ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
Which statement is descriptive of renal transplantation in children?
Correct Answer: B
Rationale: Renal transplantation is considered the preferred means of renal replacement therapy in children with end-stage renal disease. This is because transplantation offers the best long-term outcomes and quality of life for children compared to other forms of renal replacement therapy such as dialysis. Children who undergo successful renal transplantation tend to have improved growth, development, and overall health compared to those who remain on dialysis. Transplantation can provide children with the opportunity to live a relatively normal and healthy life, making it the preferred treatment option in pediatric patients with end-stage renal disease.
Question 2 of 5
A patient is admitted with symptoms of a recent weight gain, 3+ pitting edema of his feet, distended neck veins, and crackles in his lungs. Which of the following nursing diagnoses is most appropriate for this patient's plan of care?
Correct Answer: C
Rationale: The patient's symptoms of recent weight gain, 3+ pitting edema of his feet, distended neck veins, and crackles in his lungs are indicative of fluid volume excess. These signs and symptoms suggest that the patient is retaining too much fluid, leading to the edema and congestion in the lungs. The nursing diagnosis of Excess Fluid Volume is appropriate for this patient as it reflects the patient's current physiological state and guides the plan of care to address excess fluid accumulation through interventions such as diuretic therapy, fluid restriction, and monitoring of intake and output. Deficient fluid volume, Imbalanced nutrition more than body requirements, and Noncompliance are not appropriate nursing diagnoses given the patient's presentation of fluid overload.
Question 3 of 5
Inhalation of carbogen for short period is recommended:
Correct Answer: D
Rationale: Inhalation of carbogen, which is a mixture of carbon dioxide and oxygen, for a short period can have several beneficial effects.
Question 4 of 5
A client has been taking a decongestant for allergic rhinitis. During a follow-up visit, which of the following suggests that the decongestant has been effective?
Correct Answer: B
Rationale: A decongestant is a medication often used to relieve nasal congestion and reduce allergy symptoms such as sneezing. If a client with allergic rhinitis has experienced reduced sneezing during a follow-up visit after taking a decongestant, it suggests that the medication has been effective in helping to alleviate their symptoms. Increased salivation, increased tearing, and headache are not typical indicators of the effectiveness of a decongestant for allergic rhinitis.
Question 5 of 5
The client with rheumatoid arthritis reports GI irritation after taking piroxicam (Feldene). To prevent GI upset, the nurse should provide which instruction?
Correct Answer: C
Rationale: Piroxicam is a nonselective NSAID (nonsteroidal anti-inflammatory drug) that can irritate the gastrointestinal (GI) tract, leading to symptoms such as heartburn, indigestion, and stomach pain. Taking piroxicam with food or an oral antacid can help reduce GI irritation by providing a protective barrier and reducing acid production within the stomach. Encouraging the client to take piroxicam with a meal or antacid can help prevent or minimize GI upset associated with the medication. Additionally, using a proton pump inhibitor (PPI) or histamine-2 receptor antagonist (H2 blocker) along with piroxicam may further protect the stomach lining from irritation.