ATI RN
Pediatric NCLEX Questions Questions
Question 1 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.
Question 2 of 5
The nurse will assess a loss of ability in which of the following areas?
Correct Answer: A
Rationale: The nurse will assess a loss of ability in the area of balance. Balance is an essential component of the physical function that allows individuals to maintain an upright posture and stability during movement. A loss of balance can significantly impact a person's mobility, coordination, and safety. Nurses often assess balance as part of their evaluations to identify any impairments that may affect a patient's independence and daily activities.
Question 3 of 5
A 4-year-old weighing 15 kg produces 150 mL of urine in 10 hours. What should the nurse do?
Correct Answer: C
Rationale: Expected urine output is 0.5-1 mL/kg/hr. For a 15-kg child over 10 hours, 75-150 mL is within normal limits.
Question 4 of 5
An adult has a Hickman type central venous catheter and needs to have blood drawn from it. Which of the following should the nurse do first?
Correct Answer: C
Rationale: Before drawing blood from a central venous catheter like a Hickman type, it is essential to ensure that the catheter is patent and free of any clots. Flushing the catheter with a heparinized solution (to prevent clot formation) before withdrawing blood helps clear the catheter and ensures accurate blood sample collection. Removing clots or obstructions from the catheter is crucial to prevent complications and maintain the catheter's function. Therefore, it is important to first flush the catheter with a heparinized solution before drawing blood from it.
Question 5 of 5
The nurse is assessing a 2-week-old for signs of DDH. The nurse should expect the infant to have which of the following?
Correct Answer: C
Rationale: Developmental dysplasia of the hip (DDH) is a condition where the hip joint does not develop normally. In infants, one of the signs of DDH is the presence of asymmetry of gluteal (buttock) and thigh folds. This is due to the dislocated or subluxed hip being positioned differently than the healthy hip. The nurse should look for this sign during the assessment of a 2-week-old infant to help identify potential hip joint problems early on. Excessive hip abduction, femoral lengthening of an affected leg, and pain when lying prone are not typical signs of DDH in a 2-week-old infant.