ATI RN
Pediatric Research Questions Questions
Question 1 of 5
A 25-year old with hepatitis may be anicteric and symptomless. In the early part of the hepatic inflammatory disorder, the most likely symptom/sign is:
Correct Answer: D
Rationale: In the early part of the hepatic inflammatory disorder, the most likely symptom/sign is anorexia. Anorexia refers to a decreased appetite or lack of interest in food, which is commonly seen in patients with liver diseases such as hepatitis. Anorexia in the setting of liver inflammation indicates a disruption in the normal metabolic processes of the liver. This symptom is often accompanied by general malaise, fatigue, and weight loss. Dark urine (choice A) may occur later in the disease progression due to the buildup of bilirubin in the blood. Occult blood in stools (choice B) may be a sign of gastrointestinal bleeding, which can be a complication of advanced liver disease but is not typically an early symptom. Ascites (choice C) is the accumulation of fluid in the peritoneal cavity and is usually a late sign of liver dysfunction.
Question 2 of 5
When the LPN is assisting the patient to use an incentive spirometer, which of the following actions by the patient indicates that the patient needs further teaching on how to use the spirometer?
Correct Answer: D
Rationale: When using an incentive spirometer, the patient should inhale deeply to reach the target volume indicated by the marker. Exhaling deeply does not achieve the objective of the incentive spirometer, which is to encourage deep inhalation. If the patient exhales deeply to reach the target, further teaching and clarification about the proper technique of using the spirometer are needed. The correct technique involves inhaling deeply to expand the lungs and help improve lung function.
Question 3 of 5
You are discussing physical child abuse with medical students; you state that fractures are common presentation and those that should raise suspicion for abuse include fractures that are unexplained, occurring in young, non-ambulatory children, or involve multiple bones. Of the following, the site of the fracture that is LESS specific for abuse is
Correct Answer: D
Rationale: Fractures of the vertebrae are less specific for abuse compared to other sites like ribs, scapula, or skull, which are more characteristic of inflicted trauma.
Question 4 of 5
Which intervention is appropriate for the nurse caring for a client in severe pain receiving a continuous I.V. infusion of morphine?
Correct Answer: D
Rationale: Obtaining baseline vital signs before administering the first dose is appropriate for the nurse caring for a client in severe pain receiving a continuous I.V. infusion of morphine. Monitoring vital signs, including blood pressure, heart rate, respiratory rate, and oxygen saturation, is essential to assess the client's response to opioid therapy. Baseline vital signs provide a comparison for evaluating changes in the client's physical status and help identify any adverse effects or complications related to morphine administration. This proactive approach allows the nurse to detect and address any abnormalities promptly, ensuring the client's safety and optimal pain management.
Question 5 of 5
Hepatoblastoma is a neoplasm of undifferentiated precursors of hepatocytes. It is of different histological classification; which type predict the MOST favorable outcome?
Correct Answer: B
Rationale: Pure epithelial histology, particularly fetal type, is associated with the best prognosis.