ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A 7-year-old boy exhibits separation anxiety, temper issues, and withdrawal from activities after his parents' divorce. What is the most likely diagnosis?
Correct Answer: D
Rationale: Separation anxiety disorder is characterized by excessive distress when away from a parent and avoidance behaviors, often triggered by major life changes.
Question 2 of 5
A client with advanced breast cancer is prescribed tamoxifen (Nolvadex). When teaching the client about this drug, the nurse should emphasize the importance of reporting which adverse reaction immediately?
Correct Answer: A
Rationale: Tamoxifen (Nolvadex) is associated with the potential side effect of retinopathy, which can present as changes in vision. Retinopathy is a serious condition that can lead to vision loss. Therefore, it is crucial for the client to report any vision changes immediately to their healthcare provider for further evaluation and management. Reporting this adverse reaction promptly can help prevent serious complications and ensure the client's safety and well-being.
Question 3 of 5
Two weeks after a viral syndrome, a 9-year-old girl presents to your clinic with a complaint of several days of drooping of her mouth. In addition to the drooping of the left side of her mouth, you note that she is unable to completely shut her left eye. Her smile is asymmetric, but her examination is otherwise normal. This girl likely has:
Correct Answer: E
Rationale: Bell palsy is the most common cause of acute facial nerve paralysis in children and typically follows a viral illness. It is characterized by unilateral facial weakness without other neurological deficits.
Question 4 of 5
Clinicians' tools needed to recognize early symptoms of mental disorders are called 'Mental Health Action Signs'. All the following are true EXCEPT
Correct Answer: C
Rationale: Feeling very sad or withdrawn for more than 2 months is part of the Mental Health Action Signs, but the phrase 'for more than 2 months' is not accurate as symptoms lasting 2 weeks can already be significant.
Question 5 of 5
An adult is brought in by ambulance after a motor vehicle accident. He is unconscious, on a backboard with his neck immobilized. He is bleeding profusely from a large gash on his right thigh. What is the first action the nurse should take?
Correct Answer: C
Rationale: The first action the nurse should take in this situation is to check the patient's airway. Ensuring a patent airway is a critical step as it is essential for breathing and oxygenation. In this case, the unconscious patient may be at risk of airway obstruction due to various factors such as blood, secretions, or swelling from the injury. By checking the airway first, the nurse can quickly identify and address any blockages or issues that may compromise the patient's ability to breathe effectively. Once the airway is secured, the nurse can then proceed to address the other needs of the patient, such as controlling bleeding and stabilizing other vital signs.