ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
A 9-year-old boy with migratory polyarthritis, a new apical pansystolic murmur, fever, CRP+, and ASOT 500 units is diagnosed with rheumatic fever. What is his classification?
Correct Answer: C
Rationale: The boy meets the Jones criteria with two major (carditis, polyarthritis) and two minor (CRP, ASOT) criteria, confirming rheumatic fever.
Question 2 of 5
Childhood psychosis may include all the following EXCEPT
Correct Answer: D
Rationale: Acute phobic hallucination is not a recognized feature of childhood psychosis.
Question 3 of 5
In infants, inferences about vision may be made by physical examination of the eye and assessment of
Correct Answer: D
Rationale: Personal-social skills can provide clues about vision development.
Question 4 of 5
A client who is receiving a blood transfusion begins to experience chills, shortness of breath, nausea, excessive perspiration, and a vague sense of uneasiness. What is the nurse's first best action?
Correct Answer: D
Rationale: The client is exhibiting signs of a transfusion reaction, most likely a hemolytic reaction. The first best action for the nurse to take in this situation is to immediately stop the blood transfusion to prevent further complications for the client. Once the infusion is stopped, the nurse can then proceed with assessing the client's vital signs, respiratory status, and other appropriate interventions. It is crucial to prioritize stopping the transfusion to ensure the client's safety and well-being.
Question 5 of 5
A client with a history of chronic hyperparathyroidism admits to being noncompliant. Based on initial assessment findings, the nurse formulates the nursing diagnosis of Risk for injury. To complete the nursing diagnosis statement for this client, which "related-to" phrase should the nurse add?
Correct Answer: A
Rationale: Chronic hyperparathyroidism can lead to excessive bone demineralization due to increased levels of parathyroid hormone. This can weaken the bones and increase the risk for pathologic fractures. Therefore, the most appropriate "related-to" phrase to add to the nursing diagnosis of Risk for injury for a client with chronic hyperparathyroidism would be bone demineralization resulting in pathologic fractures. This accurately reflects the potential risk for injury associated with the client's condition.