ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
Antihistamines are used cautiously in older men with prostatic hypertrophy for which of the ff reasons?
Correct Answer: B
Rationale: Antihistamines are used cautiously in older men with prostatic hypertrophy (enlarged prostate) because these clients may experience difficulty voiding. Antihistamines can cause urinary retention by causing decreased bladder contractility and relaxation of the bladder neck muscles. In individuals with prostatic hypertrophy, there is already an increased risk of urinary retention due to obstruction caused by the enlarged prostate. Therefore, the use of antihistamines can exacerbate this condition, leading to further difficulty in urination. It is important to monitor these individuals closely and consider alternative medications that do not pose a risk of worsening urinary symptoms.
Question 2 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 3 of 5
Early this morning, a baby boy was circumcised by using the Plastibell method. When should the nurse tell the mother that the baby can be discharged?
Correct Answer: D
Rationale: The nurse should inform the mother that the baby can be discharged once the Plastibell rim falls off. The Plastibell method involves placing a small plastic ring over the foreskin, which cuts off circulation and causes the foreskin to fall off on its own within a week to 10 days after the procedure. Once the Plastibell rim has fallen off, it indicates that the circumcision site has healed, and the baby is ready to be discharged. The other options, such as the newborn voiding, receiving vitamin K, or yellow exudate forming over the glans, are important aspects of post-circumcision care but are not indicative of the baby being ready for discharge.
Question 4 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 5 of 5
An adult suffered a diving accident and is being brought in by an ambulance intubated and on backboard with a cervical collar. What is the first action the nurse would take on arrival in the hospital?
Correct Answer: B
Rationale: The first action the nurse should take upon the arrival of the adult who suffered a diving accident and is intubated and on a backboard with a cervical collar is to insert a large bore IV line. This is a priority because the person may require urgent fluid resuscitation or medication administration, and having IV access is crucial for immediate intervention in trauma cases. After establishing IV access, other assessments such as vital signs, lung sounds, and neurological checks can follow.