ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
The client with rheumatoid arthritis reports GI irritation after taking piroxicam (Feldene). To prevent GI upset, the nurse should provide which instruction?
Correct Answer: C
Rationale: Piroxicam is a nonselective NSAID (nonsteroidal anti-inflammatory drug) that can irritate the gastrointestinal (GI) tract, leading to symptoms such as heartburn, indigestion, and stomach pain. Taking piroxicam with food or an oral antacid can help reduce GI irritation by providing a protective barrier and reducing acid production within the stomach. Encouraging the client to take piroxicam with a meal or antacid can help prevent or minimize GI upset associated with the medication. Additionally, using a proton pump inhibitor (PPI) or histamine-2 receptor antagonist (H2 blocker) along with piroxicam may further protect the stomach lining from irritation.
Question 2 of 5
A client receiving external radiation to the left thorax to treat lung cancer has a nursing diagnosis of Risk for impaired skin integrity. Which intervention should be part of this client's plan of care?
Correct Answer: A
Rationale: The correct intervention that should be part of the plan of care for a client at risk for impaired skin integrity due to external radiation is avoiding using a soap on the irradiated areas. Soap can be drying to the skin and may exacerbate skin reactions caused by radiation therapy. It is important to keep the skin in the radiation field clean, but avoiding soap will help prevent further irritation and damage to the skin. Instead, a gentle cleanser recommended by the healthcare provider should be used to clean the irradiated areas. Additionally, maintaining good hydration and moisturizing the skin as recommended by the healthcare team can also help minimize skin reactions.
Question 3 of 5
A child is playing in the playroom. The nurse needs to obtain a child's blood pressure. Which is the appropriate procedure for obtaining the blood pressure?
Correct Answer: B
Rationale: The appropriate procedure for obtaining a child's blood pressure is to ask the child to come to the exam room to obtain the blood pressure. This is important because the exam room provides a quiet and controlled environment, which is conducive to accurately measuring blood pressure. Taking the blood pressure in the playroom may lead to inaccurate readings due to distractions and noise. Similarly, asking the child to return to his or her room for the blood pressure and then escorting the child back to the playroom is not necessary and may disrupt the child's play. Documenting that the blood pressure was not obtained because the child was in the playroom is not a valid or appropriate action as it is important to ensure the child's health and monitor their blood pressure in a suitable environment. Therefore, the best course of action is to ask the child to come to the exam room to obtain the blood pressure.
Question 4 of 5
Of the following, the genetic syndrome MOST likely associated with increased risk of optic glioma is
Correct Answer: B
Rationale: Neurofibromatosis type 1 is strongly associated with an increased risk of developing optic gliomas.
Question 5 of 5
These facts are true regarding the developmental stage of preschool children EXCEPT
Correct Answer: D
Rationale: Musturbation is not a recognized developmental milestone.