ATI RN
Pediatric Nclex Practice Questions Questions
Question 1 of 5
Parents are speaking with the urologist about their son's undescended testicle. Which statement by the child's father causes the nurse to determine he understands the information presented?
Correct Answer: A
Rationale: The correct answer is A because an undescended testicle can reduce fertility. Even after surgical correction (orchiopexy), fertility rates may be reduced, especially when one testis remains undescended. The statement in choice B is incorrect as the testicle should have descended into the scrotum by the time the infant is 4-6 months old. While choice C is true that surgical correction can reduce the risk of testicular tumors, the question focuses on the father's understanding of the information presented, which is better reflected in choice A. Choice D is incorrect because the optimal time for surgical correction of an undescended testicle is typically around 6-18 months of age, not necessarily at the time of diagnosis.
Question 2 of 5
When discussing the correction of hypospadias in a newborn, what does the nurse explain about this condition?
Correct Answer: B
Rationale: Hypospadias is a congenital condition where the opening of the urethra is on the underside of the penis. Surgical repair is the primary treatment for hypospadias and is usually recommended to be done before 18 months of age. This timing is preferred for optimal cosmetic and functional outcomes. Waiting until preschool age for corrective surgery may increase the complexity of the procedure and potential complications. Correcting hypospadias does not impact the risk of testicular cancer.
Question 3 of 5
Which urinary diversion procedure is the least damaging to the body image of the adolescent?
Correct Answer: B
Rationale: In the context of pediatric nursing, choosing the least damaging urinary diversion procedure for an adolescent is crucial to their physical and psychosocial well-being. In this scenario, option B) Ileal conduit is the correct choice. An ileal conduit involves creating a stoma using a small piece of the ileum, which diverts urine to an external pouch. This procedure is less damaging to body image because it allows for a more discreet and manageable way to collect urine. Adolescents can conceal the pouch under clothing, leading to less self-consciousness about their condition and better body image preservation compared to other options. Option A) Urostomy involves diverting urine through a stoma in the abdominal wall, which can be more visible and potentially impact body image negatively. Option C) Nephrostomy involves a tube directly from the kidney to the outside, which can also be cosmetically challenging and impact self-esteem. Option D) Suprapubic placement involves a catheter inserted above the pubic bone, which may still be visible and not as discreet as an ileal conduit. Educationally, understanding the psychosocial implications of different urinary diversion procedures in pediatric patients is essential for nurses caring for adolescents undergoing such surgeries. By choosing the least damaging option like an ileal conduit, nurses can support adolescents in maintaining a positive body image and overall well-being during a challenging time in their lives.
Question 4 of 5
The nurse is providing care for a pediatric client in the emergency department (ED) with a diagnosis of decreased level of consciousness (LOC) secondary to increased intracranial pressure (ICP). Which healthcare provider order should the nurse question?
Correct Answer: A
Rationale: In a pediatric client with increased intracranial pressure (ICP) and decreased level of consciousness (LOC), passive range-of-motion exercises to promote hip flexion should be questioned as they can potentially increase intracranial pressure. This action may not be safe for the client's condition. The other options are appropriate interventions for managing a pediatric client with increased ICP and decreased LOC.
Question 5 of 5
When planning care for a pediatric client diagnosed with bacterial meningitis, what is the priority nursing diagnosis?
Correct Answer: A
Rationale: The priority nursing diagnosis when caring for a pediatric client with bacterial meningitis is 'Impaired Gas Exchange.' This diagnosis takes precedence due to the potential for respiratory complications associated with the condition. Bacterial meningitis can lead to increased intracranial pressure, compromising the child's ability to ventilate adequately. Therefore, monitoring and addressing any signs of respiratory distress are crucial in the care of these patients.