ATI RN
Pediatric Research Questions Questions
Question 1 of 5
A 2-mo-old male infant has a left flank mass discovered incidentally by the mother; radiological imaging reveals a left renal mass. Of the following, the MOST likely diagnosis is
Correct Answer: A
Rationale: Nephroblastoma (Wilms tumor) is the most common renal malignancy in infants.
Question 2 of 5
Which gauge IV cannula should the nurse choose when preparing to initiate a blood transfusion?
Correct Answer: A
Rationale: An 18-gauge IV cannula is the most appropriate choice when preparing to initiate a blood transfusion. This larger size allows for the rapid administration of blood products, which is important to prevent clotting and ensure a stable flow of the transfusion. Smaller gauge sizes, such as 22, 24, or 28, may be too slow for transfusion purposes and could potentially lead to delays or complications during the procedure. Therefore, the optimal choice for initiating a blood transfusion is an 18-gauge IV cannula.
Question 3 of 5
A client is being treated for acute pyelonephritis and will undergo laboratory tests. These tests are expected to help determine the clients BUN, creatinine, and serum electrolyte levels. Why should the nurse evaluate these test results?
Correct Answer: A
Rationale: Evaluating the client's BUN, creatinine, and serum electrolyte levels when being treated for acute pyelonephritis is crucial in determining the severity of the disorder. BUN and creatinine levels are indicators of renal function, where elevated levels may suggest impaired kidney function due to inflammation in the kidneys from pyelonephritis. Abnormal electrolyte levels, such as potassium and sodium, may also reflect the impact of the infection on renal function. Therefore, monitoring these test results helps healthcare providers assess how well the kidneys are functioning and the severity of the pyelonephritis to guide appropriate treatment decisions.
Question 4 of 5
Which factor most impacts the type of injury a child is susceptible to, according to the child's age?
Correct Answer: B
Rationale: The developmental level of the child most impacts the type of injury they are susceptible to based on their age. As children grow and develop, their physical abilities, cognitive skills, and understanding of the environment change. Younger children may be more susceptible to injuries related to exploration and lack of awareness of dangerous situations, while older children may be more prone to injuries during physical activities or sports. Understanding the developmental stage of a child is crucial in assessing potential risks and implementing appropriate safety measures to prevent injuries.
Question 5 of 5
There are several risk factors with developing cancer. The following are risk factors of cancer, except:
Correct Answer: B
Rationale: Age, race, and lifestyle are all commonly recognized risk factors associated with the development of cancer. However, ordinal petition in the family is not a known or established risk factor for cancer. Family history of cancer (inheritance), on the other hand, is a significant risk factor for many types of cancer.