ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
A nurse is teaching parents about prevention and treatment of colic. Which should the nurse include in the teaching plan?
Correct Answer: B
Rationale: Second-hand smoke exposure has been linked to an increased risk of colic in infants. Colic is a condition characterized by excessive, inconsolable crying in otherwise healthy infants. By eliminating all second-hand smoke contact, the nurse is helping to reduce potential triggers for colic and promoting a healthier environment for the infant. This is an important aspect of prevention and treatment that should be emphasized in the teaching plan for parents.
Question 2 of 5
The child who helps to undress, puts 3 words together (subject, verb, object), and handles a spoon well has an age around
Correct Answer: C
Rationale: These milestones are typically achieved around 24 months.
Question 3 of 5
24 hours after undergoing kidney transplantation, a client develops a hyperacute rejection. To correct this problem, the nurse should prepare the client for:
Correct Answer: A
Rationale: Hyperacute rejection occurs immediately after transplantation, within minutes to up to 24 hours. It is a rapid and severe rejection reaction that is usually irreversible. It occurs due to pre-existing antibodies against the donor organ. In hyperacute rejection, the transplanted kidney must be removed to prevent further complications and ensure the safety of the patient. Treatment with immunosuppressive medications like cyclosporine or corticosteroids is not effective in this situation. Bone marrow transplant is not indicated in the treatment of hyperacute rejection.
Question 4 of 5
Which immunoglobulin is specific to an allergic response?
Correct Answer: B
Rationale: IgE is the immunoglobulin specific to an allergic response. When an individual is exposed to an allergen, the immune system produces IgE antibodies that bind to mast cells and basophils. Upon re-exposure to the same allergen, these IgE antibodies trigger the release of histamine and other chemicals that cause allergic symptoms such as itching, swelling, and inflammation. IgE is not normally found in high concentrations in the bloodstream unless there is an allergic reaction occurring. Other immunoglobulins like IgA, IgG, and IgM are not specifically associated with allergic responses.
Question 5 of 5
A client with acquired immunodeficiency syndrome (AIDS) is prescribed zidovudine (azidothymidine, AZT [retrovir]), 200mg PO every 4 hours. When teaching the client about this drug, the nurse should provide which instruction?
Correct Answer: C
Rationale: Zidovudine (AZT) is an antiretroviral drug used to treat HIV infection, including in AIDS patients. It is important to follow the prescribed dosing schedule to maintain consistent drug levels in the body and effectively control the HIV virus. Taking zidovudine every 4 hours around the clock helps ensure the medication's therapeutic effects are maintained throughout the day. It is crucial for the client to adhere to the prescribed dosing regimen to prevent the development of drug resistance and to achieve the best treatment outcomes. Taking zidovudine with meals, on an empty stomach, or taking over-the-counter drugs for minor adverse reactions are not the correct instructions related to the dosing schedule of zidovudine.