ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
A 2 years old girl presents with blue discoloration of nails and lips. On examination she is cyanosed and clubbed, heart auscultation reveals a short systolic murmur at left upper sternal border. The most likely diagnosis is?
Correct Answer: B
Rationale: Tetralogy of Fallot typically causes cyanosis, clubbing, and a systolic murmur due to right-to-left shunting.
Question 2 of 5
when a female carrier of hemophilia marries a male who is free of the disease, the risk to their off spring for each pregnancy is what:
Correct Answer: B
Rationale: Hemophilia is an X-linked recessive genetic disorder, meaning it is carried on the X chromosome. Females have two X chromosomes, while males have one X and one Y chromosome. In this scenario, the female carrier has one X chromosome with the hemophilia gene and one normal X chromosome. When she has children, she has a 50% chance of passing on the X chromosome with the hemophilia gene to her sons. Therefore, half the male children will inherit hemophilia, while half will not. Daughters, on the other hand, have a 50% chance of inheriting the X chromosome with the hemophilia gene but since it is a recessive disorder, they will be carriers of hemophilia rather than having the disease itself.
Question 3 of 5
The birthweight usually quadruples by the age of
Correct Answer: B
Rationale: Birthweight typically quadruples by 2 years.
Question 4 of 5
A client with diabetes mellitus must learn how to self-administer insulin. The physician has prescribed 10 U of U- 100 regular insulin and 35 U of 100-U isophane insulin suspension (NPH) to be taken before breakfast. When teaching the client how to select and rotate insulin injection sites, the nurse should provide which instruction?
Correct Answer: B
Rationale: The nurse should instruct the client to rotate injection sites within the same anatomic region, not among different regions. Proper rotation of injection sites helps prevent lipodystrophy (changes in fat tissue) and ensures consistent absorption of insulin. By rotating sites within the same region, the client can minimize the risk of developing localized skin complications. Additionally, rotating sites helps to ensure that the insulin is absorbed consistently, leading to more predictable blood glucose control. It is important to avoid injecting into areas of scar tissue, hypotrophy, large blood vessels, or nerves, as these can affect the absorption of insulin and may lead to inconsistent blood glucose levels.
Question 5 of 5
Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?
Correct Answer: A
Rationale: By 15 to 18 months, most toddlers should be walking independently. An 18-month-old who is not yet walking warrants further evaluation.