ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
The birthweight usually quadruples by the age of
Correct Answer: B
Rationale: Birthweight typically quadruples by 2 years of age.
Question 2 of 5
Which of the following types of translocation of childhood AML that typically associated with granulocytic sarcoma mass?
Correct Answer: A
Rationale: The inv(16) translocation is strongly associated with granulocytic sarcoma in AML.
Question 3 of 5
A client seeks medical evaluation for fatigue, night sweats, and a 20-lb weight loss in 6 weeks. To confirm that the client has been infected with the human immunodeficiency virus (HIV), the nurse expects the physician to order:
Correct Answer: D
Rationale: The confirmatory test for HIV infection is a Western blot test. However, before a Western blot test is conducted, an initial screening test with high sensitivity, such as the enzyme-linked immunosorbent assay (ELISA), is typically performed. ELISA is used to detect the presence of HIV antibodies in the blood. If the ELISA test is positive, a Western blot test is then performed to confirm the presence of specific HIV antibodies. The Western blot test is a more specific test for HIV antibodies and is used to confirm the diagnosis. Therefore, in this case, the physician would most likely order a Western blot test following a positive ELISA test to confirm the client's HIV infection.
Question 4 of 5
All the following are recognizable teratogens EXCEPT
Correct Answer: D
Rationale: Hypothermia is not typically considered a teratogen.
Question 5 of 5
A patient's chest x-ray examination indicates fluid in both lung bases. Which of the ff. signs or symptoms present during the nurse's assessment most reflects these x-ray examination findings?
Correct Answer: C
Rationale: The presence of fluid in both lung bases, as indicated by the chest x-ray examination, suggests the possibility of pulmonary congestion or fluid accumulation in the lungs. Bilateral crackles, also known as rales, are a common clinical finding associated with pulmonary edema. Crackles are discontinuous, brief, popping sounds heard on auscultation of the lungs. These adventitious breath sounds occur when air passes through fluid in the small airways or alveoli. Therefore, the presence of bilateral crackles during the nurse's assessment would most reflect the x-ray examination findings of fluid in both lung bases. Fatigue, peripheral edema, and jugular vein distention may also be present in conditions involving fluid overload, such as heart failure, but bilateral crackles specifically point to the presence of fluid in the lungs.