ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
A patient is diagnosed with acute bacterial conjunctivitis. In providing patient teaching the nurse would tell the patient that this condition is more commonly known as which of the following?
Correct Answer: D
Rationale: Acute bacterial conjunctivitis is commonly known as "pinkeye." This condition is characterized by inflammation of the conjunctiva (the thin transparent layer covering the white part of the eye and the inside of the eyelids) due to a bacterial infection. It is a common eye condition that can cause symptoms such as redness, swelling, itching, and a discharge from the eye. Treatment often involves antibiotic eye drops or ointments to help clear the infection. It is important for patients with pinkeye to practice good hygiene, avoid sharing towels or pillows, and wash hands frequently to prevent the spread of infection to others.
Question 2 of 5
There seems to be a positive correlation between type 2 diabetes mellitus and:
Correct Answer: B
Rationale: There is a well-established positive correlation between type 2 diabetes mellitus and obesity. Obesity is a major risk factor for developing type 2 diabetes due to excess body fat leading to increased insulin resistance. As fat accumulates in the body, especially around the abdomen, the cells become less responsive to insulin, causing blood sugar levels to rise. This can ultimately lead to the development of type 2 diabetes. Managing obesity through lifestyle modifications such as healthy eating and regular exercise is crucial in preventing and managing type 2 diabetes.
Question 3 of 5
Mr. Mendres asks Nurse Rose what causes peptic ulcer to develop. Nurse Rose responds that recent research indicates that peptic ulcers are the result of which of the following?
Correct Answer: B
Rationale: Recent research suggests that the majority of peptic ulcers are caused by an infection with Helicobacter pylori bacteria. This bacterium weakens the protective mucous coating of the stomach and duodenum, leading to damage from stomach acid. Genetic defects in the gastric mucosa, high fat diet, and work-related stress may exacerbate the condition but are not the primary cause of peptic ulcers. Therefore, the most likely cause based on current understanding is H. pylori infection.
Question 4 of 5
Victorio is being managed for diarrhea. Which outcome indictes that fluid resuscitation is successful?
Correct Answer: B
Rationale: The outcome that indicates successful fluid resuscitation in managing diarrhea is when the patient reports a decrease in stool frequency and liquidity. This is because diarrhea is characterized by an increase in stool frequency and liquidity due to the body's attempt to expel irritants or infections. By successfully resuscitating with fluids, the goal is to rehydrate the body and restore electrolyte balance, which should lead to a decrease in stool frequency and formation of more solid stools. This improvement in stool consistency and frequency is a clear indicator that the fluid resuscitation has been effective in treating the diarrhea. Therefore, option B is the correct choice for the outcome indicating successful fluid resuscitation in this scenario.
Question 5 of 5
An 83-year old client diagnosed with COPD has been receiving 1L of oxygen via nasal cannula. When the relatives visited, the sister of the client increased the oxygen to 7L per minute because she says that the client "looks like he is having difficulty getting air." What should the nurse's initial action be?
Correct Answer: C
Rationale: Increasing the oxygen flow rate from 1L to 7L per minute without a healthcare provider's order is not safe for the client. High-flow oxygen can lead to oxygen toxicity, absorption atelectasis, and can reduce the respiratory drive in patients with COPD. The nurse's initial action should be to notify the physician about the change in oxygen delivery and the client's condition. The physician should reevaluate the client's oxygen requirements and provide appropriate orders based on the clinical assessment. It is crucial to follow evidence-based guidelines and healthcare provider orders for oxygen administration to ensure patient safety and optimal outcomes.