ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
A 2-year-old child is being evaluated for a right flank mass; radiological appearance is consistent with rupture of Wilms tumor. The BEST therapeutic approach for this child is
Correct Answer: B
Rationale: Concomitant chemotherapy and radiotherapy are essential to manage ruptured Wilms tumor and reduce the risk of dissemination.
Question 2 of 5
What is the best way to detect testicular cancer early?
Correct Answer: A
Rationale: Testicular self-examination is the best way to detect testicular cancer early. It involves checking the size, shape, and consistency of the testicles to identify any changes or abnormalities. By performing monthly self-exams, men become familiar with the normal feel and appearance of their testicles, making it easier to notice any unusual lumps or swelling that could indicate the presence of cancer. Early detection is crucial for successful treatment of testicular cancer, which is why regular self-exams are recommended, especially for men at higher risk, such as those with a family history of the disease or prior testicular cancer. Annual physician examinations and ultrasounds can also help in detecting testicular cancer, but self-exams are a simple and effective way for men to take an active role in their health and potentially detect any issues early on.
Question 3 of 5
A client is receiving methotrexate (Mexate), 12g/m2 IV to treat osteogenic carcinoma. During methotrexate therapy, the nurse expects the client to receive which other drug to protect normal cells?
Correct Answer: D
Rationale: Leucovorin, also known as folinic acid, is given concurrently with methotrexate therapy to protect normal cells from the toxic effects of methotrexate. Methotrexate is a folate antagonist that affects both cancer cells and normal cells. Leucovorin is a reduced form of folic acid that bypasses the enzyme targeted by methotrexate, allowing normal cells to continue using folate for DNA synthesis. This rescue therapy helps prevent or reduce the side effects of methotrexate, such as mucositis, myelosuppression, and other toxic effects on normal cells. It is important to administer leucovorin at the appropriate times following methotrexate administration to maximize its protective effect while maintaining the efficacy of the chemotherapy.
Question 4 of 5
Which statement is true about gonorrhea?
Correct Answer: D
Rationale: Gonorrhea is a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. The recommended treatment for gonorrhea is a combination of antibiotics. Currently, multidose administration of antibiotics such as ceftriaxone or azithromycin is often used due to increasing antibiotic resistance. Treatment by topical applications to lesions is not effective in treating systemic infections like gonorrhea. Treating all sexual contacts is an essential part of the management of gonorrhea to prevent reinfection and further transmission of the infection.
Question 5 of 5
Which is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures?
Correct Answer: C
Rationale: Heart failure is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures. This results in the inefficient delivery of oxygen and nutrients to the body's tissues, leading to symptoms such as fatigue, shortness of breath, and fluid retention. Pulmonary congestion, systemic venous congestion, and congenital heart defects can be associated with heart failure but are not the primary definition of the condition.