ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
The birthweight usually quadruples by the age of
Correct Answer: B
Rationale: Birthweight typically quadruples by 2 years.
Question 2 of 5
The developmental age of a child who continues to search for a hidden subject has achieved
Correct Answer: B
Rationale: Object permanence is typically achieved around 9 months.
Question 3 of 5
The long-term complications seen in thalassemia major are associated to which of the following?
Correct Answer: C
Rationale: Thalassemia major is a genetic disorder characterized by abnormal hemoglobin production. Individuals with thalassemia major require frequent blood transfusions to manage their anemia, leading to iron overload in the body. Over time, this excess iron can accumulate in various organs such as the liver, heart, and endocrine glands, causing damage and dysfunction. This condition is known as hemochromatosis. Long-term complications of hemochromatosis include liver cirrhosis, heart failure, diabetes, and endocrine disorders.
Therefore, the long-term complications seen in thalassemia major are primarily associated with hemochromatosis rather than anemia, growth retardation, or splenomegaly.
Question 4 of 5
A 1-year-old with acute renal failure (ARF) is edematous with minimal urine output. Vital signs: HR 146, BP 176/92, RR 42; the child has nasal flaring and retractions. Despite oral Kayexalate, serum potassium continues to rise. Which treatment will most benefit the child?
Correct Answer: D
Rationale: When ARF deteriorates and electrolyte imbalances worsen, peritoneal dialysis (via a Tenckhoff catheter) is indicated.
Question 5 of 5
Which should the nurse recommend for the diet of a child with chronic renal failure?
Correct Answer: C
Rationale: For a child with chronic renal failure, it is important to recommend a diet that is low in phosphorus. In chronic renal failure, the kidneys have difficulty filtering phosphorus from the blood, leading to high levels of phosphorus in the body. High phosphorus levels can contribute to bone problems and other complications in renal failure patients. By recommending a diet low in phosphorus, the nurse can help manage the child's condition and reduce the risk of further complications. It is also important to monitor other electrolyte levels such as calcium, potassium, and sodium, and adjust the diet accordingly to maintain proper balance.