ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
A preterm newborn of 36 weeks of gestation is admitted to the NICU. Approximately 2 hours after birth, the newborn begins having difficulty breathing, with grunting, tachypnea, and nasal flaring. Which is important for the nurse to recognize?
Correct Answer: D
Rationale: The presentation of a preterm newborn with difficulty breathing, grunting, tachypnea, and nasal flaring is concerning and should not be considered a normal finding. This could indicate respiratory distress, which is common in preterm infants due to immature lung development. It is important for the nurse to recognize these symptoms as they may signify a potential underlying respiratory issue that requires further evaluation and intervention. Prompt assessment and management are crucial in ensuring the best outcomes for the newborn. Therefore, further evaluation by the healthcare team is warranted in this situation to determine the cause of the respiratory distress and provide appropriate treatment.
Question 2 of 5
The pediatric nurse cares for a patient who has undergone a hydrocele repair. While assessing the patient, the nurse notices that the scrotum is swollen and discolored. These findings are:
Correct Answer: C
Rationale: Swelling and discoloration after hydrocele repair are typically normal postoperative findings and do not require immediate intervention unless excessive or worsening.
Question 3 of 5
You are evaluating a 2-year-old boy with multiple bruises. Physical examination is unremarkable apart from multiple bruising areas. Lab investigations including coagulation profile are normal. Of the following, bruises that are LEAST likely suggestive of physical abuse is
Correct Answer: C
Rationale: Bruises over bony prominences are common in toddlers due to falls and rough play, whereas bruises in unusual locations like the neck or torso are more suspicious for abuse.
Question 4 of 5
The pediatric nurse cares for a patient who has undergone a hydrocele repair. While assessing the patient, the nurse notices that the scrotum is swollen and discolored. These findings are:
Correct Answer: C
Rationale: Swelling and discoloration after hydrocele repair are typically normal postoperative findings and do not require immediate intervention unless excessive or worsening.
Question 5 of 5
A child is playing in the playroom. The nurse needs to obtain a child's blood pressure. Which is the appropriate procedure for obtaining the blood pressure?
Correct Answer: B
Rationale: The appropriate procedure for obtaining a child's blood pressure is to ask the child to come to the exam room to obtain the blood pressure. This is important because the exam room provides a quiet and controlled environment, which is conducive to accurately measuring blood pressure. Taking the blood pressure in the playroom may lead to inaccurate readings due to distractions and noise. Similarly, asking the child to return to his or her room for the blood pressure and then escorting the child back to the playroom is not necessary and may disrupt the child's play. Documenting that the blood pressure was not obtained because the child was in the playroom is not a valid or appropriate action as it is important to ensure the child's health and monitor their blood pressure in a suitable environment. Therefore, the best course of action is to ask the child to come to the exam room to obtain the blood pressure.