ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
To help limit the development of hyperbilirubinemia in the neonate, the plan of care should include:
Correct Answer: A
Rationale: The plan of care to help limit the development of hyperbilirubinemia in the neonate should include monitoring for the passage of meconium each shift. Meconium passage indicates proper functioning of the gastrointestinal tract and normal elimination of bilirubin, which helps prevent its build-up and subsequent development of jaundice. Monitoring for meconium passage ensures that the baby is adequately processing and excreting bilirubin, reducing the risk of hyperbilirubinemia. It is a key aspect of managing neonatal jaundice and promoting the health of the newborn.
Question 2 of 5
A 2-year-old is noted to be drinking from a container filled with kerosene. He immediately coughs, becomes tachypneic, and is brought to the hospital. The best approach to his treatment is to
Correct Answer: E
Rationale: Inducing emesis or performing gastric lavage can increase the risk of aspiration. The best approach is supportive care, including oxygen and monitoring.
Question 3 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 4 of 5
When administering an I.M. injection to an infant, the nurse in charge should use which site?
Correct Answer: D
Rationale: When administering an intramuscular (I.M.) injection to an infant, the nurse should use the vastus lateralis muscle. This is the preferred site for infants as it provides a large muscle mass and is less likely to damage nerves and blood vessels compared to other sites. The vastus lateralis is located on the thigh and is easily accessible for injections in infants. It is important to select the appropriate site for I.M. injections in infants to ensure proper medication absorption and minimize the risk of complications.
Question 5 of 5
Which part of the brain controls breathing?
Correct Answer: A
Rationale: The medulla oblongata, located in the brainstem, is responsible for controlling essential autonomic functions such as breathing, heart rate, and blood pressure. Specifically, the medulla regulates the rhythm and depth of breathing by sending signals to the respiratory muscles, including the diaphragm and intercostal muscles. In response to changing levels of oxygen and carbon dioxide in the blood, the medulla adjusts the breathing rate to maintain proper oxygenation of the body tissues. Damage to the medulla can result in respiratory failure, highlighting its critical role in controlling breathing.