ATI RN
Pediatric Nclex Practice Questions Questions
Question 1 of 5
A healthcare professional is preparing to collect a sample from a toddler for a sickle turbidity test. Which of the following actions should the healthcare professional plan to take?
Correct Answer: C
Rationale: The healthcare professional should perform a finger stick on a toddler as a component of the sickle turbidity test. If the test is positive, hemoglobin electrophoresis is required to distinguish between children who have the genetic trait and children who have the disease. Finger stick is a common method used to collect blood samples, especially in pediatric patients, for various tests.
Question 2 of 5
When teaching an adolescent about managing tinea pedis, which statement indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B) "I should wear sandals as much as possible." This statement indicates an understanding of managing tinea pedis because wearing sandals promotes airflow, keeping the feet dry and preventing the fungus from thriving in moist conditions. Option A is incorrect because wearing plastic shoes at the swimming pool may trap moisture, exacerbating the fungal infection. Option C is incorrect as permethrin cream is typically used to treat scabies, not tinea pedis. Option D is incorrect as sealing non-washable shoes in plastic bags may create a damp environment, facilitating fungal growth. In an educational context, it is crucial to teach adolescents about proper foot hygiene, including keeping feet clean and dry, wearing breathable footwear like sandals, changing socks daily, and avoiding sharing shoes to prevent the spread of tinea pedis. Emphasizing these preventive measures can help adolescents effectively manage and reduce the recurrence of fungal infections.
Question 3 of 5
A child is being cared for following a head injury. Which of the following findings should indicate to the healthcare provider that the child is developing diabetes insipidus?
Correct Answer: B
Rationale: In a child with a head injury, the development of diabetes insipidus can occur due to pituitary hypofunction, leading to a deficiency of antidiuretic hormone. An elevated sodium level (hypernatremia) is a key finding in diabetes insipidus due to the excessive loss of free water in the urine, resulting in increased sodium concentration in the blood.
Question 4 of 5
A parent of an infant with congenital hypothyroidism is receiving teaching from a nurse. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D. Congenital hypothyroidism requires lifelong medication to manage the condition effectively. The nurse should emphasize to the parent that their child will need to take the medication for life to ensure proper thyroid hormone levels and prevent complications associated with hypothyroidism.
Question 5 of 5
A nurse is planning care for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: In this scenario, option D, which is keeping the infant's elbow restrained, is the correct action for the nurse to take. The rationale behind this is that following surgical repair of a cleft lip, it is crucial to prevent the infant from touching or rubbing the surgical site to avoid disruption of the sutures and potential wound complications. Restraining the infant's elbow helps in limiting the infant's movement and reduces the risk of inadvertent injury to the surgical area. Options A, B, and C are incorrect actions for the nurse to take in this situation. Positioning the infant on his abdomen (option A) is not recommended post cleft lip surgery as it can put pressure on the surgical site and may lead to discomfort or disruption of the wound. Cleansing the incision site with hydrogen peroxide (option B) is not advised as it can be harsh on the delicate skin of the infant and may impede the healing process. Offering the infant a pacifier (option C) is also not recommended immediately post cleft lip surgery as sucking on a pacifier may put pressure on the surgical site and interfere with the healing process. In a pediatric nursing context, it is vital for nurses to have a comprehensive understanding of postoperative care following surgical procedures in infants. This includes knowledge of appropriate wound care, positioning, and strategies to prevent complications. By selecting the correct action of keeping the infant's elbow restrained, the nurse demonstrates sound clinical judgment and promotes optimal healing and recovery for the infant post cleft lip surgery.