ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
Which is an important nursing consideration in the care of the newborn with PKU?
Correct Answer: C
Rationale: Encouraging the breastfeeding mother to adhere to a low-phenylalanine diet is an important nursing consideration in the care of the newborn with PKU. Phenylketonuria (PKU) is an inborn error of metabolism in which the body cannot metabolize phenylalanine properly. If a newborn with PKU consumes formula or breast milk that contains high levels of phenylalanine, it can lead to severe intellectual disability and other health complications. By encouraging the breastfeeding mother to follow a low-phenylalanine diet, the newborn's exposure to phenylalanine can be minimized, helping to prevent the negative effects of PKU.
Question 2 of 5
Where is the best place to observe for the presence of petechiae in dark-skinned individuals?
Correct Answer: C
Rationale: Petechiae are small, pinpoint, red or purple spots on the skin caused by bleeding into the skin. In dark-skinned individuals, it can be challenging to visualize petechiae due to the pigmentation of the skin. However, one of the best places to observe for the presence of petechiae in dark-skinned individuals is the oral mucosa, specifically the inner lining of the mouth. The oral mucosa is usually lighter in color compared to the skin, making it easier to identify petechiae in this area. Palms and soles may also be a good place to observe for petechiae, but the oral mucosa is typically the preferred site for examination in dark-skinned individuals.
Question 3 of 5
The nurse has a 2-year-old boy sit in "tailor" position during palpation for the testes. What is the rationale for this position?
Correct Answer: A
Rationale: The "tailor" position, also known as the frog-leg position, is used during palpation for the testes in young boys because it helps prevent the cremasteric reflex. The cremasteric reflex is a normal reflex in which the testes are pulled upwards towards the inguinal canal when the inner thigh is stroked. By having the child sit in the tailor position, with the knees pulled up and legs rotated outwards, the reflex is less likely to be elicited, allowing for a more accurate examination of the testes.
Question 4 of 5
A nurse is conducting a teaching session for parents of infants. The nurse explains that which behavior indicates that an infant has developed object permanence?
Correct Answer: C
Rationale: Object permanence is the understanding that objects continue to exist even when they can't be seen, heard, or touched. When an infant actively searches for a hidden object, it demonstrates that the infant has developed object permanence. This behavior implies that the infant understands that the object still exists even though it is temporarily out of sight. This usually emerges around 8-12 months of age, according to Piaget's theory of cognitive development. The other choices do not specifically relate to the concept of object permanence as directly as actively searching for a hidden object does.
Question 5 of 5
Which is the leading cause of death in infants younger than 1 year?
Correct Answer: A
Rationale: Congenital anomalies are the leading cause of death in infants younger than 1 year. These anomalies are conditions that a baby is born with, either due to genetic factors or other factors during fetal development. They can affect various parts of the body, such as the heart, brain, or other organs. Congenital anomalies can be severe and life-threatening, leading to infant mortality. Sudden Infant Death Syndrome (SIDS) is also a significant cause of infant deaths, but congenital anomalies are more commonly cited as the leading cause of death in this age group.