ATI RN
Pediatric Research Questions Questions
Question 1 of 5
An adolescent girl tells the nurse that she is very suicidal. The nurse asks her whether she has a specific plan. Asking this should be considered:
Correct Answer: A
Rationale: Asking an adolescent girl who expresses suicidal thoughts whether she has a specific plan is an appropriate part of the assessment. This question helps the nurse determine the level of risk and urgency of the situation. Knowing whether there is a specific plan in place can guide the nurse in determining the appropriate intervention and level of care needed to ensure the safety and well-being of the adolescent. It is crucial to assess for the presence of a specific plan as it can indicate a higher risk of imminent harm.
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
Daya's child is scheduled for surgerydue to myelomeningocele; the primary reason for surgical repair is which of thefollowing?
Correct Answer: C
Rationale: The primary reason for surgical repair of myelomeningocele is to correct the neurologic defect caused by this type of birth defect. Myelomeningocele is a form of spina bifida where the spinal cord and its covering are exposed through an opening in the spine. Surgical closure of the defect is performed to protect the spinal cord and nerves, prevent further damage, and potentially improve long-term outcomes for the child. While preventing complications like hydrocephalus or infection may be important secondary goals of the treatment, the main objective of surgery for myelomeningocele is to address the underlying neurologic defect itself.
Question 4 of 5
The nurse is caring for a newborn with respiratory distress syndrome. The newborn has an endotracheal tube. Which statement describes nursing considerations related to suctioning?
Correct Answer: A
Rationale: Suctioning should not be carried out routinely in a newborn with respiratory distress syndrome and an endotracheal tube. Routine, frequent suctioning can lead to airway trauma, damage to mucous membranes, and increased risk of infection. Suctioning should only be performed when there are clinical indications such as visible secretions or signs of respiratory distress. Each suctioning event should be carefully assessed and performed with gentle technique to minimize potential harm to the newborn's delicate airway.
Question 5 of 5
When monitoring for hypernatremia, the nurse should assess the client for:
Correct Answer: C
Rationale: Hypernatremia is a condition characterized by high levels of sodium in the blood. When monitoring for hypernatremia, the nurse should assess the client for signs of neurologic impairment, such as confusion. This is because hypernatremia can lead to changes in mental status due to the hyperosmolarity of the blood affecting brain function. Assessing for confusion is crucial in identifying and managing hypernatremia promptly to prevent further complications. Dry skin, tachycardia, and pale coloring are not specific manifestations of hypernatremia and are less likely to be directly related to this electrolyte imbalance.