ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
A 2-year-old male child has an asymptomatic right flank mass discovered incidentally by the mother while bathing. Suspicion of Wilms tumor is raised. Of the following, the LEAST likely investigation to be performed in this child is
Correct Answer: D
Rationale: Biopsy is generally avoided in suspected Wilms tumor to prevent upstaging the disease.
Question 2 of 5
After receiving an immunization for pediatric diphtheria, tetanus, and acellular pertussis (DTaP), a patient develops swelling and tenderness at the injection site, a low-grade fever, and malaise. The pediatric nurse informs the patient's parents that:
Correct Answer: B
Rationale: Mild reactions like swelling, tenderness, low-grade fever, and malaise are common after DTaP vaccination and can be managed with supportive care.
Question 3 of 5
Small round blue cell tumors refer to all the following EXCEPT
Correct Answer: B
Rationale: Osteosarcoma does not typically fall under the category of small round blue cell tumors.
Question 4 of 5
A client who is HIV positive should have the mouth examined for which oral problem common associated with AIDS?
Correct Answer: B
Rationale: A client who is HIV positive should have the mouth examined for oral thrush, which presents as creamy white patches on the tongue or lining of the mouth. Oral thrush, caused by the fungus Candida albicans, is a common oral problem associated with AIDS. It is important to detect and treat oral thrush promptly in HIV-positive individuals as it can cause discomfort, difficulty swallowing, and further complications if left untreated. Regular oral examinations and proper oral hygiene practices are essential for managing oral health in individuals living with HIV/AIDS.
Question 5 of 5
The nurse is conducting a staff in-service on congenital heart defects. Which structural defect constitutes tetralogy of Fallot?
Correct Answer: A
Rationale: Tetralogy of Fallot is a combination of four structural defects in the heart. These include pulmonic stenosis (narrowing of the pulmonary valve or artery), ventricular septal defect (hole in the wall that separates the two lower chambers of the heart), overriding aorta (aorta positioned directly over the ventricular septal defect), and right ventricular hypertrophy (enlargement of the right ventricle due to increased workload). Therefore, the correct combination of defects that constitute tetralogy of Fallot is pulmonic stenosis, ventricular septal defect, overriding aorta, and right ventricular hypertrophy, which is option A.