ATI RN
Pediatric NCLEX Practice Quiz Questions
Question 1 of 5
A 5-year-old underwent a tonsillectomy and an adenoidectomy under general anesthesia. The parents tell you that the anesthesiologist said that she “fought the mask and cried a lot†on induction. You are the pediatrician for this child, and 8 days after surgery, the parents call to report that the child, who previously slept well at night, now awakens nightly screaming with bad dreams. She is more irritable and cranky than before surgery and has angry outbursts. She is more “clingy†and wants her parents to cuddle her frequently. She reports that in her dreams, she can’t move, there is a tube in her throat, and she feels the surgeon cutting her throat. A review of her anesthetic record suggests an uneventful intraoperative course, with stable vital signs. All of the following statements about this situation are true EXCEPT
Correct Answer: A
Rationale: The described reaction, while distressing, is not necessarily indicative of severe psychiatric illness but rather a response to traumatic anesthesia induction.
Question 2 of 5
A school nurse called you to see a 6-year-old boy with school refusal. He is always crying after parental leaving, refuses to stay in the classroom, and the school nurse tried her best during the last 4 weeks. Of the following, the BEST action is to
Correct Answer: A
Rationale: Referring the child to a pediatric psychologist allows for a comprehensive evaluation and tailored intervention.
Question 3 of 5
During treatment of metabolic acidosis, what is the expected change in serum potassium level?
Correct Answer: A
Rationale: During acidosis, potassium shifts out of cells, increasing serum levels. Correction reverses this shift, leading to a drop in serum potassium, which may cause hypokalemia.
Question 4 of 5
One of the following is an early sign of shock:
Correct Answer: B
Rationale: Irritability is an early sign of shock due to hypoperfusion before hypotension or organ failure develops.
Question 5 of 5
Pleural friction rub is characterized by all the following EXCEPT:
Correct Answer: A
Rationale: Pleural friction rub is usually heard in both inspiratory and expiratory phases. Its presence suggests pleural inflammation, but excessive pleural fluid may mask it.