ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
Nurse Hannah is administering a steroid to a child diagnosed with idiopathic thrombocytopenic purpura (ITP); which of the following should the nurse monitor?
Correct Answer: C
Rationale: Idiopathic thrombocytopenic purpura (ITP) is a condition characterized by a low platelet count, which can lead to an increased risk of bleeding. Steroids are often prescribed to help increase platelet production in patients with ITP. Therefore, the nurse should monitor the child for signs of bleeding, such as petechiae, ecchymosis, gum bleeding, and other unusual bleeding manifestations. Monitoring for bleeding is crucial to assess the effectiveness of the steroid treatment and to prevent complications associated with ITP.
Question 2 of 5
There seems to be a positive correlation between type 2 diabetes mellitus and:
Correct Answer: B
Rationale: There is a well-established positive correlation between type 2 diabetes mellitus and obesity. Obesity is a major risk factor for developing type 2 diabetes due to excess body fat leading to increased insulin resistance. As fat accumulates in the body, especially around the abdomen, the cells become less responsive to insulin, causing blood sugar levels to rise. This can ultimately lead to the development of type 2 diabetes. Managing obesity through lifestyle modifications such as healthy eating and regular exercise is crucial in preventing and managing type 2 diabetes.
Question 3 of 5
The nurse is planning care for a family expecting their newborn to die. The nurse's interventions should be based on which statement?
Correct Answer: D
Rationale: Parents should be encouraged to name their newborn if they have not done so already because giving the baby a name can help the parents acknowledge their baby as a unique individual. It can also provide a sense of connection and identity, which can be important for the grieving process and coping with the loss. Naming the baby allows the parents to honor their child's existence and memory, and it can be a meaningful part of their healing journey.
Question 4 of 5
You are evaluating a 6-year-old child with ALL on interim maintenance phase who has frequent mucositis and myelosuppression that needs frequent discontinuation of his treatment. Of the following, the MOST valuable test for this child is
Correct Answer: B
Rationale: TPMT gene testing helps determine the child's ability to metabolize thiopurine drugs, which may explain the adverse effects.
Question 5 of 5
The best way to tell whether or not a patient is breathing, is for the nurse to watch the movement of the:
Correct Answer: D
Rationale: The best way to assess whether a patient is breathing is to observe the movement of the chest and nostrils. Chest movement indicates inhalation and exhalation, while the nostrils may flare during breathing. Observing these two areas provides a more direct and accurate assessment of breathing compared to extremities, head, or eyeball movements. By focusing on the chest and nostrils, a nurse can quickly and effectively determine if a patient is breathing adequately.