ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
Which is an accurate description of a Kasai procedure?
Correct Answer: A
Rationale: The Kasai procedure is a palliative surgery for biliary atresia that helps restore bile flow and delays the need for liver transplantation.
Question 2 of 5
When administering an I.M. injection to an infant, the nurse in charge should use which site?
Correct Answer: D
Rationale: When administering an intramuscular (I.M.) injection to an infant, the nurse should use the vastus lateralis muscle. This is the preferred site for infants as it provides a large muscle mass and is less likely to damage nerves and blood vessels compared to other sites. The vastus lateralis is located on the thigh and is easily accessible for injections in infants. It is important to select the appropriate site for I.M. injections in infants to ensure proper medication absorption and minimize the risk of complications.
Question 3 of 5
Which statement is descriptive of renal transplantation in children?
Correct Answer: B
Rationale: Renal transplantation is considered the preferred means of renal replacement therapy in children with end-stage renal disease. This is because transplantation offers the best long-term outcomes and quality of life for children compared to other forms of renal replacement therapy such as dialysis. Children who undergo successful renal transplantation tend to have improved growth, development, and overall health compared to those who remain on dialysis. Transplantation can provide children with the opportunity to live a relatively normal and healthy life, making it the preferred treatment option in pediatric patients with end-stage renal disease.
Question 4 of 5
A patient is admitted who has had severe vomiting for 24 hours. She states that she is exhausted and weak. The results of an admitting ECG show flat T waves and ST segment depression. Choose the most likely potassium (K ) value for this patient.
Correct Answer: B
Rationale: The patient is displaying signs of hypokalemia (low potassium levels) due to severe vomiting. Symptoms of hypokalemia can include weakness, fatigue, and ECG changes such as flat T waves and ST segment depression. The potassium level that is most likely associated with these symptoms is 2.0mEq/L. Severe vomiting can lead to significant loss of potassium from the body, causing these abnormalities. It is important to address and correct the potassium imbalance to prevent further complications.
Question 5 of 5
Appropriate nursing interventions for J.E. would be
Correct Answer: A
Rationale: For J.E., who suffered head injuries in a motor vehicle accident, appropriate nursing interventions should focus on holistic care to prevent complications and promote recovery. Option A includes skin care and position changes every 2 hours (q2h) and as needed, which is crucial for preventing pressure injuries in the immobile patient. Maintaining alignment of extremities helps prevent muscle contractures. Respiratory exercises are essential for preventing atelectasis and improving lung function in patients at risk for pneumonia due to decreased mobility. These interventions address the immediate needs of the patient and aim to prevent further complications related to immobility and head injury. Options B, C, and D lack the comprehensive approach to care provided in option A, making it the most appropriate choice for J.E.