ATI RN
Pediatric Research Questions Questions
Question 1 of 5
A parent has asked the nurse about how her child can be tested for pinworms. The nurse responds by stating that which is the most common test for diagnosing pinworms in a child?
Correct Answer: D
Rationale: The most common test for diagnosing pinworms in a child is a laboratory examination of a fecal smear. This involves taking a sample of the child's feces and examining it under a microscope to look for pinworm eggs or actual adult worms. This test is more reliable and accurate compared to other methods for detecting pinworms. It is important to collect the sample in the morning before the child has a bowel movement or bath, as this increases the chances of finding the eggs.
Question 2 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 3 of 5
The American Academy of Pediatrics recommends the use of validated standardized developmental screening tools at three of the health maintenance visits, these are at
Correct Answer: C
Rationale: Developmental screenings are recommended at 9, 18, and 30 months.
Question 4 of 5
During the routine exam of an infant the parents state a 5th degree family history of adenomatous polyposis. The statement that should be included during the discussion is the infant is at increased risk of colonic adenocarcinoma
Correct Answer: C
Rationale: Familial adenomatous polyposis significantly increases the risk of developing colorectal cancer.
Question 5 of 5
Nurse Nancy is assessing a child with pyloric stenosis; she is likely to note which of the following?
Correct Answer: D
Rationale: Pyloric stenosis is a condition in infants where there is a tightening of the muscle at the outlet of the stomach, causing obstruction of food passage into the small intestine. One of the hallmark symptoms of pyloric stenosis is projectile vomiting, in which the vomit is forceful and shoots out a significant distance. This distinguishes it from regular regurgitation or spitting up, which are more common in infants for other reasons. Nurse Nancy would likely note this symptom while assessing a child with pyloric stenosis.