ATI RN
Pediatric NCLEX Questions Questions
Question 1 of 5
Which of the following situations increase the risk of lead poisoning in children?
Correct Answer: B
Rationale: Playing in sand at the park can increase the risk of lead poisoning in children because sand can be contaminated with lead particles from various sources such as old paint, industrial pollution, or leaded gasoline residues. When children play in sand, they may accidentally ingest the contaminated particles while handling or playing with the sand. This ingestion can lead to lead poisoning, as even small amounts of lead can be harmful to children's health. Therefore, playing in sand at the park poses a higher risk of lead exposure compared to the other activities listed.
Question 2 of 5
You are evaluating a 6-year-old child with ALL on interim maintenance phase who has frequent mucositis and myelosuppression that needs frequent discontinuation of his treatment. Of the following, the MOST valuable test for this child is
Correct Answer: B
Rationale: TPMT gene testing helps determine the child's ability to metabolize thiopurine drugs, which may explain the adverse effects.
Question 3 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 4 of 5
The serum alpha-fetoprotein (AFP) level is elevated with some malignant germ cell tumors (GCTs) especially endodermal sinus tumors; it can be used as a measure of treatment response and during follow-up after completion of chemotherapy. However, it is normally elevated during infancy. At which age does AFP physiologically fall to normal adult level?
Correct Answer: C
Rationale: AFP levels typically normalize by around one year of age.
Question 5 of 5
The nurse is assessing a 2-week-old for signs of DDH. The nurse should expect the infant to have which of the following?
Correct Answer: C
Rationale: Developmental dysplasia of the hip (DDH) is a condition where the hip joint does not develop normally. In infants, one of the signs of DDH is the presence of asymmetry of gluteal (buttock) and thigh folds. This is due to the dislocated or subluxed hip being positioned differently than the healthy hip. The nurse should look for this sign during the assessment of a 2-week-old infant to help identify potential hip joint problems early on. Excessive hip abduction, femoral lengthening of an affected leg, and pain when lying prone are not typical signs of DDH in a 2-week-old infant.