ATI RN
Pediatric Nclex Practice Questions Questions
Question 1 of 5
Which statement by an 18-year-old woman vaccinated with Gardasil indicates that more teaching is necessary?
Correct Answer: A
Rationale: The correct answer is A because Gardasil does not cure existing HPV infections. Gardasil is a preventive vaccine and does not treat existing infections. Choice B is correct as regular Pap screenings are still necessary even after vaccination. Choice C is also correct as Gardasil can prevent genital warts. Choice D is correct as Gardasil does not protect against all types of HPV. Therefore, option A is the statement that indicates the need for more teaching.
Question 2 of 5
Before administering a live virus vaccine to a patient taking a glucocorticoid medication, what action should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take when a patient on glucocorticoid medication is to note the contraindication and clarify the order with the healthcare provider. Glucocorticoids can suppress the immune response, potentially reducing the effectiveness of vaccines. Therefore, it is crucial to consult with the healthcare provider to assess the risks and benefits of administering a live virus vaccine in such circumstances. Administering a live virus vaccine to a patient taking glucocorticoids can increase the risk of developing a viral infection, making it essential to seek guidance from the healthcare provider before proceeding.
Question 3 of 5
A nurse assesses a male patient who has developed gynecomastia while receiving treatment for peptic ulcers. Which medication from the patient’s history should the nurse recognize as a contributing factor?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Cimetidine (Tagamet). Cimetidine is a histamine-2 (H2) receptor antagonist that can cause gynecomastia as a side effect by disrupting the normal hormonal balance. It inhibits the metabolism of estrogen, leading to increased levels and subsequent breast tissue growth in males. Amoxicillin (A), Metronidazole (C), and Omeprazole (D) are antibiotics and a proton pump inhibitor, respectively, commonly used in peptic ulcer treatment. While they have their own set of side effects, they are not known to cause gynecomastia. This question is crucial in pediatric nursing education as it highlights the importance of understanding medication side effects and their impact on the patient's condition. Nurses need to be vigilant in recognizing and managing adverse drug reactions, especially in pediatric patients who may be more vulnerable to such effects. Understanding the pharmacological mechanisms of medications helps nurses provide safe and effective care to pediatric patients.
Question 4 of 5
What is the most important statement to include when teaching a patient who is prescribed metronidazole (Flagyl)?
Correct Answer: B
Rationale: The most crucial statement to include when teaching a patient prescribed metronidazole (Flagyl) is to avoid alcohol consumption. Mixing metronidazole and alcohol can lead to a disulfiram-like reaction, causing severe symptoms such as nausea, vomiting, and headache. Therefore, it is essential to emphasize to the patient the importance of abstaining from alcohol while taking this medication to prevent adverse reactions.
Question 5 of 5
Which stage of motor learning is illustrated as the toddler attempts to place a shape into a container multiple times using an effective reach and grasp pattern often but makes errors?
Correct Answer: B
Rationale: The correct answer is B) Perceptual Learning. In the scenario described, the toddler is attempting to place a shape into a container multiple times using an effective reach and grasp pattern but still making errors. This aligns with the concept of perceptual learning, which involves fine-tuning motor skills through repeated practice and error detection. Option A) Skill Acquisition refers to the initial stage of learning a new skill, where the focus is on developing basic coordination. In the given scenario, the toddler is already proficient in the reach and grasp pattern, moving beyond basic skill acquisition. Option C) Functional Performance usually relates to the ability to carry out tasks in a real-world setting. While important, this concept does not directly address the specific motor learning stage being demonstrated by the toddler. Option D) Exploratory Activity typically involves the early stage of learning through trial and error, which is different from the repeated attempts with an effective pattern seen in the toddler's actions. Educationally, understanding the stages of motor learning in children is crucial for pediatric nurses as it helps them assess developmental progress, identify potential delays, and provide appropriate interventions to support children in reaching their full motor potential. Recognizing the nuances of motor learning stages can guide healthcare professionals in tailoring interventions and support strategies to meet each child's unique needs effectively.