ATI RN
Pediatric NCLEX Questions Questions
Question 1 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.
Question 2 of 5
A school-age child, admitted for intravenous antibiotic therapy for osteomyelitis, reports difficulty in going to sleep at night. Which intervention should the nurse implement to assist the child in going to sleep at bedtime?
Correct Answer: C
Rationale: Creating a schedule similar to the one the child follows at home will provide familiarity and routine, which can help in establishing a bedtime routine and promoting better sleep. Consistency in sleep schedules is important for children, as it helps regulate their circadian rhythm and promotes quality sleep. By mirroring the child's home schedule, the nurse can create a sense of normalcy and comfort for the child, making it easier for them to fall asleep at bedtime. This approach is non-pharmacological and focuses on promoting healthy sleep habits, which is beneficial for the child's overall well-being and recovery process.
Question 3 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.
Question 4 of 5
The nurse is caring for an adolescent brought to the hospital with acute drug toxicity. Cocaine is believed to be the drug involved. Data collection should include what information?
Correct Answer: A
Rationale: When caring for an adolescent with acute drug toxicity, it is important to gather information on the mode of administration of the drug to understand how it was taken into the body. This information can help the healthcare team determine the extent of drug exposure, potential complications, and appropriate treatment strategies. The mode of administration can include ingestion, inhalation, injection, or other routes, and each method may have different implications for the patient's condition. Understanding how the drug was administered is crucial in managing the adolescent's care effectively.
Question 5 of 5
Which is instituted for the therapeutic management of minimal change nephrotic syndrome?
Correct Answer: A
Rationale: Corticosteroids are the mainstay of therapy for minimal change nephrotic syndrome. Minimal change disease is the most common cause of nephrotic syndrome in children, and corticosteroids are highly effective in inducing remission in these patients. They work by reducing inflammation and decreasing the permeability of the glomerular filtration barrier in the kidneys, thereby reducing proteinuria. Antihypertensive agents are used to control blood pressure in patients with renal involvement, and long-term diuretics are not typically recommended in nephrotic syndrome due to the risk of worsening kidney function. Increased fluids to promote diuresis are also not indicated as the primary treatment for minimal change nephrotic syndrome.