ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
A 28 y.o man is diagnosed with acute epididymitis. Which of the ff. symptoms supports this diagnosis?
Correct Answer: B
Rationale: Acute epididymitis is inflammation of the epididymis, a coiled tube located behind the testicles that stores and carries sperm. The most common symptom of acute epididymitis is severe tenderness and swelling in the scrotum, typically on one side. Other symptoms may include redness, warmth, and pain in the affected testicle. While symptoms such as burning and pain on urination may be present in other conditions like urinary tract infections, the presence of severe tenderness and swelling in the scrotum is more indicative of acute epididymitis. The foul-smelling ejaculate and severe scrotal swelling are not typical symptoms of acute epididymitis.
Question 2 of 5
For a client with newly diagnosed cancer, the nurse formulates a nursing diagnosis of Anxiety related to the threat of death secondary to cancer diagnosis. Which expected outcome would be appropriate for this client?
Correct Answer: C
Rationale: The expected outcome that would be appropriate for a client with newly diagnosed cancer experiencing anxiety related to the threat of death would be "Client uses any effective method to reduce tension." This outcome focuses on the client actively engaging in coping strategies to reduce their anxiety. It is important for the client to actively participate in managing their anxiety by utilizing various methods to promote relaxation and reduce tension. It is a more proactive and empowering goal compared to simply verbalizing feelings of anxiety or stopping seeking information. By actively using effective methods to reduce tension, the client is taking steps to improve their emotional well-being and cope with the anxiety related to the cancer diagnosis.
Question 3 of 5
Which of the following is the most numerous type of white blood cell (WBC)?
Correct Answer: A
Rationale: Neutrophils are the most numerous type of white blood cell (WBC) in the body, comprising about 60-70% of the total WBC count. They are a critical component of the immune system, playing a key role in fighting bacterial infections through phagocytosis (engulfing and destroying pathogens). Neutrophils are known for their rapid response to infections and are often the first responders to sites of inflammation. Their abundance and rapid mobilization make them essential in the body's defense against harmful pathogens.
Question 4 of 5
Which of the following method if used by Wilma will best assure that the tracheostomy ties are not too tightly placed?
Correct Answer: A
Rationale: Placing 2 fingers between the tracheostomy tie and the neck is a reliable method to ensure that the tie is not too tight. This technique allows for proper circulation around the neck area and helps prevent skin irritation or pressure ulcers from developing. It strikes a balance between securing the tracheostomy in place and maintaining the patient's comfort and safety. Checking for appropriate tightness by using the finger method is a standard practice in tracheostomy care to prevent complications related to excessive pressure or constriction.
Question 5 of 5
Which defect results in increased pulmonary blood flow?
Correct Answer: C
Rationale: Atrial septal defect (ASD) is a congenital heart defect where there is an abnormal opening in the atrial septum, leading to a left-to-right shunt of blood. This shunt causes increased pulmonary blood flow, as oxygenated blood from the left atrium is shunted back into the right atrium and then into the pulmonary circulation. Over time, this increased pulmonary blood flow can lead to pulmonary hypertension and potentially Eisenmenger syndrome if left untreated. Pulmonic stenosis, tricuspid atresia, and transposition of the great arteries all typically result in decreased pulmonary blood flow rather than increased pulmonary blood flow.