ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
Tumor lysis syndrome is a common complication during treatment of pediatric malignancies. Which malignancy is more likely to manifest such complication?
Correct Answer: D
Rationale: Burkitt lymphoma is highly proliferative and sensitive to chemotherapy, leading to rapid cell death and tumor lysis syndrome.
Question 2 of 5
Which of the following instructions should be included in the discharge teaching plan for a client after thyroidectomy for Grave's disease?
Correct Answer: C
Rationale: Regular follow-up care is crucial after a thyroidectomy for Grave's disease to monitor the patient's thyroid hormone levels, assess for signs of complications such as hypothyroidism or hypoparathyroidism, and ensure appropriate management of any related conditions. Routine follow-up visits with healthcare providers allow for ongoing assessment and adjustment of medications, as well as addressing any concerns the patient may have post-surgery. By emphasizing the importance of regular follow-up care, the healthcare team can provide necessary support and guidance to the patient throughout their recovery process.
Question 3 of 5
When palpating the child's cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm. What is the best explanation for this?
Correct Answer: D
Rationale: In this case, the tenderness, enlargement, and warmth of the child's cervical lymph nodes are likely due to an infection or inflammation that is close to the site. When lymph nodes are palpated and found to be tender, enlarged, and warm, it often indicates that the lymphatic system is responding to an infection or inflammation in the nearby area. The lymph nodes are part of the body's immune system and can become enlarged and tender as they work to fight off the infection. In this scenario, the most likely explanation is an infection or inflammation located near the cervical lymph nodes.
Question 4 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 5 of 5
Which is a common, serious complication of rheumatic fever?
Correct Answer: D
Rationale: Rheumatic fever is an inflammatory disease that can develop after a streptococcal infection, such as strep throat. One of the most serious complications of rheumatic fever is cardiac involvement, specifically damage to the heart valves. This occurs due to the body's immune response attacking the heart valves as a result of molecular mimicry between streptococcal antigens and human tissues. The damage to the heart valves can result in conditions like mitral valve stenosis or regurgitation, which can lead to heart failure if not managed appropriately. Therefore, cardiac valve damage is a common and serious complication of rheumatic fever that requires monitoring and treatment to prevent long-term consequences.