ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
Approximately how much fluid is lost in acute weight loss of .5kg?
Correct Answer: C
Rationale: When a person loses 0.5 kg of weight, it is commonly assumed that most of the weight loss is due to fluid loss. The approximate fluid loss for every 0.5 kg of weight loss is around 500 ml. This estimation is based on the fact that 1 kg of body weight is approximately equivalent to 1 liter of fluid. Therefore, for a 0.5 kg weight loss, the fluid loss would be approximately 500 ml (0.5 liters).
Question 2 of 5
Which statement regarding chlamydia infection is correct?
Correct Answer: C
Rationale: The correct statement regarding chlamydia infection is that the clinical manifestations include dysuria and urethral itching in males. Chlamydia is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. In males, common symptoms include a burning sensation during urination (dysuria) and urethral itching. It is important to note that chlamydia is often asymptomatic, especially in women, which is why regular screening is important to detect and treat the infection early. Option A is incorrect because the treatment of choice for chlamydia is typically antibiotics such as azithromycin or doxycycline, not oral penicillin. Option B is incorrect because nystatin or miconazole are used to treat fungal infections, not chlamydia. Option D is incorrect because small, painful vesicles on genital areas are more indicative of herpes simplex virus infection rather than chlamydia
Question 3 of 5
Mr. Mariano was on his way home from a party. Apparently, he got drunk and lost his balance and suffered a vehicular accident. Upon arrival at the hospital, the nurse noticed that his only injury is an open fracture of the left humerus. Which assessment finding by the nurse is critical?
Correct Answer: A
Rationale: In this situation where Mr. Mariano has an open fracture of the left humerus, the nurse's critical assessment finding should be the status of the client's tetanus immunization. An open fracture poses a risk of infection, and tetanus is a concern due to the potential exposure to bacteria from the environment causing tetanus. Tetanus is a serious bacterial infection that affects the nervous system and can be fatal if not treated promptly. Knowing the client's tetanus immunization status will help determine the need for a tetanus booster to prevent this potentially life-threatening infection. Blood alcohol level, support systems at home, and voiding time are important assessments as well, but in the case of an open fracture, the priority is to assess the risk of tetanus infection.
Question 4 of 5
At about what age does the Babinski sign disappear?
Correct Answer: D
Rationale: The Babinski sign is a reflex response in infants where their big toe moves upward and the other toes fan out when the sole of the foot is stroked. This reflex is normally present in infants up to around 2 years of age. By the age of 2, the nervous system has matured, and the Babinski sign disappears as the child's motor pathways develop and the reflex becomes suppressed. After the age of 2, the presence of the Babinski sign can indicate neurological issues, so its absence beyond this age is considered normal.
Question 5 of 5
The nurse closely monitors the temperature of a child with minimal change nephrotic syndrome. The purpose of this assessment is to detect an early sign of which possible complication?
Correct Answer: A
Rationale: In a child with minimal change nephrotic syndrome, the nurse closely monitors the temperature to detect an early sign of infection. Children with nephrotic syndrome are more susceptible to infections due to loss of immunoglobulins in the urine, decreased serum complement levels, and altered immune function. Monitoring the temperature is important to identify any signs of infection early, as prompt treatment is crucial in preventing complications such as sepsis.