ATI RN
Pediatric NCLEX Questions Questions
Question 1 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 2 of 5
A patient is admitted to a medical unit with a diagnosis of heart failure. The patient reports that she has had increasing fatigue during the past 2 weeks. Which of the following is the most likely cause of this fatigue?
Correct Answer: B
Rationale: Fatigue in a patient with heart failure is commonly caused by decreased cardiac output. In heart failure, the heart is unable to pump enough blood to meet the body's demands, resulting in reduced delivery of oxygen and nutrients to the tissues. This can lead to generalized weakness and fatigue. Dyspnea (choice A) is commonly associated with heart failure but is more specific to difficulty breathing, while a dry cough (choice C) is a symptom that can be present but is not typically the primary cause of fatigue. Orthopnea (choice D) is a symptom of heart failure characterized by difficulty breathing when lying flat but is not directly related to the patient's increasing fatigue in this scenario.
Question 3 of 5
What are the signs of organ rejection a nurse should closely monitor for when caring for a client after heart transplantation? Choose all that apply
Correct Answer: A
Rationale: In the context of pediatric pharmacology and care after heart transplantation, it is crucial for nurses to understand the signs of organ rejection. The correct answer, "A) Low white blood cell count," is a key indicator of organ rejection in a post-transplant patient. A decrease in white blood cells may signify the body's immune response attacking the transplanted organ, leading to rejection. Dyspnea (B), ECG changes (C), and fever (D) are common symptoms in various clinical scenarios but are not specific to organ rejection after a heart transplant. Dyspnea can occur due to various reasons including heart failure or respiratory issues post-surgery. ECG changes can occur due to electrolyte imbalances or surgical stress. Fever can be a sign of infection, inflammation, or other post-operative complications. Educationally, it is important for nurses to recognize the unique signs and symptoms of organ rejection in pediatric patients after heart transplantation to ensure timely intervention and prevent complications. Understanding these specific indicators helps in early detection and management of rejection episodes, ultimately improving patient outcomes and quality of life. Nurses play a critical role in post-transplant care by monitoring closely for signs of rejection and collaborating with the healthcare team for appropriate interventions.
Question 4 of 5
Which of the ff is a nursing intervention when assessing clients with hypertension?
Correct Answer: B
Rationale: The nursing intervention of teaching the client about non-pharmacologic and pharmacologic methods for restoring blood pressure is crucial in managing hypertension. Education empowers the client to actively participate in their care and make informed decisions regarding lifestyle changes, medication adherence, and other interventions to control their blood pressure levels. By providing education on interventions such as dietary modifications, exercise, stress management, and medication use, the nurse helps the client develop a comprehensive plan to manage hypertension effectively and improve their overall health outcomes.
Question 5 of 5
A 72 y.o. man is admitted to a skilled care facility following a stroke. When the nursing assistant is bathing him, he makes a sexual remark and tries to touch her inappropriately. The assistant finishes the bath, then tells the LPN in charge, "I refuse to take care of that dirty old man!" Which response by the nurse is best?
Correct Answer: B
Rationale: The best response by the nurse is to address the situation with understanding and empathy. Referring to the patient as a "dirty old man" is disrespectful and unprofessional. The nurse should acknowledge that the patient's behavior may be a result of the stroke affecting his inhibitions and offer a solution to find a male assistant to help him, recognizing the nursing assistant's discomfort while still providing care for the patient. It is important to prioritize the well-being and comfort of both the patient and the staff while maintaining professionalism and dignity in the care provided.