ATI RN
Pediatric Research Questions Questions
Question 1 of 5
A 5-year-old child, recently diagnosed with ileocecal Burkitt lymphoma; lab investigations reveal: serum uric acid 12 mg/dl, serum sodium, 145 meq/dl; serum potassium, 4.5 meq/dl; serum phosphate 4.4 meq/dl; serum calcium, 8.9 mg/dl; blood urea, 22 mg/dl; serum creatinine, 0.8 mg/dl. Of the following, the MOST effective treatment is
Correct Answer: D
Rationale: Recombinant urate oxidase (rasburicase) effectively lowers uric acid levels in cases of tumor lysis syndrome.
Question 2 of 5
The American Academy of Pediatrics recommends the use of validated standardized developmental screening tools at three of the health maintenance visits, these are at
Correct Answer: C
Rationale: Developmental screenings are recommended at 9, 18, and 30 months.
Question 3 of 5
The nurse is caring for a 10-year-old child who has been diagnosed with acquired hypothyroidism. The parents ask the nurse for information on the disorder. Which of the following should the nurse include in the information given to the parents?
Correct Answer: C
Rationale: Acquired hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormone. In treating acquired hypothyroidism, the primary intervention is to provide thyroid hormone replacement therapy to supplement the body's low levels of thyroid hormone. This is typically done through medication, such as levothyroxine, which helps to restore normal thyroid hormone levels in the body. The replacement drug helps alleviate symptoms and prevent complications associated with hypothyroidism, ensuring the child's overall health and well-being.
Question 4 of 5
A client is being treated for acute pyelonephritis and will undergo laboratory tests. These tests are expected to help determine the clients BUN, creatinine, and serum electrolyte levels. Why should the nurse evaluate these test results?
Correct Answer: A
Rationale: Evaluating the client's BUN, creatinine, and serum electrolyte levels when being treated for acute pyelonephritis is crucial in determining the severity of the disorder. BUN and creatinine levels are indicators of renal function, where elevated levels may suggest impaired kidney function due to inflammation in the kidneys from pyelonephritis. Abnormal electrolyte levels, such as potassium and sodium, may also reflect the impact of the infection on renal function. Therefore, monitoring these test results helps healthcare providers assess how well the kidneys are functioning and the severity of the pyelonephritis to guide appropriate treatment decisions.
Question 5 of 5
Which manifestation suggests that an infant is developing necrotizing enterocolitis (NEC)?
Correct Answer: B
Rationale: Bloody diarrhea is a key sign of NEC, indicating intestinal injury.