ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
Mrs. Diwa has been diagnosed with systemic lupus erythematosus, the nurse upon assessment can expect to find which of the following?
Correct Answer: D
Rationale: Systemic lupus erythematosus (SLE) is an autoimmune disease that can affect multiple organs in the body, including the lungs. Patients with SLE are at risk for developing various respiratory complications, which can result in abnormal lung sounds on auscultation. Common respiratory manifestations of SLE include pleurisy, pleural effusion, interstitial lung disease, and pulmonary hypertension. Therefore, the nurse assessing Mrs. Diwa can expect to find abnormal lung sounds indicative of these respiratory complications. However, it is important to note that SLE can also present with a wide range of other symptoms affecting different organ systems.
Question 2 of 5
For a client in addisonian crisis, it would be very risky for a nurse to administer:
Correct Answer: A
Rationale: Addisonian crisis, also known as acute adrenal crisis, is a life-threatening condition that occurs when there is a severe deficiency in cortisol and aldosterone hormones, usually resulting from adrenal gland insufficiency. In this situation, it is crucial to administer hydrocortisone (a synthetic form of cortisol) promptly to replace the lacking hormone. Potassium levels in individuals experiencing an Addisonian crisis can be elevated due to the lack of aldosterone, which normally helps regulate electrolyte levels such as potassium. Therefore, administering potassium chloride in this scenario can lead to further complications and exacerbate the existing electrolyte imbalance. In contrast, normal saline solution can help with fluid and electrolyte balance, and fludrocortisone can be administered to replace the deficient aldosterone.
Question 3 of 5
When teaching a client about insulin therapy, the nurse should instruct the client to avoid which over-the- counter preparation that can interact with insulin?
Correct Answer: D
Rationale: Salicylates, such as aspirin, can potentiate the hypoglycemic effects of insulin. They can increase insulin sensitivity and potentially lead to low blood sugar levels (hypoglycemia). Therefore, clients using insulin should avoid over-the-counter salicylate preparations to prevent this interaction and the risk of hypoglycemia. It is important for clients to always consult healthcare professionals before taking any new medications or over-the-counter preparations when using insulin therapy.
Question 4 of 5
Which of the following statements about fluid replacement is accurate for a client with hyperosmolar hyperglycemic nonketotic syndrome (HHNS)?
Correct Answer: B
Rationale: For a client with hyperosmolar hyperglycemic nonketotic syndrome (HHNS), the correct statement is to administer 6L of IV fluid over the first 24 hours (option B). The management of HHNS focuses on correcting dehydration and hyperglycemia. The initial fluid resuscitation in HHNS aims to address the profound dehydration that occurs due to osmotic diuresis from hyperglycemia. The recommended rate is to administer 1 to 1.5 L/hour of IV fluid until the patient is hemodynamically stable and urine output is adequate. Administering fluid rapidly helps to address the hypovolemia and prevent complications associated with shock. Administering fluid too slowly may delay the correction of dehydration and lead to further complications.
Question 5 of 5
The Glasgow coma scale is used to .evaluate the level of consciousness in the neurological and neurological patients. The three assessment factors included in this scale are:
Correct Answer: C
Rationale: The Glasgow Coma Scale (GCS) is a neurological scale that is used to assess the level of consciousness in patients. It is based on three factors: eye opening, verbal response, and motor response. Each factor is scored on a scale of 1 to 4 or 6, with a lower total score indicating a lower level of consciousness.