All NCLEX Resources
Example Questions
Example Question #901 : Nclex
The nurse is caring for a one year old male client who has been brought to the emergency room because his parents state that he has been "more fussy than usual." He has currant-jelly stools and is vomiting. What may the nurse suspect?
Encopresis
Intussusception
Inguinal hernia
Umbilical hernia
Pyloric stenosis
Intussusception
Intussusception occurs when a portion of the bowel is pushed into another portion. It most commonly affects children under the age of two. Red currant jelly stools (stool mixed with blood and mucus) vomiting, and pain are common symptoms. Red currant jelly stools are a hallmark of intussusception. Pyloric stenosis generally causes reflux post feeding and encopresis affects children who have already been toilet trained. Hernias are rare in young patients. Encopresis refers to involuntary fecal soiling in children who are already toilet-trained, and does not involve abnormal stool, such as currant-jelly characterization.
Example Question #21 : Identifying Pediatric Conditions
Which of the following is a typical clinical sign of aortic insufficiency in a pediatric patient?
Exercise intolerance
Mania
Excessive sweating
Frequent epigastric pain
Exercise intolerance
Exercise intolerance is a typical clinical finding in pediatric patients with aortic stenosis. This condition may present with any of the other symptoms but mania, excessive sweating, and epigastric pain are not directly associated with aortic insufficiency in this population.
Example Question #902 : Nclex
Parvovirus B-19 causes which of the following conditions?
Rubeola
Fifth's disease
Scarlet fever
Roseola infantum
Fifth's disease
Parvovirus B-19 causes fifth's disease, sometimes referred to as "slapped cheek syndrome," due to the bright-red cheeks that often present with the infection. Scarlet fever is caused by group A streptococcus infection. Roseola infantum is caused by either human herpesvirus 6 or human herpesvirus 7. Rubeola, or measles, is caused by the measles virus.
Example Question #99 : Conditions And Treatments
What is the incubation period for varicella (chickenpox)?
48-72 hours
10-21 days
2-7 days
14-28 days
10-21 days
Varicella, caused by an infection with the varicella zoster virus, has an incubation period of 10-21 days.
Example Question #23 : Identifying Pediatric Conditions
Which of the following infections is the most common cause of hand, foot, and mouth disease?
Coxsackievirus A16
Enterovirus 71
Human herpesvirus 6
Parvovirus b19
Coxsackievirus A16
The most common cause of hand, foot, and mouth disease in the United States is coxsackievirus A16. Enterovirus 71 can also cause hand, foot, and mouth disease, though it is a less common etiology. Parvovirus b19 causes Fifth disease, sometimes referred to as "slapped cheek syndrome." Human herpesvirus 6 is one of two viruses that cause roseola infantum.
Example Question #903 : Nclex
While doing a standard ophthalmoscopic exam on a seven year old female, the examiner notices that while the light reflex of the left eye is red, the light reflex of the right eye appears bright yellow. The right pupil is also less reactive to light, and the right eye appears to be slightly bulging. The examiner should be suspicious of which of the following conditions?
Hordeolum
Pinguecula
Cataract
Retinoblastoma
Retinoblastoma
Retinoblastoma is the most common form of ocular cancer in children. It is derived from developing retinal cells. The most common symptoms are a white or yellow light reflex (also known as leukocoria), diminished pupillary reflex, crossing of the eyes, impaired vision, and bulging of the affected eye. A cataract may also cause the pupil to appear white or to produce a white or yellow light reflex, but it will not cause bulging of the eye.
A pinguecula is a fatty deposit on the sclera which will not alter the red-light reflex, and a hordeolum is outside the eye itself: it is an infection of a hair follicle of the eyelid, also known as a stye.
Example Question #102 : Conditions And Treatments
A labor and delivery nurse is speaking to a new mother about her premature infant, and is explaining why the infant will have difficulty with heat regulation.
Which of the following statements made by the nurse best explains why a perterm infant cannot conserve heat properly?
"The preterm infant lacks white fat, which provides the infant with a heat source due to underdeveloped musculature and the inability to utilize the process of shivering to produce heat."
"The preterm infant has a lack of subcutaneous fat, and a large surface area to body weight ratio, as well as a lack of brown fat that provides heat to infants due to its unique thermogenic properties."
"The preterm infant cannot generate heat effectively because of a lack of surfactant in the skin and therefore cannot generate or preserve a proper body temperature."
"The preterm infant has an immature hypothalamus, which cannot set the infant's internal temperature properly leading to large amounts of heat being lost via convection."
"The preterm infant has too little protein reserves around the kidneys, the neck, between the scapulae, and behind the sternum, and therefore cannot generate heat and can lead to hypothermia."
"The preterm infant has a lack of subcutaneous fat, and a large surface area to body weight ratio, as well as a lack of brown fat that provides heat to infants due to its unique thermogenic properties."
A preterm infant cannot conserve heat due to several reasons. The infant has a lack of subcutaneous fat, has a large surface area relative to their body weight, a lack of glucose reserves, and a lack of brown fat - which is a unique type of fat that is capable of generating a greater amount of heat than just ordinary fat.
Example Question #904 : Nclex
What specific enzyme deficiency accounts for 95% of all cases of congenital adrenal hyperplasia?
7-alpha-hydroxylase deficiency
Estrogen synthetase deficiency
21-hydroxylase deficiency
Beta-glucuronidase deficiency
21-hydroxylase deficiency
In 21-hydroxylase deficiency, cortisol production is reduced, which in turn causes adrenocorticotropic hormone (ACTH) to increase. The precursors for the cortisol are then shunted into androgen production since these are steroids, and are thus derived from cholesterol.
Example Question #1 : Causes And Treatments Of Pediatric Conditions
The community health nurse knows that teaching has been effective when the father of a newborn states __________.
"I will place bumper pads in the crib to prevent injury."
"I will place my child on his/her back to sleep."
"My child will sleep in the bed with me until the first month of life."
"I will place my child on his/her back and in a crib with stuffed animals to create familiarity."
"I will place my child on his/her side to sleep, supported by pillows."
"I will place my child on his/her back to sleep."
Newborns should be placed on their back, in their crib, with nothing else when put to sleep. The crib may contain a fitted sheet or a light blanket. Crib pads, pillows, and stuffed animals are not advised because they may interfere with the child's ability to breathe.
Example Question #3 : Causes And Treatments Of Pediatric Conditions
The postpartum nurse is caring for a family and their new baby, a two day old infant. The baby is "spitting up" following every formula feeding. The nurse may suggest __________.
laying the baby on it's back after feedings
giving only 15-30 milliliters per feeding
using a "soft" instead of a "standard" bottle nipple
switching brands of formula
increasing the frequency of feedings
giving only 15-30 milliliters per feeding
Typically, the digestive system of a 2-day-old infant can only accommodate 15-30 milliliters of formula comfortably. The infant's stomach will grow considerably over the coming weeks. Frequent spitting up could be due to overfeeding. Before switching formula brands, try decreasing the amount fed at each feeding. Increasing the frequency of feedings may add to this problem. Another possibility, that the infant is feeding too fast, may be corrected by using a "slow-flow" instead of a "soft" or "standard" nipple. "Soft" nipples may be helpful in infants with poor suck or latch. While feeding and directly afterwards, it is advised to keep the infant in a semi-upright position.