ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
A 9-mo-old infant is recently diagnosed with bilateral retinoblastoma; examination under anesthesia reveals bilateral multifocal involvement of the retina. An important next step in the management is
Correct Answer: B
Rationale: Retinal examination of first-degree relatives is crucial to identify hereditary forms of retinoblastoma.
Question 2 of 5
What is the risk of not treating congenital hypothyroidism within the first 3 months following birth?
Correct Answer: D
Rationale: Congenital hypothyroidism is a condition where a newborn baby is born with an underactive thyroid gland. If left untreated within the first 3 months following birth, it can lead to serious consequences such as stunted growth, cognitive impairment, and mental retardation.
Question 3 of 5
The nurse knows that a client understands a low residue diet when he selects which of the following from the menu?
Correct Answer: A
Rationale: A low residue diet is designed to minimize the amount of undigested food in the stool, therefore reducing the frequency and volume of bowel movements. Foods high in fiber, such as pasta with vegetables and strawberry pie, may not be suitable for a low residue diet as they can increase stool bulk. Tuna casserole may contain ingredients like bread crumbs or high-fiber vegetables that are also not recommended on a low residue diet. Rice and lean chicken are good choices for this diet as they are low in fiber and easy to digest, making them suitable options for a client following a low residue diet.
Question 4 of 5
A 2-year-old male child has an asymptomatic right flank mass discovered incidentally by the mother while bathing. Suspicion of Wilms tumor is raised. Of the following, the LEAST likely investigation to be performed in this child is
Correct Answer: D
Rationale: Biopsy is generally avoided in suspected Wilms tumor to prevent upstaging the disease.
Question 5 of 5
Which of the following would Nurse Tony suppose to regard as a cardinal manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with heart failure?
Correct Answer: C
Rationale: Digoxin is a medication commonly used to treat heart failure. One of the cardinal manifestations of digoxin toxicity is extreme bradycardia, which is characterized by a slower than normal heart rate. This can be a serious and potentially life-threatening symptom of digoxin toxicity, as it indicates that the medication is affecting the heart's electrical conduction system. Other symptoms of digoxin toxicity can include nausea, vomiting, vision changes, and confusion, but extreme bradycardia is a prominent sign that Nurse Tony should be vigilant for in his patient Clay, who has been diagnosed with heart failure.