ATI RN
Pediatric NCLEX Questions Questions
Question 1 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.
Question 2 of 5
Mrs. Diwa has been diagnosed with systemic lupus erythematosus, the nurse upon assessment can expect to find which of the following?
Correct Answer: D
Rationale: Systemic lupus erythematosus (SLE) is an autoimmune disease that can affect multiple organs in the body, including the lungs. Patients with SLE are at risk for developing various respiratory complications, which can result in abnormal lung sounds on auscultation. Common respiratory manifestations of SLE include pleurisy, pleural effusion, interstitial lung disease, and pulmonary hypertension. Therefore, the nurse assessing Mrs. Diwa can expect to find abnormal lung sounds indicative of these respiratory complications. However, it is important to note that SLE can also present with a wide range of other symptoms affecting different organ systems.
Question 3 of 5
Mr. Aurelio diagnosed with heart failure, was prescribed with a 2 gm sodium diet. which of the following foods would nurse Norma instruct him to restrict?
Correct Answer: B
Rationale: Canned tomato juice is often high in sodium content due to added salt during processing. Since Mr. Aurelio has been prescribed a 2 gm sodium diet, the nurse would instruct him to restrict foods high in sodium content, such as canned tomato juice. Whole wheat bread and apples are generally low in sodium, and beef tenderloin strips can be chosen in lean cuts and prepared without high sodium additives, making them more suitable for Mr. Aurelio's dietary restrictions.
Question 4 of 5
For a client in addisonian crisis, it would be very risky for a nurse to administer:
Correct Answer: A
Rationale: Addisonian crisis, also known as acute adrenal crisis, is a life-threatening condition that occurs when there is a severe deficiency in cortisol and aldosterone hormones, usually resulting from adrenal gland insufficiency. In this situation, it is crucial to administer hydrocortisone (a synthetic form of cortisol) promptly to replace the lacking hormone. Potassium levels in individuals experiencing an Addisonian crisis can be elevated due to the lack of aldosterone, which normally helps regulate electrolyte levels such as potassium. Therefore, administering potassium chloride in this scenario can lead to further complications and exacerbate the existing electrolyte imbalance. In contrast, normal saline solution can help with fluid and electrolyte balance, and fludrocortisone can be administered to replace the deficient aldosterone.
Question 5 of 5
When teaching a client about insulin therapy, the nurse should instruct the client to avoid which over-the- counter preparation that can interact with insulin?
Correct Answer: D
Rationale: Salicylates, such as aspirin, can potentiate the hypoglycemic effects of insulin. They can increase insulin sensitivity and potentially lead to low blood sugar levels (hypoglycemia). Therefore, clients using insulin should avoid over-the-counter salicylate preparations to prevent this interaction and the risk of hypoglycemia. It is important for clients to always consult healthcare professionals before taking any new medications or over-the-counter preparations when using insulin therapy.