ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
A one-month-old patient, who has developmental dysplasia of the hip, is placed in a hip spica cast. The patient's mother expresses the desire to continue breastfeeding. What is the pediatric nurse's best response?
Correct Answer: C
Rationale: Breastfeeding can continue even with a hip spica cast, but proper positioning is essential to ensure comfort for both the infant and the mother.
Question 2 of 5
A very popular means of early detection of breast cancer is:
Correct Answer: D
Rationale: Breast self-examination (BSE) is a very popular means of early detection of breast cancer as it involves women being aware of how their breasts look and feel to detect any changes such as lumps, swelling, or other abnormalities. By performing regular self-examinations, women can identify any potential issues early on and seek medical advice promptly. While mammograms (X-ray) and clinical breast exams by healthcare providers are also important screening methods for detecting breast cancer, BSE is particularly valuable as women can perform it on a regular basis at home, thus increasing the chances of identifying any concerning changes promptly. It is recommended that women perform BSE monthly to become familiar with their breast tissue and notice any changes over time.
Question 3 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 4 of 5
A patient is treated with IV methylprednisolone (Solu-medrol) for emphysema. What is the purpose of corticosteroid treatment in lung disease?
Correct Answer: D
Rationale: Corticosteroids, such as methylprednisolone, are commonly used in the treatment of lung diseases like emphysema to reduce airway inflammation. In conditions like emphysema, inflammation in the airways can lead to symptoms such as shortness of breath and cough. Corticosteroids work by decreasing the inflammation in the airways, thereby helping to improve symptoms and slow down disease progression. By reducing inflammation, corticosteroids can also help to decrease mucus production and airway constriction, leading to improved lung function and overall respiratory health.
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.