ATI RN
Pediatric Nclex Practice Questions Questions
Question 1 of 5
A caregiver is teaching a parent of a child with a new prescription for ferrous sulfate tablets. Which of the following instructions should the caregiver include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Brush the child's teeth after administration. When teaching a parent about administering ferrous sulfate tablets to their child, it is essential to emphasize the importance of brushing the child's teeth after giving the medication. Ferrous sulfate can cause teeth staining, so brushing immediately after administration helps prevent this side effect. Option A: Giving the medication with milk is not recommended as it can decrease the absorption of iron from the ferrous sulfate tablets due to the calcium in milk binding to the iron. Option B: Taking the medication on an empty stomach is a common instruction for some medications to enhance absorption, but in the case of ferrous sulfate, it is better tolerated with food to reduce the risk of gastrointestinal upset. Option C: Avoiding giving the medication with orange juice is important because vitamin C in orange juice can enhance iron absorption, potentially increasing the risk of iron toxicity if not monitored closely. In a pediatric nursing context, educating parents about medication administration is crucial for ensuring proper treatment and minimizing side effects. Emphasizing specific instructions like brushing after giving ferrous sulfate tablets helps parents feel confident in caring for their child's health.
Question 2 of 5
A nurse is teaching a parent of a child who has type 1 diabetes mellitus. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C) "I will rotate injection sites each time I give my child insulin." This statement indicates an understanding of the teaching because rotating injection sites helps prevent lipodystrophy, a condition where fatty tissue under the skin becomes lumpy or hollow due to repeated injections in the same area. By rotating sites, insulin absorption remains consistent, leading to better glucose control. Option A is incorrect because while notifying the school is important, it does not specifically address diabetes management at home. Option B is incorrect as giving a carbohydrate snack for low blood glucose is a good practice, but it doesn't demonstrate an understanding of insulin administration. Option D is incorrect as the flu vaccine is essential for children with diabetes, but it doesn't directly relate to insulin administration. In a pediatric nursing context, teaching parents about insulin administration is crucial for managing type 1 diabetes in children. Understanding proper injection techniques and site rotation can prevent complications and ensure effective treatment. Parents play a vital role in their child's diabetes care, and empowering them with correct information is key to successful management.
Question 3 of 5
A nurse is teaching a parent of a child who has asthma. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: In pediatric nursing, educating parents of children with asthma is crucial for managing the condition effectively. The correct answer is A) Use a peak flow meter daily. This instruction is important because it helps the parent monitor the child's lung function and asthma symptoms at home, enabling timely intervention and better control of the condition. Option B) Administer the medication with meals is incorrect because the timing of medication administration is specific to each medication and should be determined by the healthcare provider. It is not a universal rule for all asthma medications. Option C) Provide a low-carbohydrate diet is also incorrect as there is no direct link between asthma management and carbohydrate intake. A balanced diet is important for overall health but does not specifically impact asthma symptoms. Option D) Limit exposure to cold air is a good general advice to prevent asthma exacerbations triggered by cold air, but it is not as essential as daily peak flow meter use for monitoring asthma control. Educationally, teaching parents about the daily use of a peak flow meter empowers them to actively participate in their child's asthma management, leading to better outcomes and decreased emergency room visits. It enhances their understanding of the condition and promotes proactive monitoring, which is key in pediatric asthma care.
Question 4 of 5
A parent of a child with oral candidiasis is being taught by a nurse. Which statement by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: Boiling the nipples and pacifiers for 20 minutes each day is an appropriate measure to prevent reinfection of oral candidiasis. This practice helps eliminate the Candida fungus from these items, reducing the risk of the child getting reinfected. It is crucial for the parent to follow this hygienic practice consistently to ensure the child's recovery and prevent the spread of the infection.
Question 5 of 5
During an assessment, an infant is suspected to have intussusception. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Intussusception is a condition where one segment of the intestine telescopes into another, causing obstruction. The classic presentation includes currant jelly stools, which are a mixture of blood and mucus due to the sloughing of the intestinal mucosa. This finding is a result of the compromised blood supply to the affected area and is a key characteristic associated with intussusception.