ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
for a child with meningitis, to monitor him for hydrocephalus you should
Correct Answer: A
Rationale: Monitoring head circumference is essential in children with meningitis to assess for possible development of hydrocephalus. Hydrocephalus is a potentially serious complication that can occur following meningitis. An increase in head circumference can indicate the accumulation of cerebrospinal fluid in the brain due to hydrocephalus. Regularly measuring the head circumference allows healthcare providers to detect any early signs of hydrocephalus and take appropriate actions such as further imaging or intervention. Monitoring for convulsions, assessing pupil size, and watching for vomiting are important aspects of care for a child with meningitis but are not specific to monitoring for hydrocephalus.
Question 2 of 5
A patient is unable to control his bowels ff. a subarachnoid hemorrhage. Which intervention by the nurse can help reduce episodes of bowel incontinence?
Correct Answer: C
Rationale: Option C, which is to toilet the patient according to his pre-illness schedule, whether or not he feels the urge, is the best intervention by the nurse to help reduce episodes of bowel incontinence in this patient with subarachnoid hemorrhage. This strategy can help establish a routine and promote regular bowel movements, which may reduce the likelihood of bowel incontinence episodes. Asking the patient frequently if he has to have a bowel movement (Option A) may not be effective, as the patient may not always be able to accurately communicate their needs due to the underlying condition. Placing incontinence pads on the patient's bed and chair (Option B) may manage the consequences of incontinence but does not address the root cause. While taking care not to embarrass the patient when incontinent episodes occur (Option D) is important for maintaining the patient's dignity, it does not directly address the issue of reducing bowel incontinence episodes.
Question 3 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 4 of 5
You are examining a 12-year-old female adolescent with a small nevus in the thigh; the mother is concerned regarding the future development of melanoma. All the following findings raise suspicion of melanoma EXCEPT
Correct Answer: E
Rationale: Spitz nevus is a benign mimic of melanoma and does not raise suspicion.
Question 5 of 5
A patient is admitted who has had severe vomiting for 24 hours. She states that she is exhausted and weak. The results of an admitting ECG show flat T waves and ST segment depression. Choose the most likely potassium (K ) value for this patient.
Correct Answer: B
Rationale: The patient is displaying signs of hypokalemia (low potassium levels) due to severe vomiting. Symptoms of hypokalemia can include weakness, fatigue, and ECG changes such as flat T waves and ST segment depression. The potassium level that is most likely associated with these symptoms is 2.0mEq/L. Severe vomiting can lead to significant loss of potassium from the body, causing these abnormalities. It is important to address and correct the potassium imbalance to prevent further complications.