ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
Which of the following instructions should be included in the discharge teaching plan for a client after thyroidectomy for Grave's disease?
Correct Answer: C
Rationale: Regular follow-up care is crucial after a thyroidectomy for Grave's disease to monitor the patient's thyroid hormone levels, assess for signs of complications such as hypothyroidism or hypoparathyroidism, and ensure appropriate management of any related conditions. Routine follow-up visits with healthcare providers allow for ongoing assessment and adjustment of medications, as well as addressing any concerns the patient may have post-surgery. By emphasizing the importance of regular follow-up care, the healthcare team can provide necessary support and guidance to the patient throughout their recovery process.
Question 2 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.
Question 3 of 5
The nurse is aware that in communicating with an elderly client, the nurse will
Correct Answer: B
Rationale: When communicating with an elderly client, it is important to use a low-pitched voice because high frequencies can be difficult for older individuals to hear. A low-pitched voice is easier for them to understand and can help enhance communication. Speaking clearly and directly in a calm manner with a lower pitch can make it easier for the elderly client to hear and comprehend what is being said. Additionally, it is important to speak at a moderate pace and volume to ensure effective communication with elderly clients.
Question 4 of 5
What is an important consideration regarding TPN administration?
Correct Answer: A
Rationale: An important consideration regarding TPN administration is ensuring the intravenous (IV) site is kept aseptic while infusing the solution. This is crucial to prevent the risk of infection, as TPN solutions are highly concentrated and can provide an ideal environment for the growth of microorganisms. Strict aseptic technique must be maintained during the entire process of TPN administration, from preparation to infusion, to minimize the risk of introducing pathogens into the patient's system. Failure to maintain aseptic technique can lead to serious complications such as bloodstream infections, which can be life-threatening for the patient.
Question 5 of 5
An adult suffered a diving accident and is being brought in by an ambulance intubated and on backboard with a cervical collar. What is the first action the nurse would take on arrival in the hospital?
Correct Answer: B
Rationale: The first action the nurse should take upon the arrival of the adult who suffered a diving accident and is intubated and on a backboard with a cervical collar is to insert a large bore IV line. This is a priority because the person may require urgent fluid resuscitation or medication administration, and having IV access is crucial for immediate intervention in trauma cases. After establishing IV access, other assessments such as vital signs, lung sounds, and neurological checks can follow.