ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
An adult is receiving total parenteral nutrition. The nurse knows which of the following assessments is essential?
Correct Answer: D
Rationale: For an adult receiving total parenteral nutrition (TPN), it is essential for the nurse to monitor fluid and electrolyte levels closely. TPN provides all essential nutrients, including fluids and electrolytes, directly into the bloodstream. Monitoring these levels is crucial to prevent potential complications such as fluid overload, electrolyte imbalances, and hyperglycemia. Assessing and maintaining appropriate fluid and electrolyte balance are essential components of managing a patient receiving TPN to ensure optimal patient outcomes.
Question 2 of 5
The nurse has a 2-year-old boy sit in "tailor" position during palpation for the testes. What is the rationale for this position?
Correct Answer: A
Rationale: The "tailor" position, also known as the frog-leg position, is used during palpation for the testes in young boys because it helps prevent the cremasteric reflex. The cremasteric reflex is a normal reflex in which the testes are pulled upwards towards the inguinal canal when the inner thigh is stroked. By having the child sit in the tailor position, with the knees pulled up and legs rotated outwards, the reflex is less likely to be elicited, allowing for a more accurate examination of the testes.
Question 3 of 5
A client with acquired immunodeficiency syndrome (AIDS) is prescribed zidovudine (azidothymidine, AZT [retrovir]), 200mg PO every 4 hours. When teaching the client about this drug, the nurse should provide which instruction?
Correct Answer: C
Rationale: Zidovudine (AZT) is an antiretroviral drug used to treat HIV infection, including in AIDS patients. It is important to follow the prescribed dosing schedule to maintain consistent drug levels in the body and effectively control the HIV virus. Taking zidovudine every 4 hours around the clock helps ensure the medication's therapeutic effects are maintained throughout the day. It is crucial for the client to adhere to the prescribed dosing regimen to prevent the development of drug resistance and to achieve the best treatment outcomes. Taking zidovudine with meals, on an empty stomach, or taking over-the-counter drugs for minor adverse reactions are not the correct instructions related to the dosing schedule of zidovudine.
Question 4 of 5
The age of a child who imitates construction of a bridge of 3 cubes; copies circle; makes tower of 10 cubes is
Correct Answer: C
Rationale: These milestones are typically achieved around 36 months.
Question 5 of 5
A sexually active female adolescent asks the nurse about the contraceptive Depo-Provera. What should the nurse explain regarding the contraceptive?
Correct Answer: A
Rationale: Depo-Provera is a contraceptive method that consists of receiving an injection every 3 months to prevent pregnancy. It contains a progestin hormone called medroxyprogesterone acetate, which works by suppressing ovulation, thickening cervical mucus, and thinning the uterine lining. This method of contraception is highly effective when used correctly and is convenient for individuals who prefer not to take a daily pill.