PN 131 Comprehensive Final NCLEX Questions and Answers 2024/2025
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Course
PN 131
Institution
PN 131
Which of the following is the most appropriate location for assessing the pulse of an infant
who is less than 1 year old?
1. Radial
2. Carotid
3. Brachial
4. Popliteal
3. Brachial
Rationale: To assess a pulse in an infant (i.e., a child <1 year old), the pulse is checked at the
br...
PN 131 Comprehensive Final NCLEX
Questions and Answers 2024/2025
Which of the following is the most appropriate location for assessing the pulse of an infant
who is less than 1 year old?
1. Radial
2. Carotid
3. Brachial
4. Popliteal
3. Brachial
Rationale: To assess a pulse in an infant (i.e., a child <1 year old), the pulse is checked at the
brachial artery. The infant's relatively short, fat neck makes palpation of the carotid artery
difficult. The popliteal and radial pulses are also difficult to palpate in an infant.
A nurse is collecting data about a child who has been admitted to the hospital with a diagnosis
of seizures. The nurse checks for causes of the seizure activity by:
1. Testing the child's urine for specific gravity
2. Asking the child what happens during a seizure
3. Obtaining a family history of psychiatric illness
4. Obtaining a history regarding factors that may occur before the seizure activity
RATIONALE: TOF involves four defects: pulmonary stenosis, right ventricular hypertrophy,
ventricular-septal defect (VSD), and dextroposition of the aorta with overriding of the VSD.
Pulmonary stenosis decreases pulmonary blood flow and right-to-left shunting via the VSD,
causing desaturated blood to circulate. The nurse should place the child in the knee-to-chest
position because this position reduces venous return from the legs and increases systemic
vascular resistance, maximizing pulmonary blood flow and improving oxygenation status.
Fowler's, Trendelenburg's, and the prone positions don't improve oxygenation.
A mother is discontinuing breast-feeding after 5 months. What should the nurse advise the
mother to include in her infant's diet?
1. Iron-rich formula and baby food
2. Whole milk and baby food
3. Skim milk and baby food
4. Iron-rich formula alone
4. Iron-rich formula alone
RATIONALE: The American Academy of Pediatrics recommends iron-rich formula for 5-month-
old infants and cautions against giving infants solid food — even baby food — until age 6
months. The Academy doesn't recommend whole milk before age 12 months or skim milk
before age 2 years.
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