ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
A 4-year-old weighing 15 kg produces 150 mL of urine in 10 hours. What should the nurse do?
Correct Answer: C
Rationale: Expected urine output is 0.5-1 mL/kg/hr. For a 15-kg child over 10 hours, 75-150 mL is within normal limits.
Question 2 of 5
Which is a common childhood communicable disease that may cause severe defects in the fetus when it occurs in its congenital form?
Correct Answer: D
Rationale: Rubella is a common childhood communicable disease that can cause severe defects in the fetus when a pregnant woman contracts the infection, leading to congenital rubella syndrome. This syndrome can result in various abnormalities in the developing fetus, such as hearing loss, vision problems, heart defects, and intellectual disabilities. Rubella is particularly dangerous when contracted during the first trimester of pregnancy, leading to a higher risk of complications for the unborn child. Therefore, Rubella is a significant public health concern due to its potential impact on fetal development and the importance of vaccination to prevent its spread.
Question 3 of 5
A 72 y.o. man is admitted to a skilled care facility following a stroke. When the nursing assistant is bathing him, he makes a sexual remark and tries to touch her inappropriately. The assistant finishes the bath, then tells the LPN in charge, "I refuse to take care of that dirty old man!" Which response by the nurse is best?
Correct Answer: B
Rationale: The best response by the nurse is to address the situation with understanding and empathy. Referring to the patient as a "dirty old man" is disrespectful and unprofessional. The nurse should acknowledge that the patient's behavior may be a result of the stroke affecting his inhibitions and offer a solution to find a male assistant to help him, recognizing the nursing assistant's discomfort while still providing care for the patient. It is important to prioritize the well-being and comfort of both the patient and the staff while maintaining professionalism and dignity in the care provided.
Question 4 of 5
A nurse is teaching parents about prevention and treatment of colic. Which should the nurse include in the teaching plan?
Correct Answer: B
Rationale: Second-hand smoke exposure has been linked to an increased risk of colic in infants. Colic is a condition characterized by excessive, inconsolable crying in otherwise healthy infants. By eliminating all second-hand smoke contact, the nurse is helping to reduce potential triggers for colic and promoting a healthier environment for the infant. This is an important aspect of prevention and treatment that should be emphasized in the teaching plan for parents.
Question 5 of 5
The nurse should expect to assess which causative agent in a child with warts?
Correct Answer: D
Rationale: Warts are typically caused by a viral infection, specifically the human papillomavirus (HPV). This virus infects the top layer of the skin, causing the skin cells to grow rapidly, leading to the formation of a wart. Other causative agents such as bacteria, fungus, and parasites do not typically cause warts in children. Therefore, when assessing a child with warts, the nurse should expect the causative agent to be a virus, specifically HPV.