ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 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 2 of 5
The age at which the infant can achieve early head control with bobbing motion when pulled to sit is
Correct Answer: A
Rationale: Head control typically begins developing around 2 months.
Question 3 of 5
Nurse Lina gives discharge instructions to Aling Maria, who is experiencing an exacerbation of COPD because of an upper respiratory tract infection, regarding her diet at home. Which of the following food choices would be appropriate?
Correct Answer: D
Rationale: A patient experiencing an exacerbation of COPD, especially due to an infection, requires a diet that is high in calories and protein. This is because during exacerbations, the body's energy requirements increase due to increased work of breathing and inflammation. High-calorie intake helps provide the necessary energy for breathing and healing. Additionally, a high-protein diet is important for maintaining respiratory and skeletal muscle strength, which can be affected during exacerbations of COPD. Therefore, a high-calorie high-protein diet would be most appropriate for Aling Maria to support her recovery and overall health during this period.
Question 4 of 5
A 50-year old male was brought toi the emergency department with a diagnosis of diabetes insipidus. The client had a posterior pituitary tumor. The nursing diagnosis most appropriate for this client is:
Correct Answer: C
Rationale: Diabetes insipidus is a condition characterized by excessive thirst and excretion of large amounts of dilute urine, resulting in fluid volume deficit. The posterior pituitary tumor in this case is likely causing decreased secretion of antidiuretic hormone (ADH), leading to the inability of the kidneys to concentrate urine and retain water. This imbalance results in the loss of fluid, leading to dehydration and electrolyte imbalances. Therefore, the most appropriate nursing diagnosis for this client is fluid volume deficit, as the priority is to address the dehydration and restore fluid balance to prevent further complications.
Question 5 of 5
It is considered as the bluntly rounded portion of the heart
Correct Answer: D
Rationale: The apex is the bluntly rounded portion of the heart located at the bottom. It is formed by the tip of the left ventricle and points slightly downward and to the left. The apex is essential in detecting the point of maximum intensity of the heartbeat, known as the apical impulse or point of maximal impulse (PMI). This is where the heart beats closest to the chest wall and can be felt or heard during a physical examination. The base of the heart, on the other hand, is the broader superior part of the heart where the major blood vessels enter and exit. The pericardium is the tough sac enclosing the heart, and the aorta is the main artery that carries oxygen-rich blood from the heart to the body.