ATI RN
Pediatric NCLEX Practice Quiz Questions
Question 1 of 5
Prior to extubation, and in order to reduce airway narrowing, it is advised to use:
Correct Answer: C
Rationale: Inhaled corticosteroids like budesonide can effectively reduce airway narrowing and inflammation after extubation, minimizing the risk of post-extubation stridor.
Question 2 of 5
A 5-year-old underwent a tonsillectomy and an adenoidectomy under general anesthesia. The parents tell you that the anesthesiologist said that she “fought the mask and cried a lot†on induction. You are the pediatrician for this child, and 8 days after surgery, the parents call to report that the child, who previously slept well at night, now awakens nightly screaming with bad dreams. She is more irritable and cranky than before surgery and has angry outbursts. She is more “clingy†and wants her parents to cuddle her frequently. She reports that in her dreams, she can’t move, there is a tube in her throat, and she feels the surgeon cutting her throat. A review of her anesthetic record suggests an uneventful intraoperative course, with stable vital signs. All of the following statements about this situation are true EXCEPT
Correct Answer: A
Rationale: The described reaction, while distressing, is not necessarily indicative of severe psychiatric illness but rather a response to traumatic anesthesia induction.
Question 3 of 5
The most common congenital cyanotic heart disease in newborn is:
Correct Answer: C
Rationale: d-Transposition of the great arteries (d-TGA) is the most common cyanotic congenital heart disease in newborns, causing severe hypoxia due to abnormal circulation.
Question 4 of 5
A school nurse called you to see a 6-year-old boy with school refusal. He is always crying after parental leaving, refuses to stay in the classroom, and the school nurse tried her best during the last 4 weeks. Of the following, the BEST action is to
Correct Answer: A
Rationale: Referring the child to a pediatric psychologist allows for a comprehensive evaluation and tailored intervention.
Question 5 of 5
One of the following can cause unilateral dilated fixed pupil
Correct Answer: D
Rationale: Tentorial herniation compresses the oculomotor nerve, leading to a fixed, dilated pupil. This occurs due to increased intracranial pressure, which causes brain herniation, affecting the parasympathetic fibers controlling pupil constriction.