ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 9
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 2 of 9
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.
Question 3 of 9
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 4 of 9
The nurse closely monitors the temperature of a child with minimal change nephrotic syndrome. The purpose of this assessment is to detect an early sign of which possible complication?
Correct Answer: A
Rationale: In a child with minimal change nephrotic syndrome, the nurse closely monitors the temperature to detect an early sign of infection. Children with nephrotic syndrome are more susceptible to infections due to loss of immunoglobulins in the urine, decreased serum complement levels, and altered immune function. Monitoring the temperature is important to identify any signs of infection early, as prompt treatment is crucial in preventing complications such as sepsis.
Question 5 of 9
Parent guidelines for relieving colic in an infant include:
Correct Answer: C
Rationale: Parent guidelines for relieving colic in an infant include changing the infant's position frequently. Colic is a common condition in infants characterized by prolonged periods of crying and fussiness. Changing the infant's position frequently, such as holding them upright or on their stomach, can help alleviate discomfort and aid in releasing trapped gas, which may contribute to colic symptoms. It is recommended to try different positions to see what works best for the individual baby to provide relief from colic.
Question 6 of 9
The nurse is caring for a patient with a bowel resection. Which of the following would indicate that the patient's gastrointestinal tract is resuming normal function?
Correct Answer: B
Rationale: The presence of flatus (gas) is a positive sign that the patient's gastrointestinal tract is resuming normal function after a bowel resection surgery. Flatus production indicates that peristalsis and normal bowel motility are returning, allowing gas to move through the intestine. This is an important milestone in the postoperative recovery process, as it suggests the return of normal bowel function. The other options provided are not indicative of the return of normal gastrointestinal function.
Question 7 of 9
Approximately how much fluid is lost in acute weight loss of .5kg?
Correct Answer: C
Rationale: When a person loses 0.5 kg of weight, it is commonly assumed that most of the weight loss is due to fluid loss. The approximate fluid loss for every 0.5 kg of weight loss is around 500 ml. This estimation is based on the fact that 1 kg of body weight is approximately equivalent to 1 liter of fluid. Therefore, for a 0.5 kg weight loss, the fluid loss would be approximately 500 ml (0.5 liters).
Question 8 of 9
Which is an accurate description of a Kasai procedure?
Correct Answer: A
Rationale: The Kasai procedure is a palliative surgery for biliary atresia that helps restore bile flow and delays the need for liver transplantation.
Question 9 of 9
It is a serious condition in which the bone marrow does not produce enough new blood cells. It may be passed down from the parents or develop sometime during childhood:
Correct Answer: C
Rationale: Aplastic anemia is a serious condition characterized by the bone marrow's failure to produce enough blood cells - red blood cells, white blood cells, and platelets. This condition may be inherited or acquired later in life, including during childhood. It results in a deficiency of all types of blood cells, leading to symptoms like fatigue, weakness, frequent infections, and easy bruising or bleeding. Iron deficiency anemia, sickle cell disease, thalassemia, hemophilia, and idiopathic thrombocytopenic purpura are different blood disorders with distinct causes and symptoms, which do not match the description provided in the question.