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
A patient with a new diagnosis of lymphoma is experiencing fatigue. Which of the ff. is the best way to assess her fatigue?
Correct Answer: B
Rationale: The best way to assess a patient's fatigue is to have her rate her fatigue on a scale of 0 to 10. Fatigue is primarily a subjective symptom, and patients are the best source of information regarding their own levels of fatigue. Using a standardized scale allows for a more quantitative assessment of the severity of the fatigue experienced by the patient. This can also help in monitoring changes in fatigue over time and evaluating the effectiveness of interventions aimed at managing fatigue. While observing the patient's activity level (choice A) can provide some information, it may not always accurately reflect the subjective experience of fatigue. Monitoring for changes in vital signs (choice C) and assessing hemoglobin and hematocrit values (choice D) can be important in evaluating overall health status and potential causes of fatigue, but they do not directly assess the patient's subjective experience of fatigue.
Question 3 of 5
The parents of a newborn ask the nurse what caused the baby's facial nerve paralysis. What knowledge should the nurse's response be based on?
Correct Answer: B
Rationale: Facial nerve paralysis in a newborn is most commonly caused by birth injury. This can occur during the birthing process due to pressure on the baby's face or head, particularly if forceps or vacuum extraction are used during delivery. The trauma can affect the facial nerve resulting in temporary or permanent paralysis. It is important for the nurse to provide reassurance to the parents that birth injury is a common cause of facial nerve paralysis in newborns, and in many cases, the paralysis resolves on its own over time without further complications.
Question 4 of 5
A 1-year old boy presents with high grade fever and conjunctivitis for 4 days followed by generalized maculopapular rash. One of his elder siblings had similar complaints 10 days back. The most likely diagnosis is?
Correct Answer: D
Rationale: Measles presents with high-grade fever, conjunctivitis, and a maculopapular rash appearing after a few days of illness, often following a similar illness in a sibling.
Question 5 of 5
A patient is admitted with symptoms of a recent weight gain, 3+ pitting edema of his feet, distended neck veins, and crackles in his lungs. Which of the following nursing diagnoses is most appropriate for this patient's plan of care?
Correct Answer: C
Rationale: The patient's symptoms of recent weight gain, 3+ pitting edema of his feet, distended neck veins, and crackles in his lungs are indicative of fluid volume excess. These signs and symptoms suggest that the patient is retaining too much fluid, leading to the edema and congestion in the lungs. The nursing diagnosis of Excess Fluid Volume is appropriate for this patient as it reflects the patient's current physiological state and guides the plan of care to address excess fluid accumulation through interventions such as diuretic therapy, fluid restriction, and monitoring of intake and output. Deficient fluid volume, Imbalanced nutrition more than body requirements, and Noncompliance are not appropriate nursing diagnoses given the patient's presentation of fluid overload.