ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
A child is playing in the playroom. The nurse needs to obtain a child's blood pressure. Which is the appropriate procedure for obtaining the blood pressure?
Correct Answer: B
Rationale: The appropriate procedure for obtaining a child's blood pressure is to ask the child to come to the exam room to obtain the blood pressure. This is important because the exam room provides a quiet and controlled environment, which is conducive to accurately measuring blood pressure. Taking the blood pressure in the playroom may lead to inaccurate readings due to distractions and noise. Similarly, asking the child to return to his or her room for the blood pressure and then escorting the child back to the playroom is not necessary and may disrupt the child's play. Documenting that the blood pressure was not obtained because the child was in the playroom is not a valid or appropriate action as it is important to ensure the child's health and monitor their blood pressure in a suitable environment. Therefore, the best course of action is to ask the child to come to the exam room to obtain the blood pressure.
Question 2 of 5
Of the following, the genetic syndrome MOST likely associated with increased risk of optic glioma is
Correct Answer: B
Rationale: Neurofibromatosis type 1 is strongly associated with an increased risk of developing optic gliomas.
Question 3 of 5
Which of the following types of translocation of childhood AML that typically associated with granulocytic sarcoma mass?
Correct Answer: A
Rationale: The inv(16) translocation is strongly associated with granulocytic sarcoma in AML.
Question 4 of 5
The pediatric nurse cares for a patient who has undergone a hydrocele repair. While assessing the patient, the nurse notices that the scrotum is swollen and discolored. These findings are:
Correct Answer: C
Rationale: Swelling and discoloration after hydrocele repair are typically normal postoperative findings and do not require immediate intervention unless excessive or worsening.
Question 5 of 5
Why does the nurse instruct the client to avoid Valsalva maneuvers?
Correct Answer: C
Rationale: The nurse instructs the client to avoid Valsalva maneuvers because the client may suffer from a myocardial infarction. The Valsalva maneuver involves forcefully trying to exhale against a closed airway, which can increase intra-thoracic pressure and subsequently increase blood pressure. This can lead to an increased workload on the heart, potentially causing myocardial ischemia or infarction in individuals with underlying heart conditions. Therefore, it is important to avoid Valsalva maneuvers, especially in clients at risk for cardiovascular issues.