ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 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 2 of 5
A patient with a new diagnosis of lymphoma is experiencing fatigue. Which of the ff. is the best way to assess her fatigue?
Correct Answer: B
Rationale: The best way to assess a patient's fatigue is to have her rate her fatigue on a scale of 0 to 10. Fatigue is primarily a subjective symptom, and patients are the best source of information regarding their own levels of fatigue. Using a standardized scale allows for a more quantitative assessment of the severity of the fatigue experienced by the patient. This can also help in monitoring changes in fatigue over time and evaluating the effectiveness of interventions aimed at managing fatigue. While observing the patient's activity level (choice A) can provide some information, it may not always accurately reflect the subjective experience of fatigue. Monitoring for changes in vital signs (choice C) and assessing hemoglobin and hematocrit values (choice D) can be important in evaluating overall health status and potential causes of fatigue, but they do not directly assess the patient's subjective experience of fatigue.
Question 3 of 5
A 2-year-old is noted to be drinking from a container filled with kerosene. He immediately coughs, becomes tachypneic, and is brought to the hospital. The best approach to his treatment is to
Correct Answer: E
Rationale: Inducing emesis or performing gastric lavage can increase the risk of aspiration. The best approach is supportive care, including oxygen and monitoring.
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
understands that it is important that which of the following diagnostic tests is obtained to help prevent cardiac complications?
Correct Answer: C
Rationale: The erythrocyte sedimentation rate (ESR) is an important diagnostic test that can help identify inflammation in the body, including inflammation in the heart. Elevated ESR levels may indicate the presence of an underlying condition that could potentially lead to cardiac complications if left untreated. Regular monitoring of ESR levels can help in the early detection and prevention of cardiac issues. The other options (A. Chest x-ray examination, B. Throat culture, and D. White blood cell count) are not specific diagnostic tests for assessing cardiac complications.