ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
The nurse is taking a health history on an adolescent. Which best describes how the chief complaint should be determined?
Correct Answer: B
Rationale: When determining the chief complaint for an adolescent during a health history, the best approach is to directly ask the adolescent, "Why did you come here today?" This allows the nurse to understand the reason for the visit from the adolescent's perspective and helps in identifying the primary concern or reason for seeking medical care. Adolescent patients should be encouraged to express their own concerns and symptoms in their own words, which can help in building trust and promoting open communication between the nurse and the patient. It is important to prioritize the adolescent's input in determining the chief complaint, as it relates to their own health and well-being.
Question 2 of 5
At about what age does the Babinski sign disappear?
Correct Answer: D
Rationale: The Babinski sign is a reflex response in infants where their big toe moves upward and the other toes fan out when the sole of the foot is stroked. This reflex is normally present in infants up to around 2 years of age. By the age of 2, the nervous system has matured, and the Babinski sign disappears as the child's motor pathways develop and the reflex becomes suppressed. After the age of 2, the presence of the Babinski sign can indicate neurological issues, so its absence beyond this age is considered normal.
Question 3 of 5
A 4-month-old was born at 35 weeks of gestation. She seems to be developing normally, but her parents are concerned because she is a "more difficult" baby than their other child, who was term. What should the nurse's explanation include?
Correct Answer: A
Rationale: The nurse should explain to the parents that infants' temperaments are part of their unique characteristics. Temperament refers to an individual's natural predisposition towards certain behaviors and emotional responses. It is not uncommon for babies to have different temperaments, even within the same family. This 4-month-old baby may simply have a more difficult temperament compared to her sibling who was born at term. It is important for parents to understand and accept their baby's temperament as part of her individuality, rather than attributing it to other factors such as failure to bond or painful experiences in the neonatal period. While schedules and routines can help with managing challenging behaviors, it is essential for the parents to recognize and appreciate the uniqueness of their baby's temperament.
Question 4 of 5
Which is the major cause of death for children older than 1 year?
Correct Answer: C
Rationale: Unintentional injuries are the major cause of death for children older than 1 year. These include accidents such as drownings, car accidents, fires, falls, and poisoning. Children are curious and naturally explore their environment, which can put them at risk for accidents. It is important for parents and caregivers to create safe environments for children, supervise them closely, and take appropriate safety precautions to prevent these injuries. By being mindful of potential hazards and actively working to prevent accidents, we can help reduce the incidence of unintentional injuries and protect children's well-being.
Question 5 of 5
Which behaviors by the nurse indicate therapeutic nurse-family boundaries? (Select all that apply.)
Correct Answer: B
Rationale: House rules are negotiated: In maintaining therapeutic nurse-family boundaries, it is important for the nurse to establish clear and appropriate boundaries by involving the family in negotiating house rules. This helps to define roles and responsibilities, promoting mutual respect and understanding between the nurse and the family. By negotiating house rules, the nurse can create a structured environment that supports the well-being of the family.