ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
The nurse caring for a 14-year-old girl with DI understands which of the following about this disorder?
Correct Answer: C
Rationale: Diabetes Insipidus (DI) is a condition characterized by the inability of the kidneys to conserve water, leading to excessive thirst and excretion of large volumes of dilute urine. Central DI, the most common form in children, is treated with a synthetic form of the hormone vasopressin, also known as desmopressin. Vasopressin helps the kidneys to retain water, thereby reducing urine output and preventing excessive dehydration. Since DI is a chronic condition, treatment with vasopressin is typically required on a lifelong basis to manage symptoms and prevent complications. It is important for healthcare providers to understand the long-term nature of DI treatment in order to provide appropriate care and support to patients with this condition.
Question 2 of 5
Tumor lysis syndrome is a common complication during treatment of pediatric malignancies. Which malignancy is more likely to manifest such complication?
Correct Answer: D
Rationale: Burkitt lymphoma is highly proliferative and sensitive to chemotherapy, leading to rapid cell death and tumor lysis syndrome.
Question 3 of 5
Nurse Jeremy is evaluating a client's fluid intake and output record. Fluid intake and urine output should relate in which way?
Correct Answer: B
Rationale: The principle of fluid balance in the body dictates that fluid intake should be approximately equal to the urine output, under normal circumstances. This balance ensures that the body maintains proper hydration levels and that the kidneys are functioning effectively in filtering and excreting waste products. Significant deviations between fluid intake and urine output can indicate potential issues with hydration status or kidney function, making it essential for healthcare professionals like Nurse Jeremy to closely monitor and evaluate these values.
Question 4 of 5
A newborn with hypospadias: The parents ask if circumcision is an option. Which is the best response?
Correct Answer: C
Rationale: In hypospadias, preserving the foreskin may be beneficial for repair, so circumcision is usually delayed.
Question 5 of 5
understands that it is important that which of the following diagnostic tests is obtained to help prevent cardiac complications?
Correct Answer: C
Rationale: The erythrocyte sedimentation rate (ESR) is an important diagnostic test that can help identify inflammation in the body, including inflammation in the heart. Elevated ESR levels may indicate the presence of an underlying condition that could potentially lead to cardiac complications if left untreated. Regular monitoring of ESR levels can help in the early detection and prevention of cardiac issues. The other options (A. Chest x-ray examination, B. Throat culture, and D. White blood cell count) are not specific diagnostic tests for assessing cardiac complications.