ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
An infant with tetralogy of Fallot becomes cyanotic and dyspneic after a crying episode. To relieve the cyanosis and dyspnea, the nurse should place the infant in the:
Correct Answer: A
Rationale: The orthopneic position is the best position to relieve cyanosis and dyspnea in an infant with tetralogy of Fallot. This position involves sitting up and leaning forward, which helps improve lung expansion and oxygenation. Placing the infant in the orthopneic position will reduce the workload on the heart, improve oxygenation, and relieve symptoms of cyanosis and dyspnea associated with tetralogy of Fallot. It allows for better expansion of the lungs and improves ventilation-perfusion matching, thereby enhancing oxygen exchange and alleviating the cyanotic spell.
Question 2 of 5
You are discussing with medical students the role of chemotherapy in malignant germ cell tumors (GCTs); you state that GCTs are sensitive to some types of chemotherapy. Of the following, the MOST effective chemotherapeutic agent in GCTs is
Correct Answer: C
Rationale: Cisplatin is a cornerstone in the treatment of germ cell tumors.
Question 3 of 5
You are discussing with medical students the role of chemotherapy in malignant germ cell tumors (GCTs); you state that GCTs are sensitive to some types of chemotherapy. Of the following, the MOST effective chemotherapeutic agent in GCTs is
Correct Answer: C
Rationale: Cisplatin is a cornerstone in the treatment of germ cell tumors.
Question 4 of 5
To help limit the development of hyperbilirubinemia in the neonate, the plan of care should include:
Correct Answer: A
Rationale: The plan of care to help limit the development of hyperbilirubinemia in the neonate should include monitoring for the passage of meconium each shift. Meconium passage indicates proper functioning of the gastrointestinal tract and normal elimination of bilirubin, which helps prevent its build-up and subsequent development of jaundice. Monitoring for meconium passage ensures that the baby is adequately processing and excreting bilirubin, reducing the risk of hyperbilirubinemia. It is a key aspect of managing neonatal jaundice and promoting the health of the newborn.
Question 5 of 5
A client has the following blood lab values: platelets 50,000/ul, RBC's 3.5 (X 106), hemoglobin 10 g/dl, hematocrit 30 percent, WBCs 10,000/ul. Which nursing instruction should be included in the teaching plan?
Correct Answer: A
Rationale: The client's platelet count of 50,000/ul is significantly low (normal range is around 150,000-450,000/ul). A low platelet count places the client at risk for bleeding tendencies. Therefore, the most appropriate nursing instruction to include in the teaching plan is bleeding precautions. This would involve educating the client on measures to prevent bleeding such as avoiding activities that may cause injury, using a soft toothbrush, avoiding tight clothing, and being cautious while shaving.