ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
Which immunoglobulin is specific to an allergic response?
Correct Answer: B
Rationale: IgE is the immunoglobulin specific to an allergic response. When an individual is exposed to an allergen, the immune system produces IgE antibodies that bind to mast cells and basophils. Upon re-exposure to the same allergen, these IgE antibodies trigger the release of histamine and other chemicals that cause allergic symptoms such as itching, swelling, and inflammation. IgE is not normally found in high concentrations in the bloodstream unless there is an allergic reaction occurring. Other immunoglobulins like IgA, IgG, and IgM are not specifically associated with allergic responses.
Question 2 of 5
The nurse is planning care for a newborn receiving IV calcium gluconate for treatment of hypocalcemia. Which intervention is the most appropriate during the acute phase?
Correct Answer: D
Rationale: During the acute phase of treatment with IV calcium gluconate for hypocalcemia in a newborn, it is essential to closely monitor the newborn's level of consciousness. Hypocalcemia can lead to central nervous system changes, such as irritability, jitteriness, and seizures. By awakening the newborn periodically to assess their level of consciousness, the nurse can promptly identify any signs of worsening central nervous system involvement and take appropriate action. This intervention ensures timely detection of any neurological complications and allows for timely intervention to prevent serious consequences. The other options do not address the importance of monitoring for central nervous system changes during the acute phase of treatment for hypocalcemia.
Question 3 of 5
The nurse should expect to assess which causative agent in a child with warts?
Correct Answer: D
Rationale: Warts are typically caused by a viral infection, specifically the human papillomavirus (HPV). This virus infects the top layer of the skin, causing the skin cells to grow rapidly, leading to the formation of a wart. Other causative agents such as bacteria, fungus, and parasites do not typically cause warts in children. Therefore, when assessing a child with warts, the nurse should expect the causative agent to be a virus, specifically HPV.
Question 4 of 5
You are evaluating a 6-year-old child with ALL on interim maintenance phase who has frequent mucositis and myelosuppression that needs frequent discontinuation of his treatment. Of the following, the MOST valuable test for this child is
Correct Answer: B
Rationale: TPMT gene testing helps determine the child's ability to metabolize thiopurine drugs, which may explain the adverse effects.
Question 5 of 5
A sexually active female adolescent asks the nurse about the contraceptive Depo-Provera. What should the nurse explain regarding the contraceptive?
Correct Answer: A
Rationale: Depo-Provera is a contraceptive method that consists of receiving an injection every 3 months to prevent pregnancy. It contains a progestin hormone called medroxyprogesterone acetate, which works by suppressing ovulation, thickening cervical mucus, and thinning the uterine lining. This method of contraception is highly effective when used correctly and is convenient for individuals who prefer not to take a daily pill.