ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
Place the following four nursing actions for the new laryngectomee in correct order of priority? i.Assist with ambulation ii.Set up a visit from a well-adjusted laryngectomee iii.Maintain a patent airway iv.Control postoperative pain
Correct Answer: C
Rationale: 1. Setting up a visit from a well-adjusted laryngectomee should be the first priority. This action will provide emotional support and guidance from someone who has gone through a similar experience, which can be extremely beneficial for the new laryngectomee in adjusting to their new situation and learning coping strategies.
Question 2 of 5
A 4-month-old was born at 35 weeks of gestation. She seems to be developing normally, but her parents are concerned because she is a "more difficult" baby than their other child, who was term. What should the nurse's explanation include?
Correct Answer: A
Rationale: The nurse should explain to the parents that infants' temperaments are part of their unique characteristics. Temperament refers to an individual's natural predisposition towards certain behaviors and emotional responses. It is not uncommon for babies to have different temperaments, even within the same family. This 4-month-old baby may simply have a more difficult temperament compared to her sibling who was born at term. It is important for parents to understand and accept their baby's temperament as part of her individuality, rather than attributing it to other factors such as failure to bond or painful experiences in the neonatal period. While schedules and routines can help with managing challenging behaviors, it is essential for the parents to recognize and appreciate the uniqueness of their baby's temperament.
Question 3 of 5
The age at which the infant can achieve early head control with bobbing motion when pulled to sit is
Correct Answer: A
Rationale: Head control typically begins developing around 2 months.
Question 4 of 5
a newborn has a meningomyelocele; the nurse should place him in which position:
Correct Answer: C
Rationale: A newborn with meningomyelocele should be placed in a prone position to prevent trauma or pressure on the lesion. Placing the newborn in the prone position helps prevent the lesion from coming in contact with surfaces and reduces the risk of infection and injury. By positioning the newborn prone, gravity will assist in closing the lesion and reducing the risk of complications. It is crucial to follow this positioning guideline to ensure the infant's safety and well-being.
Question 5 of 5
A 27-year old adult is admitted for treatment of Crohn's disease. Which information is most significant when the nurse assesses nutritional health?
Correct Answer: A
Rationale: Anthropometric measurements, such as height, weight, body mass index (BMI), and waist circumference, are essential in assessing the nutritional health of a patient with Crohn's disease. These measurements provide objective data about the patient's nutritional status, body composition, and risk for malnutrition. Monitoring changes in these measurements over time can help identify nutritional deficiencies, weight loss, or malnutrition in patients with Crohn's disease. Dry skin, bleeding gums, and facial rubor can be symptoms of other health conditions, but anthropometric measurements directly assess the nutritional health of the patient.