PN, Updated 2021, Complete Questions & Answers
with rationale
Question 1
A mother brings her the clinic, complaining that the child seems to be The nurse expects to find which of
the following on the initial history and physical assessment?
A) Increased temperature and lethargy
B) Rash and restlessness
C) Increased sleeping and listlessness
D) Diarrhea and poor skin turgor
Review Information: The correct answer is:B) Rash and restlessness.
Question 2
As the nurse takes a history of a 3 year-old with neuroblastoma, what comments by the parents
require follow-up and are consistent with the diagnosis?
NCSBN TEST BANK - for the NCLEX-RN & NCLEX-
PN, Updated 2021, Complete Questions & Answers
with rationale
, NCSBN TEST BANK - for the NCLEX-RN & NCLEX-
PN, Updated 2021, Complete Questions & Answers
with rationale
A) "The child has been listless and has lost weight."
B) "Her urine is dark yellow and small in amounts."
C) "Clothes are becoming tighter across her abdomen."
D+) "We notice muscle weakness and some unsteadiness"
Review Information: The correct answer is:C) "Clothes are becoming tighter across her abdomen.".
One of the most common signs of neuroblastoma is increasing abdominal girth. The parents'' report that
clothing is tight is significant, and should be followed by additional assessments.
Question 3
A 16 year-old presents to the emergency department. The triage nurse finds that this teenager is legally
married and signed the consent form for treatment. What would be the appropriate INITIAL action by the
nurse?
A) Refuse to see the client until a parent or legal guardian can be contacted
B) Withhold treatment until telephone consent can be obtained from the spouse
C) Refer the client to a community pediatric hospital emergency room
D) Assess and treat in the same manner as any adult client
NCSBN TEST BANK - for the NCLEX-RN & NCLEX-
PN, Updated 2021, Complete Questions & Answers
with rationale