ATI RN
FNP Pediatric Practice Questions Questions
Question 1 of 5
A 12-year-old male adolescent, recently diagnosed with Hodgkin lymphoma, shows left cervical and supraclavicular lymph node involvement and drenching night sweats. Based on Ann Arbor Classification, the patient is classified as
Correct Answer: D
Rationale: Involvement of two lymph node regions above the diaphragm with systemic symptoms corresponds to stage IIB.
Question 2 of 5
One of the complications of prolonged bed rest is decubitus ulcer. Which of the following can best prevent its occurrence?
Correct Answer: C
Rationale: Turning the patient frequently every 2 hours helps relieve pressure on specific areas of the body, hence reducing the risk of developing decubitus ulcers. Prolonged pressure on the skin can lead to poor blood circulation and tissue damage, which can eventually progress into decubitus ulcers. By turning the patient regularly, the pressure is redistributed and different areas of the skin are relieved from constant stress. This simple measure is an effective way to prevent the occurrence of decubitus ulcers in patients on prolonged bed rest.
Question 3 of 5
A client with idiopathic thrombocytopenic purpura (ITP), an autoimmune disorder, is admitted to an acute care facility. Concerned about hemorrhage, the nurse monitors the client's platelet count and observes closely for signs and symptoms of bleeding. The client is at greatest risk for cerebral hemorrhage when the platelet count falls below:
Correct Answer: B
Rationale: In a client with idiopathic thrombocytopenic purpura (ITP), a platelet count falling below 20,000/ul puts them at the greatest risk for cerebral hemorrhage. This is because the risk of spontaneous bleeding, especially in critical areas like the brain, significantly increases as platelet counts drop below this level. The brain is a sensitive organ, and even minor bleeds can have serious consequences. Therefore, it is crucial for healthcare providers to closely monitor platelet counts and promptly intervene to prevent life-threatening hemorrhage in clients with ITP.
Question 4 of 5
Which of the following actions by the practitioner would be important in the prevention of rheumatic fever?
Correct Answer: C
Rationale: The correct action to prevent rheumatic fever is to refer children with sore throats for throat cultures (Choice C). Rheumatic fever is caused by an abnormal immune response to a bacterial infection with group A Streptococcus. By promptly diagnosing and treating streptococcal infections with antibiotics, the risk of developing rheumatic fever can be minimized. Conducting throat cultures for children with sore throats helps identify streptococcal infections and allows for appropriate antibiotic treatment, thereby preventing the progression to rheumatic fever. Encouraging routine hypertensive screenings (Choice A) and conducting routine occult blood screenings (Choice B) are not directly related to the prevention of rheumatic fever. Recommending salicylates instead for minor discomforts (Choice D) is contraindicated in cases of suspected or confirmed streptococcal infections due to the risk of worsening symptoms and potentially triggering rheumatic fever.
Question 5 of 5
Basic principles of healthy sleep hygiene include all the following EXCEPT
Correct Answer: D
Rationale: Heavy meals before bedtime can disrupt sleep.