ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 9
A nurse is preparing to complete an admission assessment on a 2-year-old child. The child is sitting on the parent's lap. Which technique should the nurse implement to complete the physical exam?
Correct Answer: C
Rationale: The most appropriate technique in this scenario would be to perform the exam while the child is on the parent's lap. This approach helps build trust and comfort for the child, as they are in a familiar and secure environment. It can also help the nurse assess the child's behavior and interactions with the parent during the exam, providing valuable information about the child's developmental stage and emotional well-being. Additionally, conducting the exam in this way can help reduce anxiety and fear that the child may experience in an unfamiliar setting like the hospital crib or exam room.
Question 2 of 9
The nurse is assessing a newborn who had undergone vaginal delivery. Which of the following findings is least likely to be observed in a normal newborn?
Correct Answer: D
Rationale: The heart rate of a normal newborn is typically 120 to 160 bpm. Therefore, a heart rate of 80 bpm would be least likely to be observed in a normal newborn. This finding may indicate bradycardia, which should be further evaluated and managed by the healthcare provider. Other options such as an uneven head shape, irregular respirations, (+) Moro reflex are common and expected in newborns.
Question 3 of 9
Which of the ff symptoms is observed in the client with Right Sided Heart Failure?
Correct Answer: A
Rationale: Right-sided heart failure is characterized by the inability of the right side of the heart to pump blood effectively, leading to fluid accumulation in the systemic venous system. This fluid overload typically manifests as signs of congestion in the peripheral tissues. Dependent pitting edema is a classic symptom of right-sided heart failure, where swelling is noted in the lower extremities and sacral area, worsening later in the day due to the effects of gravity. Orthopnea (B) and exertional dyspnea (C) are more indicative of left-sided heart failure, where congestion occurs in the pulmonary system. Hemoptysis (D) refers to coughing up blood and is not a classic symptom of heart failure but may be seen in conditions such as pulmonary embolism or infection.
Question 4 of 9
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: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 9
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: Failed to generate a rationale of 500+ characters after 5 retries.
Question 6 of 9
A highly careful mother of a 10-month-old baby boy complains of inadequate weight gain due to refusal of spoon feeding. The LEAST helpful advice is to
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 7 of 9
When communicating with other professionals, what is important for the nurse to do?
Correct Answer: C
Rationale: When communicating with other professionals, it is important for the nurse to restrict communication to clinically relevant information. This ensures that only necessary and pertinent information is shared, maintaining patient confidentiality and preventing the unnecessary dissemination of sensitive details. By focusing on clinically relevant information, healthcare professionals can collaborate effectively and make well-informed decisions about patient care without compromising confidentiality or violating ethical guidelines.
Question 8 of 9
A 2 years old girl presents with blue discoloration of nails and lips. On examination she is cyanosed and clubbed, heart auscultation reveals a short systolic murmur at left upper sternal border. The most likely diagnosis is?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 9 of 9
The screening test for PKU is most reliable if the blood sample is:
Correct Answer: D
Rationale: The screening test for PKU (Phenylketonuria) is most reliable when the blood sample is fresh and taken from the heel. This is because the test requires a small amount of blood, and obtaining a fresh sample from the heel minimizes the risk of contamination and ensures accurate results. Additionally, collecting the blood sample from the heel is less invasive for the newborn and is a common practice for newborn screening tests. Blood samples taken from cord blood, 14 days after birth, or before oral feedings are initiated may not provide accurate results for the PKU screening test.