ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
It is a serious condition in which the bone marrow does not produce enough new blood cells. It may be passed down from the parents or develop sometime during childhood:
Correct Answer: C
Rationale: Aplastic anemia is a serious condition characterized by the bone marrow's failure to produce enough blood cells - red blood cells, white blood cells, and platelets. This condition may be inherited or acquired later in life, including during childhood. It results in a deficiency of all types of blood cells, leading to symptoms like fatigue, weakness, frequent infections, and easy bruising or bleeding. Iron deficiency anemia, sickle cell disease, thalassemia, hemophilia, and idiopathic thrombocytopenic purpura are different blood disorders with distinct causes and symptoms, which do not match the description provided in the question.
Question 2 of 5
A client undergoes a laryngectomy to treat laryngeal cancer. When teaching the client how to care for the neck stoma, the nurse should include which instruction?
Correct Answer: B
Rationale: It is important to keep the stoma dry to prevent infection and skin irritation. Excess moisture can lead to skin breakdown around the stoma site, increasing the risk of infection. It is recommended to keep the stoma clean and dry to promote healing and prevent complications.
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
Appropriate nursing interventions for J.E. would be
Correct Answer: A
Rationale: For J.E., who suffered head injuries in a motor vehicle accident, appropriate nursing interventions should focus on holistic care to prevent complications and promote recovery. Option A includes skin care and position changes every 2 hours (q2h) and as needed, which is crucial for preventing pressure injuries in the immobile patient. Maintaining alignment of extremities helps prevent muscle contractures. Respiratory exercises are essential for preventing atelectasis and improving lung function in patients at risk for pneumonia due to decreased mobility. These interventions address the immediate needs of the patient and aim to prevent further complications related to immobility and head injury. Options B, C, and D lack the comprehensive approach to care provided in option A, making it the most appropriate choice for J.E.
Question 5 of 5
In neuroblastoma, metastatic spread can occur via local invasion or distant hematogenous/lymphatic routes. The LEAST common site of metastases in neuroblastoma is
Correct Answer: D
Rationale: Skin metastases are rare in neuroblastoma compared to bone, bone marrow, and lung involvement.