ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
The nurse is planning care for a family expecting their newborn to die. The nurse's interventions should be based on which statement?
Correct Answer: D
Rationale: Parents should be encouraged to name their newborn if they have not done so already because giving the baby a name can help the parents acknowledge their baby as a unique individual. It can also provide a sense of connection and identity, which can be important for the grieving process and coping with the loss. Naming the baby allows the parents to honor their child's existence and memory, and it can be a meaningful part of their healing journey.
Question 2 of 5
A patient is treated with IV methylprednisolone (Solu-medrol) for emphysema. What is the purpose of corticosteroid treatment in lung disease?
Correct Answer: D
Rationale: Corticosteroids, such as methylprednisolone, are commonly used in the treatment of lung diseases like emphysema to reduce airway inflammation. In conditions like emphysema, inflammation in the airways can lead to symptoms such as shortness of breath and cough. Corticosteroids work by decreasing the inflammation in the airways, thereby helping to improve symptoms and slow down disease progression. By reducing inflammation, corticosteroids can also help to decrease mucus production and airway constriction, leading to improved lung function and overall respiratory health.
Question 3 of 5
The stump of the umbilical cord usually separates in how many days?
Correct Answer: B
Rationale: The stump of the umbilical cord usually separates from the baby's belly button within 10 to 14 days after birth. During this time, it is important to keep the area clean and dry to prevent infection. Once the stump falls off, a small open wound may be left behind, which should also be kept clean and dry until it completely heals. It is normal for a small amount of blood or discharge to be present during this process, but if there are signs of infection such as redness, swelling, or foul odor, it is important to contact a healthcare provider for further evaluation and treatment.
Question 4 of 5
Biopsy is not usually performed for a child with suspicion of Wilms tumor EXCEPT
Correct Answer: E
Rationale: Presence of intratumoral calcifications may warrant biopsy to rule out other diagnoses.
Question 5 of 5
A 6 months old boy presents with respiratory distress and feeding difficulty. On examination heart rate is 130/min and there is a pansystolic murmur at left lower sternal border. What is the most likely diagnosis?
Correct Answer: C
Rationale: Ventricular septal defect (VSD) commonly presents with a pansystolic murmur and symptoms of congestive heart failure in infancy.