ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A 35-year-old female client is requesting information about mammograms and breast cancer. She isn't considered at high risk for breast cancer. What should the nurse tell this client?
Correct Answer: D
Rationale: According to the American Cancer Society guidelines, women with average risk for breast cancer should start getting mammograms every 2 years starting at age 40. Since the client is not considered at high risk for breast cancer, this recommendation applies to her. Regular mammograms are important for early detection of breast cancer, even in those at average risk. It is also important for the client to perform monthly breast self-exams and report any changes or concerns to her healthcare provider.
Question 2 of 5
Which histological feature differentiates Crohn's disease from ulcerative colitis?
Correct Answer: B
Rationale: Granulomas are characteristic of Crohn's disease but not ulcerative colitis, making them a key diagnostic feature.
Question 3 of 5
Mr. Reyes has a possible skull fracture. The nurse should:
Correct Answer: A
Rationale: When a patient is suspected to have a possible skull fracture, the nurse should observe him for signs of brain injury. Signs of brain injury can include changes in level of consciousness, altered pupil size or reaction to light, slurred speech, weakness or numbness in extremities, seizures, severe headache, vomiting, and vision changes. Monitoring for these signs would help in early detection of any worsening condition or complications related to the skull fracture. It is crucial to assess and monitor the patient's neurological status closely to provide timely interventions and prevent further damage.
Question 4 of 5
Renal cell carcinoma (RCC) is rare in children, accounting for <5% of all renal tumors. All the following are true regarding RCC in children EXCEPT
Correct Answer: E
Rationale: Local lymph node involvement in RCC has an adverse outcome.
Question 5 of 5
A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?
Correct Answer: D
Rationale: The nurse should explain to the mother that a topical anesthetic, such as EMLA cream, can be applied before the infant receives injections to help minimize discomfort. This option addresses the mother's concern about injection-related discomfort while still prioritizing the importance of immunizations for the infant's health. It provides a practical solution that allows the infant to receive the necessary vaccines without experiencing excessive pain or discomfort.