ATI RN
Pediatric NCLEX Practice Quiz Questions
Question 1 of 5
One of the following presentations is a non-IgE-mediated food allergy
Correct Answer: A
Rationale: In this question, the correct answer is A) Heiner syndrome, which is a non-IgE-mediated food allergy. Heiner syndrome is characterized by pulmonary infiltrates, iron deficiency anemia, and failure to thrive in infants due to cow's milk intolerance. This syndrome is not mediated by IgE antibodies, unlike IgE-mediated food allergies which are more common and present with immediate hypersensitivity reactions. Option B) gastrointestinal anaphylaxis refers to a severe, potentially life-threatening IgE-mediated allergic reaction involving the gastrointestinal tract. Option C) rhinoconjunctivitis is a manifestation of allergic rhinitis and is also IgE-mediated. Option D) oral allergy syndrome is typically associated with cross-reactivity between pollen proteins and certain fruits or vegetables, which is also IgE-mediated. Understanding the distinction between IgE and non-IgE-mediated food allergies is crucial for healthcare providers caring for pediatric patients. Recognizing the different presentations and mechanisms of these allergies enables appropriate diagnosis, management, and prevention strategies to be implemented. It is essential for nurses, nurse practitioners, and other healthcare professionals working with children to have a solid understanding of various types of allergies to provide safe and effective care.
Question 2 of 5
A family history of allergic disease is often present in atopic patients. If one parent has allergies, the risk that a child will develop an allergic disease is
Correct Answer: D
Rationale: In this question, the correct answer is D) 50%. When one parent has allergies, the risk that a child will develop an allergic disease is 50%. This is because allergies have a genetic component, and if one parent has allergies, there is a 50% chance that the child will inherit the genetic predisposition for allergic diseases. Option A) 15%, Option B) 25%, and Option C) 35% are incorrect because they underestimate the influence of genetics on the development of allergies in children. Allergies are known to have a strong genetic component, and having one parent with allergies significantly increases the likelihood of a child developing allergic diseases. In an educational context, understanding the link between family history and allergic diseases is crucial for healthcare providers working with pediatric patients. By recognizing the increased risk associated with a family history of allergies, healthcare professionals can provide more targeted prevention strategies and early interventions to help manage and reduce the impact of allergic diseases in children. This knowledge is also essential for nurses and other healthcare professionals preparing for the Pediatric NCLEX exam, as it assesses their understanding of genetic factors influencing pediatric health outcomes.
Question 3 of 5
Essential actions for reducing exposure to dust mites include
Correct Answer: D
Rationale: In reducing exposure to dust mites, the essential action includes removing carpets from bedrooms and play areas (Option D) because carpets can harbor dust mites and their allergens. This action helps create a less favorable environment for dust mites to thrive. Encasing pillows and mattresses in allergen-impermeable encasements (Option A) is also an effective strategy to reduce exposure by creating a barrier between the individual and the dust mites. Avoiding sleeping or lying on upholstered furniture (Option B) may help in reducing exposure to other allergens like pet dander or pollen but is not directly related to dust mite reduction. Minimizing the number of stuffed toys in a child's bedroom (Option C) can be beneficial as stuffed toys can also harbor dust mites, but removing carpets has a more significant impact as carpets are a major reservoir for dust mites. In an educational context, understanding the importance of reducing exposure to dust mites is crucial for managing allergies and asthma in pediatric patients. Teaching parents and caregivers these essential actions can help improve the quality of life for children with allergies and respiratory conditions. It is essential to emphasize evidence-based strategies like removing carpets to create a healthier indoor environment for children.
Question 4 of 5
Intranasal corticosteroids are less helpful for symptoms of
Correct Answer: C
Rationale: Intranasal corticosteroids are primarily used to treat inflammation in the nasal passages, making them effective for symptoms like nasal congestion, rhinorrhea, and sneezing. However, they are less helpful for symptoms like conjunctival injection, which is redness and inflammation of the eye's conjunctiva. Conjunctival injection is a sign of allergic conjunctivitis, which involves inflammation of the conjunctiva due to allergens. While intranasal corticosteroids can help with nasal symptoms related to allergies, they are not as effective in addressing symptoms specifically affecting the eyes. In an educational context, understanding the specific uses and limitations of medications is crucial for healthcare professionals, especially when dealing with pediatric patients who may present with a range of symptoms. This question highlights the importance of knowing the appropriate indications for intranasal corticosteroids and the need to consider alternative treatments for symptoms outside of their primary scope of action.
Question 5 of 5
An important step in managing atopic dermatitis is identifying and avoiding irritants. A COMMON irritant is
Correct Answer: A
Rationale: In managing atopic dermatitis in pediatric patients, identifying and avoiding irritants is crucial for effective treatment. The correct answer is A) soaps. Soaps can strip the skin of its natural oils, leading to dryness and irritation, exacerbating the symptoms of atopic dermatitis. Option B) wool is a common misconception as an irritant, but it is not as prevalent as soaps in triggering atopic dermatitis. In fact, some types of wool can be soft and non-irritating to the skin. Option C) food allergens can exacerbate atopic dermatitis in some individuals, but the most common irritant to avoid is soaps. Option D) dust mites are more commonly associated with allergic rhinitis and asthma, rather than being a direct irritant for atopic dermatitis. In an educational context, understanding common irritants for atopic dermatitis is crucial for nurses and healthcare providers working with pediatric patients. By identifying and educating patients and their families about avoiding irritants like soaps, healthcare providers can help manage and improve the symptoms of atopic dermatitis, ultimately enhancing the quality of life for pediatric patients affected by this condition.