ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
The pediatric nurse cares for a patient who has undergone a hydrocele repair. While assessing the patient, the nurse notices that the scrotum is swollen and discolored. These findings are:
Correct Answer: C
Rationale: Swelling and discoloration after hydrocele repair are typically normal postoperative findings and do not require immediate intervention unless excessive or worsening.
Question 2 of 5
Place the following four nursing actions for the new laryngectomee in correct order of priority? i.Assist with ambulation ii.Set up a visit from a well-adjusted laryngectomee iii.Maintain a patent airway iv.Control postoperative pain
Correct Answer: C
Rationale: 1. Setting up a visit from a well-adjusted laryngectomee should be the first priority. This action will provide emotional support and guidance from someone who has gone through a similar experience, which can be extremely beneficial for the new laryngectomee in adjusting to their new situation and learning coping strategies.
Question 3 of 5
The nurse is planning care for a low birth weight newborn. Which is an appropriate nursing intervention to promote adequate oxygenation?
Correct Answer: C
Rationale: Maintaining a neutral thermal environment is an appropriate nursing intervention to promote adequate oxygenation in a low birth weight newborn. Newborns, especially those with low birth weight, have limited capacity to regulate their body temperature. Keeping the baby warm helps prevent cold stress, which can lead to increased metabolic demands and oxygen consumption. By maintaining a neutral thermal environment, the newborn's energy can be directed towards growth and development, rather than compensating for temperature fluctuations. This intervention helps optimize oxygenation and overall well-being of the low birth weight newborn. The other options (A, B, D) do not directly address the need for adequate oxygenation in a low birth weight newborn.
Question 4 of 5
Why does the nurse instruct the client to avoid Valsalva maneuvers?
Correct Answer: C
Rationale: The nurse instructs the client to avoid Valsalva maneuvers because the client may suffer from a myocardial infarction. The Valsalva maneuver involves forcefully trying to exhale against a closed airway, which can increase intra-thoracic pressure and subsequently increase blood pressure. This can lead to an increased workload on the heart, potentially causing myocardial ischemia or infarction in individuals with underlying heart conditions. Therefore, it is important to avoid Valsalva maneuvers, especially in clients at risk for cardiovascular issues.
Question 5 of 5
The birthweight usually quadruples by the age of
Correct Answer: B
Rationale: Birthweight typically quadruples by 2 years of age.