ATI RN
Certified Pediatric Nurse Exam Practice Questions Questions
Question 1 of 5
A patient is admitted for a splenectomy. Why is an injection of Vit. K ordered before surgery?
Correct Answer: A
Rationale: Vitamin K plays a crucial role in the production of clotting factors in the liver. Patients undergoing a splenectomy may be at an increased risk of bleeding during and after surgery due to the decreased availability of these clotting factors. Administering Vitamin K before the surgery helps to correct any potential clotting problems, ensuring proper hemostasis and reducing the risk of excessive bleeding during the procedure. This preoperative intervention can help optimize the patient's coagulation status and improve their outcomes postoperatively.
Question 2 of 5
Which of the ff instructions should a nurse give a client with non-Hodgkin's lymphoma who is being treated with radiation and chemotherapy?
Correct Answer: A
Rationale: Patients with non-Hodgkin's lymphoma who are undergoing radiation and chemotherapy need to increase their fluid intake to help flush out the toxic byproducts of the treatments from their body. Adequate hydration can also help prevent dehydration, maintain proper kidney function, and alleviate some side effects such as nausea and vomiting. It is important for the nurse to advise the client to drink plenty of water, clear fluids, and electrolyte-rich beverages to support their overall well-being during treatment.
Question 3 of 5
A client undergoes a biopsy of a suspicious lesion. The biopsy report classifies the lesion according to the TNM staging system as follows: TIS, NO, MO. What does this classification mean?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A client is receiving chemotherapy to treat breath cancer. Which assessment finding indicates a fluid and electrolyte imbalance induced by chemotherapy?
Correct Answer: A
Rationale: Chemotherapy can cause fluid and electrolyte imbalances in the body, leading to potential kidney damage and altered urinary output. A low urine output of 400 ml in 8 hours could indicate dehydration or impaired renal function, both of which can be induced by chemotherapy. Monitoring urine output is crucial in assessing the patient's fluid balance and kidney function during chemotherapy. It is essential to identify and address such imbalances promptly to prevent complications.
Question 5 of 5
The nurse is teaching a client who suspects that she has a lump in her breast. The nurse instructs the client that a diagnosis of breast cancer is confirmed by:
Correct Answer: B
Rationale: A diagnosis of breast cancer is confirmed through a biopsy, which involves removing a sample of tissue or cells from the lump in the breast and examining it under a microscope. Fine needle aspiration is a minimally invasive procedure where a thin needle is used to remove cells from the lump for examination. This diagnostic method allows for the confirmation of breast cancer by analyzing the cells for signs of malignancy. While breast self-examinations, mammography, and chest x-rays are important tools for detecting breast abnormalities, they are not definitive in confirming a diagnosis of breast cancer.