ATI RN
Pediatric Research Questions Questions
Question 1 of 5
A healthy 20-day-old male examination reveals a palpable liver margin below the right costal margin; lab findings: white blood count, 18700/mm3; hemoglobin, 8.8 g/dl; blast cells, 10%; the BEST approach for the management is consistent with acute myeloproliferative disorder
Correct Answer: A
Rationale: Intensive chemotherapy is the standard approach for managing acute myeloproliferative disorders.
Question 2 of 5
By the age of 7 months, the infant is able to do all the following EXCEPT
Correct Answer: D
Rationale: Cruising typically occurs later, around 9-10 months.
Question 3 of 5
The patient is having difficulty coping with her new diagnosis of lymphoma. Which response by the nurse is most helpful?
Correct Answer: C
Rationale: Option C, "Who do you usually go to when you have a problem?" is the most helpful response by the nurse in this situation. This response allows the patient to identify her support system and opens up a conversation about coping mechanisms and sources of emotional support. It helps the nurse understand who the patient leans on during difficult times and enables the nurse to involve these individuals in providing support and encouragement to the patient as she copes with her new diagnosis of lymphoma. By exploring the patient's typical sources of support, the nurse can assist in strengthening her coping mechanisms and emotional well-being during this challenging time.
Question 4 of 5
You are evaluating a 6-mo-old girl with a firm right suprarenal mass. Histologically, there is no bony involvement, 10% bone marrow involvement, subcutaneous nodules involvement, and massive abdominal mass. The N-myc oncogene is not amplified. According to the international neuroblastoma staging system, the infant is stratified as
Correct Answer: D
Rationale: Stage IV S refers to infants <1 year with localized primary tumor, distant metastases limited to liver, skin, or bone marrow (with <10% involvement), and no amplification of N-myc.
Question 5 of 5
A patient with a history of endocarditis is undergoing a bowel resection. The nurse explains that the prophylactic antibiotics prevent which of the following?
Correct Answer: A
Rationale: Prophylactic antibiotics are given to prevent the recurrence or complications of endocarditis in patients with a history of the condition. Endocarditis is an infection of the inner lining of the heart chambers and valves. One of the serious complications of endocarditis is the formation of vegetative emboli, which are clusters of bacteria and fibrin that can break off and travel through the bloodstream, potentially causing blockages in various organs. By preventing endocarditis, the antibiotics also help reduce the risk of vegetative emboli formation during surgical procedures or other situations where bacteria may enter the bloodstream. Therefore, the nurse's explanation to the patient about the prophylactic antibiotics is focused on preventing complications related to endocarditis, including the formation of vegetative emboli.