ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 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 2 of 5
After the introduction of the Back to Sleep campaign in 1992, an increased incidence has been noted of which of the following pediatric disorders? (Select all that apply.)
Correct Answer: B
Rationale: After the introduction of the Back to Sleep campaign in 1992, which encouraged placing infants on their backs to sleep to reduce the risk of Sudden Infant Death Syndrome (SIDS), an increased incidence has been noted of Torticollis (B) and Plagiocephaly (E).
Question 3 of 5
The primary underlying disorder of pulmonary edema is:
Correct Answer: A
Rationale: Pulmonary edema is a condition where fluid accumulates in the air sacs of the lungs, leading to difficulty breathing. The primary underlying disorder of pulmonary edema is often decreased left ventricular pumping. When the left ventricle of the heart fails to effectively pump blood to the rest of the body, it can lead to a backlog of blood in the pulmonary circulation. This increase in pressure in the pulmonary circulation can cause fluid to leak out of the capillaries and into the alveoli of the lungs, resulting in pulmonary edema. Therefore, decreased left ventricular pumping is a key factor in the development of pulmonary edema.
Question 4 of 5
The physician orders propranolol (Inderal) for a client's angina. The effect of this drug is to:
Correct Answer: B
Rationale: Propranolol (Inderal) is a beta-blocker medication that works by blocking beta stimulation in the heart. By doing so, it reduces the workload on the heart and helps to decrease the heart rate and blood pressure. This is beneficial in the management of angina because it decreases the oxygen demand of the heart muscle, thereby relieving chest pain. Propranolol does not act as a vasoconstrictor, vasodilator, or increase the heart rate.
Question 5 of 5
Once admitted to hospital the physician indicates that Mr. Gubatan is a paraplegic. The family asks the nurse what that means. The nurse explains that:
Correct Answer: C
Rationale: Paraplegia is a condition characterized by the paralysis of both lower extremities. It does not affect the upper extremities or one side of the body specifically. When someone is described as a paraplegic, it means they have lost function and sensation in their lower limbs, usually due to a spinal cord injury or disease affecting the lower part of the spinal cord. This term helps provide a specific understanding of the type and location of the paralysis in the body.