ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
A client is admitted for a spelenectomy. What problem is the nurse aware that could develop?
Correct Answer: A
Rationale: Following a splenectomy (spleen removal), patients are at an increased risk of developing infections, particularly those caused by encapsulated bacteria such as Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis. The spleen plays a vital role in the immune system by filtering and clearing bacteria and viruses from the bloodstream. Without a functioning spleen, patients are more vulnerable to bacterial infections. Therefore, the nurse should be aware of the potential for infection and provide appropriate education to the client regarding infection prevention strategies, such as vaccinations and prompt medical treatment for any signs of infection.
Question 2 of 5
A client complains of sporadic epigastric pain, yellow skin, nausea, vomiting, weight loss, and fatigue. Suspecting gallbladder disease, the physician orders a diagnostic workup, which reveals gallbladder cancer. Which nursing diagnosis may be appropriate for this client?
Correct Answer: A
Rationale: Anticipatory grieving is an appropriate nursing diagnosis for a client diagnosed with gallbladder cancer due to the nature of the diagnosis and the symptoms experienced. Gallbladder cancer carries a poor prognosis and can have a significant impact on the client's emotional well-being. The client may experience feelings of sadness, fear, and loss related to the cancer diagnosis and its implications on their health and future. The presence of symptoms such as yellow skin, weight loss, fatigue, and epigastric pain can further contribute to the client's distress and feelings of grief. As the client navigates the challenges associated with the cancer diagnosis and treatment, providing emotional support and assistance in coping with their feelings of anticipatory grief is essential for holistic care.
Question 3 of 5
A client is admitted to an acute care facility with esophageal cancer. The incidence of esophageal cancer is highest in:
Correct Answer: A
Rationale: The incidence of esophageal cancer is highest in black males. Studies have shown that black males have a higher risk of developing esophageal cancer compared to other demographic groups. Various factors contribute to this increased risk, including genetic predisposition, lifestyle habits (such as smoking and alcohol consumption), and potential disparities in access to healthcare and early detection. It is important for healthcare providers to be aware of these disparities in order to provide appropriate care and support for individuals at higher risk for esophageal cancer.
Question 4 of 5
A client seeks care for hopeless that has lasted for 1 month. To elicit the most appropriate information about this problem, the nurse should ask which question.
Correct Answer: E
Rationale: The most appropriate question to elicit information about feelings of hopelessness lasting for 1 month would be related to mental health and emotional well-being. Therefore, asking about smoking habits, diet, voice strain, or spicy food consumption are not directly relevant to the client's presenting concern. Instead, asking about the individual's feelings, thoughts, and experiences related to the ongoing feelings of hopelessness would provide essential information for understanding and addressing the client's mental health needs.
Question 5 of 5
A 52-year old female tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client's lump is cancerous?
Correct Answer: C
Rationale: A non-mobile mass with irregular edges is a strong indicator of a cancerous lump in the breast. Cancerous lumps often feel fixed or attached to the surrounding tissue and may have irregular shapes rather than smooth, round contours. The lack of mobility and irregular edges increase suspicion for malignancy and warrant further investigation, such as imaging studies and biopsies. It is important for this patient to follow up with a healthcare provider promptly for further evaluation and appropriate management.