ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
The age of a child who imitates construction of a bridge of 3 cubes; copies circle; makes tower of 10 cubes is
Correct Answer: C
Rationale: These milestones are typically achieved around 36 months.
Question 2 of 5
Potential sources of mercury include all of the following EXCEPT
Correct Answer: D
Rationale: Mercury is not typically found in milk. It is commonly found in fish, old teething powders, quicksilver, and other sources.
Question 3 of 5
A 72 y.o. man is admitted to a skilled care facility following a stroke. When the nursing assistant is bathing him, he makes a sexual remark and tries to touch her inappropriately. The assistant finishes the bath, then tells the LPN in charge, "I refuse to take care of that dirty old man!" Which response by the nurse is best?
Correct Answer: B
Rationale: The best response by the nurse is to address the situation with understanding and empathy. Referring to the patient as a "dirty old man" is disrespectful and unprofessional. The nurse should acknowledge that the patient's behavior may be a result of the stroke affecting his inhibitions and offer a solution to find a male assistant to help him, recognizing the nursing assistant's discomfort while still providing care for the patient. It is important to prioritize the well-being and comfort of both the patient and the staff while maintaining professionalism and dignity in the care provided.
Question 4 of 5
You are evaluating a 6-year-old child with ALL on interim maintenance phase who has frequent mucositis and myelosuppression that needs frequent discontinuation of his treatment. Of the following, the MOST valuable test for this child is
Correct Answer: B
Rationale: TPMT gene testing helps determine the child's ability to metabolize thiopurine drugs, which may explain the adverse effects.
Question 5 of 5
An 83-year old client diagnosed with COPD has been receiving 1L of oxygen via nasal cannula. When the relatives visited, the sister of the client increased the oxygen to 7L per minute because she says that the client "looks like he is having difficulty getting air." What should the nurse's initial action be?
Correct Answer: C
Rationale: Increasing the oxygen flow rate from 1L to 7L per minute without a healthcare provider's order is not safe for the client. High-flow oxygen can lead to oxygen toxicity, absorption atelectasis, and can reduce the respiratory drive in patients with COPD. The nurse's initial action should be to notify the physician about the change in oxygen delivery and the client's condition. The physician should reevaluate the client's oxygen requirements and provide appropriate orders based on the clinical assessment. It is crucial to follow evidence-based guidelines and healthcare provider orders for oxygen administration to ensure patient safety and optimal outcomes.