ATI RN
Pediatric Nclex Practice Questions Questions
Question 1 of 5
A parent of a school-age child is receiving discharge teaching following a cardiac catheterization. Which of the following instructions should be included by the nurse?
Correct Answer: B
Rationale: The correct instruction that the nurse should include is to keep the child on bed rest for 12 hours following a cardiac catheterization. This is important to prevent bleeding at the insertion site and ensure proper healing. Allowing the child to bathe soon after the procedure, maintaining a pressure dressing for only 8 hours, or resuming regular activities the day after the procedure can increase the risk of complications such as bleeding or infection.
Question 2 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 3 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 4 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.
Question 5 of 5
Parents are speaking with the urologist about their son's undescended testicle. Which statement by the child's father causes the nurse to determine he understands the information presented?
Correct Answer: A
Rationale: The correct answer is A because an undescended testicle can reduce fertility. Even after surgical correction (orchiopexy), fertility rates may be reduced, especially when one testis remains undescended. The statement in choice B is incorrect as the testicle should have descended into the scrotum by the time the infant is 4-6 months old. While choice C is true that surgical correction can reduce the risk of testicular tumors, the question focuses on the father's understanding of the information presented, which is better reflected in choice A. Choice D is incorrect because the optimal time for surgical correction of an undescended testicle is typically around 6-18 months of age, not necessarily at the time of diagnosis.