ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
Which of the following malignant tumors is least likely to occur in adults in comparison with children?
Correct Answer: D
Rationale: Retinoblastoma predominantly occurs in children under 5 years of age, making it the least likely to occur in adults.
Question 2 of 5
A nurse is palpating a newborn's fontanels. The nurse documents the anterior fontanel is which shape?
Correct Answer: A
Rationale: The anterior fontanel, also known as the bregma, is the larger of the two fontanels located on the baby's skull. It is diamond-shaped, with the sutures meeting in the center to create a space that is soft and slightly depressed. While it is diamond-shaped when looking at the intersection of the sutures, when palpated or touched by a nurse, it often feels more circular due to the softness of the fontanel. It is important for nurses to monitor the fontanels for normal closure and development in newborns.
Question 3 of 5
A 9mo-old infant develops a left adrenal mass; histological examination with genetic characteristics confirms neuroblastoma. Which of the following carries a better outcome?
Correct Answer: B
Rationale: Hyperdiploidy is associated with a better prognosis in neuroblastoma.
Question 4 of 5
A client with acquired immunodeficiency syndrome (AIDS) is prescribed zidovudine (azidothymidine, AZT [retrovir]), 200mg PO every 4 hours. When teaching the client about this drug, the nurse should provide which instruction?
Correct Answer: C
Rationale: Zidovudine (AZT) is an antiretroviral drug used to treat HIV infection, including in AIDS patients. It is important to follow the prescribed dosing schedule to maintain consistent drug levels in the body and effectively control the HIV virus. Taking zidovudine every 4 hours around the clock helps ensure the medication's therapeutic effects are maintained throughout the day. It is crucial for the client to adhere to the prescribed dosing regimen to prevent the development of drug resistance and to achieve the best treatment outcomes. Taking zidovudine with meals, on an empty stomach, or taking over-the-counter drugs for minor adverse reactions are not the correct instructions related to the dosing schedule of zidovudine.
Question 5 of 5
One of the dangers of treating hypernatremia is:
Correct Answer: B
Rationale: Hypernatremia is a condition characterized by high levels of sodium in the blood. When hypernatremia is treated too rapidly or aggressively, a rapid decrease in serum sodium levels may occur. This rapid change in serum sodium concentration can cause water to move into brain cells, leading to cerebral edema. Cerebral edema is a dangerous complication associated with the potential to cause increased intracranial pressure, neurological deficits, and even death. It is crucial to correct hypernatremia slowly and carefully to prevent such complications.