NCLEX-PN MATERNITY / PEDIATRIC NGN | FROM
QUESTION TO PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN) obtains
an axillary temperature of 97.2 F and places the newborn under a radiant heat warmer. Which
additional finding should the PN observe in the newborn? Answer: Tremors of the hands during
crying.
Which information should the practical nurse (PN) provide the parents about the purpose of
instilling erythromycin (llotycin) ophthalmic ointment in the newborn's eyes. Answer:
Prophylactic treatment for gonorrheal and chlamydia infection.
What is the most important action by the practical nurse (PN) in preventing neonatal infection?
Answer: Hand washing.
a client who took iron supplements during pregnancy delivers and infant by cesarean section.
On the second postpartum day, the client reports having a constipated stool that is greenish-
black in color. Which action should the practical nurse (PN) implement? Answer: Record color
and consistency of the stool.
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is positive.
She asks what she should be concerned about during the weeks before her first visit. Which
signs and symptoms should the practical nurse (PN) tell the client to report immediately to the
healthcare provider? (select all that apply) Answer: A. Vaginal bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now
weighs 6 pound and 15 ounces. Which action should the practical nurse take? Answer:
Document the weight loss
Which medication is prescribed for the prevention of ophthalmia neonatorum? Answer:
Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of labor. which action should the
practical nurse implement at this time? Answer: Assess the fetal heart rate (FHR) and pattern.
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client who has
just given birth to an 8-pound boy when dark red blood comes from the client's vagina. What
action is most important for the PN to implement? Answer: Continue to massage the fundus
until firm.
Which client should the practical nurse (PN) closely monitor for severe after pains? Answer: A
multigravida who is breastfeeding.
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-pound 3-
ounce newborn and determines the client's bladder is distended. Which additional finding should
the PN report to the charge nurse? Answer: Excessive bleeding on the perineal pad.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, The practical nurse (PN) places a newborn who is 4 hours old with an axillary temperature of
97.2 F under the radiant heat warmer. Which rationale supports the PN's action? Answer: The
newborn's thin layer of subcutaneous fat provides poor insulation.
Which strategy should the practical nurse (PN) implement to prevent a puerperal infection for a
client during the first postpartum week? Answer: Implement strict medical and aseptic
technique.
Which client is a candidate for the administration of human immune globulin (RhoGam) after
delivery? Answer: The Rh-negative mother who delivers a Rh-positive baby.
Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN)
explain to a client in the first trimester? (Select all that apply.) Answer: A. Displacement of the
colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes into the health
clinic for a prenatal appointment. The client's weight today is 129 pounds. What action should
the practical nurse (PN) implement? Answer: Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets with a client who is at risk for
preeclampsia. Which information is most important for the PN reinforce with the client?
Answer: Notify the clinic if any vision changes are experienced.
A primigravida at 33-weeks gestation is admitted after being involved in a motor vehicle
collision (MVC). The client has no complaints of abdominal pain and no evidence of vaginal
bleeding. Which action should the practical nurse (PN) anticipate implementing for the client?
Answer: Obtain a biophysical profile.
A primigravida client asks the practical nurse (PN). "How will i know that I will be going into
labor soon?" Which sign should the PN provide that is a common sign? Answer: Burst of
energy.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the practical
nurse (PN) she is having contractions every 5 minutes. The healthcare provider determines she
is dilated 3 cm and in early labor. What action should the practical nurse (PN) implement when
the client groans with each contraction? Answer: Demonstrate simple relaxation measures.
A primiparous client asks the practical nurse (PN) how much her newborn baby should sleep
every day. What information should the PN provide? Answer: A newborn sleeps most of the
day and gradually will have increasing periods of wakefulness.
The mother asks the practical nurse (PN) what her infant may need if the phenylketonuria(PKU)
test is positive. What type of treatment should the PN tell the mother will be required? Answer:
Lifelong dietary management.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
QUESTION TO PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 100.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,After repeating the vital signs for a newborn who is 4 hours old, the practical nurse (PN) obtains
an axillary temperature of 97.2 F and places the newborn under a radiant heat warmer. Which
additional finding should the PN observe in the newborn? Answer: Tremors of the hands during
crying.
Which information should the practical nurse (PN) provide the parents about the purpose of
instilling erythromycin (llotycin) ophthalmic ointment in the newborn's eyes. Answer:
Prophylactic treatment for gonorrheal and chlamydia infection.
What is the most important action by the practical nurse (PN) in preventing neonatal infection?
Answer: Hand washing.
a client who took iron supplements during pregnancy delivers and infant by cesarean section.
On the second postpartum day, the client reports having a constipated stool that is greenish-
black in color. Which action should the practical nurse (PN) implement? Answer: Record color
and consistency of the stool.
A client is 5 weeks pregnant call the clinic to report that her home pregnancy test is positive.
She asks what she should be concerned about during the weeks before her first visit. Which
signs and symptoms should the practical nurse (PN) tell the client to report immediately to the
healthcare provider? (select all that apply) Answer: A. Vaginal bleeding
D. Membrane rupture
E. Severe headaches
A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast feeding and now
weighs 6 pound and 15 ounces. Which action should the practical nurse take? Answer:
Document the weight loss
Which medication is prescribed for the prevention of ophthalmia neonatorum? Answer:
Erythromycin (iilotycin)
A multiparous client's membranes rupture after 8 hours of labor. which action should the
practical nurse implement at this time? Answer: Assess the fetal heart rate (FHR) and pattern.
The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client who has
just given birth to an 8-pound boy when dark red blood comes from the client's vagina. What
action is most important for the PN to implement? Answer: Continue to massage the fundus
until firm.
Which client should the practical nurse (PN) closely monitor for severe after pains? Answer: A
multigravida who is breastfeeding.
The practical nurse (PN) is assessing a client 2 hours after a vaginal delivery of a 7-pound 3-
ounce newborn and determines the client's bladder is distended. Which additional finding should
the PN report to the charge nurse? Answer: Excessive bleeding on the perineal pad.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, The practical nurse (PN) places a newborn who is 4 hours old with an axillary temperature of
97.2 F under the radiant heat warmer. Which rationale supports the PN's action? Answer: The
newborn's thin layer of subcutaneous fat provides poor insulation.
Which strategy should the practical nurse (PN) implement to prevent a puerperal infection for a
client during the first postpartum week? Answer: Implement strict medical and aseptic
technique.
Which client is a candidate for the administration of human immune globulin (RhoGam) after
delivery? Answer: The Rh-negative mother who delivers a Rh-positive baby.
Which physiological cause(s) for constipation during pregnancy should the practical nurse (PN)
explain to a client in the first trimester? (Select all that apply.) Answer: A. Displacement of the
colon.
E. Decrease in peristalsis.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes into the health
clinic for a prenatal appointment. The client's weight today is 129 pounds. What action should
the practical nurse (PN) implement? Answer: Document the finding in the medical record.
The practical nurse (PN) is reviewing the informational packets with a client who is at risk for
preeclampsia. Which information is most important for the PN reinforce with the client?
Answer: Notify the clinic if any vision changes are experienced.
A primigravida at 33-weeks gestation is admitted after being involved in a motor vehicle
collision (MVC). The client has no complaints of abdominal pain and no evidence of vaginal
bleeding. Which action should the practical nurse (PN) anticipate implementing for the client?
Answer: Obtain a biophysical profile.
A primigravida client asks the practical nurse (PN). "How will i know that I will be going into
labor soon?" Which sign should the PN provide that is a common sign? Answer: Burst of
energy.
A primigravida client who is at 39-weeks gestation arrives at the clinic and tells the practical
nurse (PN) she is having contractions every 5 minutes. The healthcare provider determines she
is dilated 3 cm and in early labor. What action should the practical nurse (PN) implement when
the client groans with each contraction? Answer: Demonstrate simple relaxation measures.
A primiparous client asks the practical nurse (PN) how much her newborn baby should sleep
every day. What information should the PN provide? Answer: A newborn sleeps most of the
day and gradually will have increasing periods of wakefulness.
The mother asks the practical nurse (PN) what her infant may need if the phenylketonuria(PKU)
test is positive. What type of treatment should the PN tell the mother will be required? Answer:
Lifelong dietary management.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
