2024-04-18 NCLEX Exam Question: A child in the intensive care unit has been diagnosed with syndrome of inappropriate antidiuretic hormone secretion.
Which of the following electrolytes imbalances will the nurse need to monitor for?
Select an Answer: hyponatremia hypernatremia hypocalcemia hypercalcemia
Rationale:
Patients with the syndrome of inappropriate antidiuretic hormone secretion present with hyponatremia, muscle aches, muscle weakness, anorexia, nausea, lethargy, confusion, seizures, decreased respirations, and myoclonus.
Hypernatremia, hypocalcemia, and hypercalcemia are not associated with this syndrome.
2024-04-17 NCLEX Exam Question: The mother of a 3-year-old child is very concerned that her child continuously insists on a bottle at nap time.
Which is the most appropriate advice for the mother?
Select an Answer: do not allow a bottle allow the bottle if it contains water allow the bottle only once a week allow the bottle if it contains juice
Rationale:
A toddler should not be allowed to fall asleep with a bottle containing anything other than water for the risk of the toddler getting cavities.
Juice, milk, sweetened water, or any other sugary juice should not be allowed.
2024-04-16 NCLEX Exam Question: A 10-year-old child with a history of Type 1 diabetes arrives in the emergency room with the following symptoms: drowsiness and abdominal pain.
The nurse suspects which of the following conditions?
Select an Answer: Somogyi effect hypoglycemia dawn phenomenon diabetic ketoacidosis
Rationale:
The child is presenting with symptoms of diabetic ketoacidosis. Patients with ketoacidosis may have abdominal pain, drowsiness, fruity breath, hyperglycemia, electrolyte imbalances, and dehydration.
Symptoms of hypoglycemia include diaphoresis, tachycardia, and confusion.
The dawn phenomenon is early morning hyperglycemia between 2am and 8am.
The Somogyi effect (also known as the "rebound" effect) is elevated blood sugars in the morning after a low blood sugar in the night.
2024-04-15 NCLEX Exam Question: The nurse is taking care of a child that presents to the emergency room with a goiter.
The nurse is aware that the goiter is associated with which of the following conditions?
Select an Answer: hypothyroidism all of these Graves' disease hyperthyroidism
Rationale:
A goiter is an enlarged thyroid gland. Both hypothyroidism (an underactive thyroid gland) and hyperthyroidism (an overactive thyroid gland) can result in a goiter. Graves� disease is an autoimmune disorder that results in the overproduction of thyroid hormones (hyperthyroidism).
2024-04-14 NCLEX Exam Question: A 4-year-old child with leukemia is in the hospital receiving chemotherapy treatment. The nurse recognizes that the child is fearful.
The nurse suggests which nursing intervention to be implemented in an effort to alleviate the child's fears?
Select an Answer: Encourage the child to go to the hospital playroom. Advise family and friends to visit only during scheduled visiting hours. Encourage the child's parents to stay with the child at the hospital. Let the child spend time alone.
Rationale:
The 4-year-old is of preschool age. Though preschool may take the child away from the parents for a few hours during the day, an illness adds a new stressor to the child which may make separation from the parents more stressful. The child will feel least fearful when the parents are present.
The other answer choices may increase fear, rather than decrease or eliminate it.
