Maternity Nclex Predictor Final Exam 5 Real
Exam Complete Verified Questions And
Correct Detailed Answers (Verified Rationales)
|Already Graded A+
The nurse is caring for a 4-year-old with a suspected urinary tract
infection. What would be most appropriate when obtaining a urine
specimen from the child?
A) "I will need a urine sample."
B) "Let your mom help you tinkle in this cup."
C) "Please tinkle in this cup right now."
D) "Please void in this cup instead of the toilet." - Correct AnswerAns: B
Feedback:
The nurse needs to use familiar terms to explain to the child what is
needed and to gain cooperation. The most positive approach would be
to let the child's mother help rather than demanding that he tinkle right
now. Using the terms "urine sample" or "void" is not appropriate for a
4-year-old.
The nurse is providing postsurgical care for an infant who has
undergone a hypospadias repair. Which action by the nurse would be
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,most important to help keep the area clean while maintaining proper
position of the drainage tubing?
A) Keeping the drainage tube taped in an upright position
B) Administering antibiotics as ordered
C) Administering analgesics as prescribed
D) Using a double-diapering technique - Correct AnswerAns: D
Feedback:
Double diapering is a method used to protect a child's urethra and stent
or catheter after surgery and additionally helps to keep the area clean
and free from infection. Keeping the drainage tube taped in an upright
position, administering antibiotics, and administering analgesics are
also important, but double diapering keeps the area clean and helps
prevent infection.
The nurse is caring for an infant with bladder exstrophy. As part of the
infant's preoperative plan of care, the nurse monitors for abdominal
skin excoriation. Which action would be most appropriate for
promoting healing and preventing further skin breakdown?
A) Cleaning the area well with a scented diaper wipe
B) Applying a barrier/healing cream or paste on skin
C) Keeping the bladder moist and covered with a sterile bag
D) Covering the area with sterile gauze pads after tub baths - Correct
AnswerAns: B
Feedback:
The nurse should use a barrier/healing cream or paste on surrounding
skin to promote healing and prevent further skin breakdown. Diaper
wipes that contain fragrance or alcohol can sting if used on nonintact
skin and can worsen skin breakdown. It is important to protect the
bladder, but this will not address the skin excoriation. Meticulous
attention to cleanliness is important, but the nurse should sponge-
Page 2 of 133
,bathe the infant rather than immerse him in water to prevent
pathogens from the water possibly entering the bladder.
The nurse is caring for a 4-year-old girl with vulvovaginitis. After
explaining to the girl's mother how to help prevent subsequent
episodes, which statement by the mother indicates a need for
additional teaching?
A) "She needs to wipe from front to back."
B) "I will make sure she changes her underwear every day."
C) "She should probably avoid bubble baths."
D) "I will help supervise her wiping after bowel movements." - Correct
AnswerAns: A
Feedback:
At the age of 4, the mother should not assume that the girl will wipe
properly. The mother will need to supervise her wiping in order to train
her properly. Making sure the child changes her underwear daily,
avoiding bubble baths, and supervising her wiping after bowel
movements indicate that the mother has understood the instructions.
A nurse is caring for a 7-year-old girl scheduled for an intravenous
pyelogram (IVP). Which action would be the priority before the test?
A) Checking with the parents for any allergies
B) Ensuring adequate hydration
C) Giving the girl an enema
D) Screening her for pregnancy - Correct AnswerAns: A
Feedback:
It is important to double-check whether the girl has any allergies. The
test is contraindicated in children allergic to shellfish or iodine.
Adequate hydration is also important, but the check for allergies is a
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, priority. Only females of reproductive age must be screened for
pregnancy. An enema is not necessary at all institutions.
A 6-year-old child has undergone a renal transplant and is receiving
cyclosporine. The nurse instructs the parents to be especially alert for
which complication?
A) Weight loss
B) Hypotension
C) Signs of infection
D) Hair loss - Correct AnswerAns: C
Feedback:
The parents should be especially alert for signs of infection as
cyclosporine is an immunosuppressant drug. Weight gain instead of
weight loss, hypertension instead of hypotension, and increased facial
hair instead of hair loss are some other potential side effects.
The nurse is taking a health history of a child with suspected acute
poststreptococcal glomerulonephritis. Which response would alert the
nurse to a confirmed risk factor for this condition?
A) "She has been very healthy up to now."
B) "He just got over a head cold with laryngitis."
C) "My child is just 18 months old."
D) "My child has not been sick at all." - Correct AnswerAns: B
Feedback:
Known risk factors include a recent episode of pharyngitis or other
streptococcal infection, age older than 2 years, and male sex.
The nurse is caring for a 12-year-old girl with nephrotic syndrome. The
girl confides that she feels like a "freak" compared to her peers because
Page 4 of 133
Exam Complete Verified Questions And
Correct Detailed Answers (Verified Rationales)
|Already Graded A+
The nurse is caring for a 4-year-old with a suspected urinary tract
infection. What would be most appropriate when obtaining a urine
specimen from the child?
A) "I will need a urine sample."
B) "Let your mom help you tinkle in this cup."
C) "Please tinkle in this cup right now."
D) "Please void in this cup instead of the toilet." - Correct AnswerAns: B
Feedback:
The nurse needs to use familiar terms to explain to the child what is
needed and to gain cooperation. The most positive approach would be
to let the child's mother help rather than demanding that he tinkle right
now. Using the terms "urine sample" or "void" is not appropriate for a
4-year-old.
The nurse is providing postsurgical care for an infant who has
undergone a hypospadias repair. Which action by the nurse would be
Page 1 of 133
,most important to help keep the area clean while maintaining proper
position of the drainage tubing?
A) Keeping the drainage tube taped in an upright position
B) Administering antibiotics as ordered
C) Administering analgesics as prescribed
D) Using a double-diapering technique - Correct AnswerAns: D
Feedback:
Double diapering is a method used to protect a child's urethra and stent
or catheter after surgery and additionally helps to keep the area clean
and free from infection. Keeping the drainage tube taped in an upright
position, administering antibiotics, and administering analgesics are
also important, but double diapering keeps the area clean and helps
prevent infection.
The nurse is caring for an infant with bladder exstrophy. As part of the
infant's preoperative plan of care, the nurse monitors for abdominal
skin excoriation. Which action would be most appropriate for
promoting healing and preventing further skin breakdown?
A) Cleaning the area well with a scented diaper wipe
B) Applying a barrier/healing cream or paste on skin
C) Keeping the bladder moist and covered with a sterile bag
D) Covering the area with sterile gauze pads after tub baths - Correct
AnswerAns: B
Feedback:
The nurse should use a barrier/healing cream or paste on surrounding
skin to promote healing and prevent further skin breakdown. Diaper
wipes that contain fragrance or alcohol can sting if used on nonintact
skin and can worsen skin breakdown. It is important to protect the
bladder, but this will not address the skin excoriation. Meticulous
attention to cleanliness is important, but the nurse should sponge-
Page 2 of 133
,bathe the infant rather than immerse him in water to prevent
pathogens from the water possibly entering the bladder.
The nurse is caring for a 4-year-old girl with vulvovaginitis. After
explaining to the girl's mother how to help prevent subsequent
episodes, which statement by the mother indicates a need for
additional teaching?
A) "She needs to wipe from front to back."
B) "I will make sure she changes her underwear every day."
C) "She should probably avoid bubble baths."
D) "I will help supervise her wiping after bowel movements." - Correct
AnswerAns: A
Feedback:
At the age of 4, the mother should not assume that the girl will wipe
properly. The mother will need to supervise her wiping in order to train
her properly. Making sure the child changes her underwear daily,
avoiding bubble baths, and supervising her wiping after bowel
movements indicate that the mother has understood the instructions.
A nurse is caring for a 7-year-old girl scheduled for an intravenous
pyelogram (IVP). Which action would be the priority before the test?
A) Checking with the parents for any allergies
B) Ensuring adequate hydration
C) Giving the girl an enema
D) Screening her for pregnancy - Correct AnswerAns: A
Feedback:
It is important to double-check whether the girl has any allergies. The
test is contraindicated in children allergic to shellfish or iodine.
Adequate hydration is also important, but the check for allergies is a
Page 3 of 133
, priority. Only females of reproductive age must be screened for
pregnancy. An enema is not necessary at all institutions.
A 6-year-old child has undergone a renal transplant and is receiving
cyclosporine. The nurse instructs the parents to be especially alert for
which complication?
A) Weight loss
B) Hypotension
C) Signs of infection
D) Hair loss - Correct AnswerAns: C
Feedback:
The parents should be especially alert for signs of infection as
cyclosporine is an immunosuppressant drug. Weight gain instead of
weight loss, hypertension instead of hypotension, and increased facial
hair instead of hair loss are some other potential side effects.
The nurse is taking a health history of a child with suspected acute
poststreptococcal glomerulonephritis. Which response would alert the
nurse to a confirmed risk factor for this condition?
A) "She has been very healthy up to now."
B) "He just got over a head cold with laryngitis."
C) "My child is just 18 months old."
D) "My child has not been sick at all." - Correct AnswerAns: B
Feedback:
Known risk factors include a recent episode of pharyngitis or other
streptococcal infection, age older than 2 years, and male sex.
The nurse is caring for a 12-year-old girl with nephrotic syndrome. The
girl confides that she feels like a "freak" compared to her peers because
Page 4 of 133
