ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
One of the dangers of treating hypernatremia is:
Correct Answer: B
Rationale: Hypernatremia is a condition characterized by high levels of sodium in the blood. When hypernatremia is treated too rapidly or aggressively, a rapid decrease in serum sodium levels may occur. This rapid change in serum sodium concentration can cause water to move into brain cells, leading to cerebral edema. Cerebral edema is a dangerous complication associated with the potential to cause increased intracranial pressure, neurological deficits, and even death. It is crucial to correct hypernatremia slowly and carefully to prevent such complications.
Question 2 of 5
Wilma knew that the maximum time when suctioning James is
Correct Answer: C
Rationale: When suctioning a patient, it is important to limit the suctioning time to avoid hypoxia and tissue trauma. The maximum recommended time for suctioning an adult patient is usually around 10-15 seconds. However, in some cases, such as when dealing with thick or excessive secretions, the maximum time can be extended up to 30 seconds. In this particular case, where James is likely experiencing respiratory distress due to his symptoms, it would be appropriate for Wilma to suction him for a maximum of 30 seconds to effectively clear his airways while minimizing the risk of complications.
Question 3 of 5
Which organ(s) is/are most at risk for dysfunction in a patient with a potassium level of 6.3 mEq/L?
Correct Answer: D
Rationale: A potassium level of 6.3 mEq/L indicates hyperkalemia, which can have significant effects on the heart. The heart is one of the most sensitive organs to changes in potassium levels. In hyperkalemia, elevated serum potassium levels can lead to various cardiac manifestations, including dysrhythmias, conduction abnormalities, and eventually cardiac arrest. Monitoring and managing potassium levels are crucial in preventing life-threatening cardiac complications in patients with hyperkalemia. While the kidneys and other organs can also be affected by high potassium levels, the heart is the most critical organ to consider in this scenario.
Question 4 of 5
When evaluating the effectiveness of nursing interventions for sinusitis discomfort, which of the following does the nurse assess?
Correct Answer: C
Rationale: When evaluating the effectiveness of nursing interventions for sinusitis discomfort, assessing the amount and color of sinus drainage is crucial. Changes in these aspects can provide valuable information about the progression of the sinusitis and the effectiveness of the interventions being implemented. Increased or purulent sinus drainage can indicate infection or inflammation, while clearer drainage may suggest improvement. Monitoring these parameters helps the nurse make informed decisions about continuing, modifying, or discontinuing interventions to manage the patient's sinusitis discomfort effectively. Evaluating WBC count, capillary refill, and comfort level are also important assessments in certain situations, but assessing the amount and color of sinus drainage is most directly related to sinusitis symptoms.
Question 5 of 5
A patient is treated with IV methylprednisolone (Solu-medrol) for emphysema. What is the purpose of corticosteroid treatment in lung disease?
Correct Answer: D
Rationale: Corticosteroids, such as methylprednisolone, are commonly used in the treatment of lung diseases like emphysema to reduce airway inflammation. In conditions like emphysema, inflammation in the airways can lead to symptoms such as shortness of breath and cough. Corticosteroids work by decreasing the inflammation in the airways, thereby helping to improve symptoms and slow down disease progression. By reducing inflammation, corticosteroids can also help to decrease mucus production and airway constriction, leading to improved lung function and overall respiratory health.