitral valve prolapse
  • C. Ventricular septal defect
  • D. Coarctation of aorta
Correct Answer: C

Rationale: Ventricular septal defect (VSD) commonly presents with a pansystolic murmur and symptoms of congestive heart failure in infancy.

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