NCLEX PN Questions of The Day 49th Edition

NCLEX PN Questions of The Day 49th Edition

1. A 1-year-old child is diagnosed with intussusception. The mother of the child asks the nurse to describe the disorder. The nurse tells the mother that this disorder is:

A. An acute bowel obstruction
B. A condition in which a proximal segment of the bowel prolapses into a distal segment of the bowel
C. A condition in which a distal segment of the bowel prolapses into a proximal segment of the bowel
D. A condition that causes an acute inflammatory process in the bowel

Answer: B. A condition in which a proximal segment of the bowel prolapses into a distal segment of the bowel

Rationale: Intussusception occurs when a proximal segment of the bowel prolapses into a distal segment of the bowel. It is a common cause of acute bowel obstruction in infants and young children. It is not an inflammatory process.

Test-Taking Strategy: Use the process of elimination. Recalling that this condition is a telescoping of the bowel will assist in eliminating options 1 and D. From the remaining options, use the principles of gravity to assist in directing you to the correct option. Review this disorder if you had difficulty with this question.

Level of Cognitive Ability: Comprehension
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Child Health
Reference: Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, p. 662.

2. A 3-year-old child is seen in the health care clinic, and a diagnosis of encopresis is made. The nurse reviews the record expecting to note which of the following that is a sign of this disorder?

A. Nausea and vomiting
B. Diarrhea
C. Evidence of soiled clothing
D. Malaise anorexia

Answer: C. Evidence of soiled clothing

Rationale: Encopresis is defined as fecal incontinence and is a major concern if the child is constipated. Signs include evidence of soiled clothing, scratching or rubbing the anal area because of irritation, fecal odor without apparent awareness by the child, and social withdrawal.

Test-Taking Strategy: Focus on the diagnosis. Recalling that encopresis is fecal incontinence will direct you to the correct option. Review this disorder if you had difficulty with this question.

Level of Cognitive Ability: Comprehension

Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Child Health
Reference: Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, p. 684.

3. A nursing student is preparing to conduct a clinical conference, and the topic is hepatitis in children. The nursing instructor advises the student to further research the topic if the student plans to include which of the following in the discussion?

A. Vaccines are available to prevent hepatitis A virus (HAV) and hepatitis B virus (HBV)
B. Cases of hepatitis should be promptly reported to health care officials
C. Enteric precautions are necessary for HBV but not for HAV
D. The child’s stools will be pale and clay-colored

Answer: C. Enteric precautions are necessary for HBV but not for HAV

Rationale: Prevention of the spread of infection is an essential intervention for HAV and HBV. This should include enteric precautions for at least 1 week after the onset of jaundice and strict hand washing. Options 1, 2, and 4 are accurate regarding hepatitis.

Test-Taking Strategy: Note the key words advises the student to further research in the stem of the question. Knowledge regarding the routes of transmission for HAV and HBV and noting the word “not” in option 3 will direct you to this option. Review these infectious diseases if you had difficulty with this question.

Level of Cognitive Ability: Comprehension
Client Needs: Safe, Effective Care Environment
Integrated Process: Teaching/Learning
Content Area: Child Health
Reference: Price, D., & Gwin, J. (2005). Thompson’s pediatric nursing (9th ed.). Philadelphia: W.B. Saunders, p. 253.

4. A nurse is checking the status of jaundice in a child with hepatitis. The nurse checks which of the following that will provide the best data regarding the presence of jaundice?

A. Nail beds
B. Skin in the abdominal area
C. Skin in the sacral area
D. Membranes in the ear canal

Answer: A. Nail beds

Rationale: Jaundice, if present, is best checked in the sclera, nail beds, and mucous membranes. Generalized jaundice will appear in the skin throughout the body. Option 4 is not an appropriate assessment area for the presence of jaundice.

Test-Taking Strategy: Note the key word best. Options 2 and 3 can be eliminated first because jaundice present in the skin is generalized. From the remaining options, recalling that skin discoloration can best be assessed in the nail beds will direct you to option A. Review findings related to jaundice if you had difficulty with this question.

Level of Cognitive Ability: Application
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Child Health
Reference: Leifer, G. (2003). Introduction to maternity & pediatric nursing (4th ed.). Philadelphia: W.B. Saunders, p. 341.

Source : NCLEX example quiz and answer

Read also:

• NCLEX Practice Questions Free 48th Edition
• NCLEX Exercise of the Day 47th Edition 2019 / 2020 / 2021
• Example NCLEX RN Question with Answer and Rationale 46th Edition

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