ATI RN
Pediatric Research Questions Questions
Question 1 of 5
A 16-year-old mother complaining of breast engorgement feels unhappy living with her husband. The MOST appropriate action is
Correct Answer: A
Rationale: Referral to an obstetrician is necessary for proper evaluation and management.
Question 2 of 5
A 5-year-old child, recently diagnosed with ileocecal Burkitt lymphoma; lab investigations reveal: serum uric acid 12 mg/dl, serum sodium, 145 meq/dl; serum potassium, 4.5 meq/dl; serum phosphate 4.4 meq/dl; serum calcium, 8.9 mg/dl; blood urea, 22 mg/dl; serum creatinine, 0.8 mg/dl. Of the following, the MOST effective treatment is
Correct Answer: D
Rationale: Recombinant urate oxidase (rasburicase) effectively lowers uric acid levels in cases of tumor lysis syndrome.
Question 3 of 5
A 5-year old boy presents with afebrile generalized tonic-clonic seizure lasting for 5 minutes. Previously he was healthy and had no such problem. On examination there is no abnormality. Your plan of management should be:
Correct Answer: C
Rationale: In a first-time generalized seizure, an immediate EEG and starting anticonvulsant therapy is prudent to prevent recurrence, especially if the EEG shows epileptiform activity.
Question 4 of 5
The nurse is caring for a newborn with respiratory distress syndrome. The newborn has an endotracheal tube. Which statement describes nursing considerations related to suctioning?
Correct Answer: A
Rationale: Suctioning should not be carried out routinely in a newborn with respiratory distress syndrome and an endotracheal tube. Routine, frequent suctioning can lead to airway trauma, damage to mucous membranes, and increased risk of infection. Suctioning should only be performed when there are clinical indications such as visible secretions or signs of respiratory distress. Each suctioning event should be carefully assessed and performed with gentle technique to minimize potential harm to the newborn's delicate airway.
Question 5 of 5
A client is admitted to an acute care facility with a tentative diagnosis of hypoparathyroidism. The nurse should monitor the client closely for the related problem of:
Correct Answer: B
Rationale: Hypoparathyroidism is a condition characterized by decreased levels of parathyroid hormone, which can lead to low levels of calcium in the blood (hypocalcemia). Profound neuromuscular irritability is a significant complication of hypocalcemia and is a key concern for clients with hypoparathyroidism. Symptoms can include muscle cramps, tetany, seizures, and decreased cardiac contractility. Monitoring for neuromuscular irritability and promptly addressing low calcium levels are essential in the care of clients with hypoparathyroidism.