ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
A 9mo-old infant develops a left adrenal mass; histological examination with genetic characteristics confirms neuroblastoma. Which of the following carries a better outcome?
Correct Answer: B
Rationale: Hyperdiploidy is associated with a better prognosis in neuroblastoma.
Question 2 of 5
The nurse is caring for a client who is HIV positive. To prevent the spread of the HIV virus, what do the Centers for Disease Control and Prevention recommend?
Correct Answer: A
Rationale: The Centers for Disease Control and Prevention (CDC) recommend universal blood and body fluid precautions for preventing the spread of the HIV virus. These precautions are designed to protect healthcare workers and patients from exposure to bloodborne pathogens. Universal precautions involve treating all blood and body fluids from all individuals as potentially infectious. This includes using personal protective equipment (such as gloves, gowns, and masks), proper handling and disposal of needles and other sharps, and following appropriate infection control practices. By implementing universal precautions, healthcare providers can minimize the risk of transmission of HIV and other bloodborne pathogens.
Question 3 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 4 of 5
You are evaluating a 6-year-old child with ALL on interim maintenance phase who has frequent mucositis and myelosuppression that needs frequent discontinuation of his treatment. Of the following, the MOST valuable test for this child is
Correct Answer: B
Rationale: TPMT gene testing helps determine the child's ability to metabolize thiopurine drugs, which may explain the adverse effects.
Question 5 of 5
While examining a 2-year-old child, the nurse in charge sees that the anterior fontanel is open. The nurse should:
Correct Answer: C
Rationale: In infants and young children, it is normal for the anterior fontanel to remain open up to about 18-24 months of age. The fontanel serves an important function in allowing the skull to grow and expand as the brain grows rapidly during infancy. Therefore, the presence of an open fontanel in a 2-year-old child is a normal finding and does not warrant any immediate concern or action. It does not indicate abuse, the need to notify the doctor, or inquire about a family history of Tay-Sachs disease.