ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
According to Piaget, the 6-month-old infant should be in which developmental stage?
Correct Answer: B
Rationale: According to Piaget's theory of cognitive development, the 6-month-old infant would typically be in the stage known as primary circular reactions. This stage occurs from around 1 to 4 months of age up to about 1 year old. During this stage, infants begin to repeat actions that bring them pleasure or interesting results, such as sucking their thumb or repeating simple movements like kicking. These repetitive actions are circular in nature because they involve the infant's own body, and they serve as the building blocks for more complex interactions and understanding of the world. This stage is characterized by the infant's increasing ability to coordinate sensory information with motor actions, laying the foundation for further cognitive development.
Question 2 of 5
The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with a repaired tetralogy of Fallot. Which signs and symptoms should the nurse include? (Select all that apply.)
Correct Answer: C
Rationale: C. Decreased urinary output: This can be a sign of fluid retention, which is a common symptom of heart failure. Infants with heart failure may have decreased urine output as the body tries to retain fluid to help compensate for the heart's decreased ability to pump effectively.
Question 3 of 5
Deteriorating insulation is found in the ceilings of a local school built in 195Parents and teachers are extremely concerned that it may be asbestos, and they call on you, the local pediatrician, to give advice in an open meeting. What advice would you give?
Correct Answer: C
Rationale: Asbestos should be confirmed by laboratory testing, and if present, a certified engineer should assess the situation to determine the safest course of action.
Question 4 of 5
Charles is started on chemotherapy, which is aimed at restoring dopaminergic activities. An example of such a drug is:
Correct Answer: D
Rationale: Dopar is a drug that contains L-DOPA (levodopa), which is a precursor to dopamine. L-DOPA is used in the treatment of Parkinson's disease to restore dopaminergic activity in the brain. By converting into dopamine in the brain, L-DOPA helps to alleviate the symptoms of Parkinson's disease, such as muscle rigidity, tremors, and slowed movement. Therefore, Dopar is an example of a drug aimed at restoring dopaminergic activities, making it the correct choice in this scenario.
Question 5 of 5
Which of the following may be the first abnormal sign detected in a client with cardiomyopathy?
Correct Answer: C
Rationale: Dyspnea, or difficulty breathing, may be the first abnormal sign detected in a client with cardiomyopathy. Cardiomyopathy is a disease of the heart muscle, which can lead to impaired heart function. As the heart's ability to pump blood effectively is compromised, the body may not receive an adequate supply of oxygen-rich blood. This can result in symptoms such as dyspnea, especially during physical exertion or when lying down. Ascites (fluid accumulation in the abdomen), chest pain, and heart murmur may also be seen in clients with cardiomyopathy but are not typically the first signs to present. Dyspnea is often a key indicator that should prompt further evaluation and monitoring for cardiac issues.