ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
Of the following, the genetic syndrome MOST likely associated with increased risk of optic glioma is
Correct Answer: B
Rationale: Neurofibromatosis type 1 is strongly associated with an increased risk of developing optic gliomas.
Question 2 of 5
When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. What is the best explanation for this?
Correct Answer: D
Rationale: In this case, the tenderness, enlargement, and warmth of the child's cervical lymph nodes are likely due to an infection or inflammation that is close to the site. When lymph nodes are palpated and found to be tender, enlarged, and warm, it often indicates that the lymphatic system is responding to an infection or inflammation in the nearby area. The lymph nodes are part of the body's immune system and can become enlarged and tender as they work to fight off the infection. In this scenario, the most likely explanation is an infection or inflammation located near the cervical lymph nodes.
Question 3 of 5
Antihistamines are used cautiously in older men with prostatic hypertrophy for which of the ff reasons?
Correct Answer: B
Rationale: Antihistamines are used cautiously in older men with prostatic hypertrophy (enlarged prostate) because these clients may experience difficulty voiding. Antihistamines can cause urinary retention by causing decreased bladder contractility and relaxation of the bladder neck muscles. In individuals with prostatic hypertrophy, there is already an increased risk of urinary retention due to obstruction caused by the enlarged prostate. Therefore, the use of antihistamines can exacerbate this condition, leading to further difficulty in urination. It is important to monitor these individuals closely and consider alternative medications that do not pose a risk of worsening urinary symptoms.
Question 4 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 5 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.