ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
To prevent leakage of fluid in the thoracic cavity, how will you position the client after thoracentesis?
Correct Answer: C
Rationale: After thoracentesis, it is important to position the client on the unaffected side to prevent leakage of fluid into the thoracic cavity. Placing the client on the unaffected side helps to promote proper drainage and reduce the risk of complications such as pneumothorax or fluid leakage. This position also allows for adequate lung expansion and facilitates proper re-expansion of the lung on the side where the fluid was removed. It is essential to follow this positioning to optimize outcomes and minimize risks associated with the procedure.
Question 2 of 5
A 68-year old client has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, the nurse would suspect which of the following disorders?
Correct Answer: D
Rationale: The symptoms described in the client, such as increased urination, anorexia, weakness, irritability, depression, and bone pain suggest hyperparathyroidism. In hyperparathyroidism, excess parathyroid hormone (PTH) is released, leading to increased calcium levels in the blood. This results in symptoms such as increased thirst and urination (polyuria), anorexia, weakness, irritability, depression, and bone pain. The bone pain in hyperparathyroidism can be severe and interfere with the client's ability to go outdoors. It is essential to consider hyperparathyroidism as a potential cause of these symptoms in the 68-year-old client and further diagnostic evaluations should be conducted to confirm the diagnosis.
Question 3 of 5
There seems to be a positive correlation between type 2 diabetes mellitus and:
Correct Answer: B
Rationale: There is a well-established positive correlation between type 2 diabetes mellitus and obesity. Obesity is a major risk factor for developing type 2 diabetes due to excess body fat leading to increased insulin resistance. As fat accumulates in the body, especially around the abdomen, the cells become less responsive to insulin, causing blood sugar levels to rise. This can ultimately lead to the development of type 2 diabetes. Managing obesity through lifestyle modifications such as healthy eating and regular exercise is crucial in preventing and managing type 2 diabetes.
Question 4 of 5
Mr. Mendres asks Nurse Rose what causes peptic ulcer to develop. Nurse Rose responds that recent research indicates that peptic ulcers are the result of which of the following?
Correct Answer: B
Rationale: Recent research suggests that the majority of peptic ulcers are caused by an infection with Helicobacter pylori bacteria. This bacterium weakens the protective mucous coating of the stomach and duodenum, leading to damage from stomach acid. Genetic defects in the gastric mucosa, high fat diet, and work-related stress may exacerbate the condition but are not the primary cause of peptic ulcers. Therefore, the most likely cause based on current understanding is H. pylori infection.
Question 5 of 5
Victorio is being managed for diarrhea. Which outcome indictes that fluid resuscitation is successful?
Correct Answer: B
Rationale: The outcome that indicates successful fluid resuscitation in managing diarrhea is when the patient reports a decrease in stool frequency and liquidity. This is because diarrhea is characterized by an increase in stool frequency and liquidity due to the body's attempt to expel irritants or infections. By successfully resuscitating with fluids, the goal is to rehydrate the body and restore electrolyte balance, which should lead to a decrease in stool frequency and formation of more solid stools. This improvement in stool consistency and frequency is a clear indicator that the fluid resuscitation has been effective in treating the diarrhea. Therefore, option B is the correct choice for the outcome indicating successful fluid resuscitation in this scenario.