ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Associated anomalies have been reported in up to 30% of congenital diaphragmatic hernia cases; these include the following EXCEPT
Correct Answer: B
Rationale: CNS lesions are not commonly associated with congenital diaphragmatic hernia. The other anomalies are frequently seen in conjunction with CDH.
Question 2 of 5
In Langerhans cell histiocytosis (LCH), which organ is LEAST likely affected?
Correct Answer: D
Rationale: Lymph nodes are less commonly involved compared to skin, ear, and bone.
Question 3 of 5
The nurse notes frequent muscle twitching when collecting admission data on a patient admitted for increasing muscle weakness. Which of the ff. terms should the nurse use to document this?
Correct Answer: A
Rationale: Fasciculations are small, involuntary muscle contractions or twitching observed under the skin. In this scenario, the nurse noted frequent muscle twitching in the patient, which aligns with the characteristic manifestation of fasciculations. It is important for the nurse to accurately document this observation as it can provide valuable information to the healthcare team in assessing the patient's condition and determining the underlying cause of the muscle weakness. Chorea refers to irregular, rapid, and jerky movements that are not present in this case. Atrophy indicates muscle wasting, while neuropathy involves damage or dysfunction of nerves, neither of which specifically describes the observed muscle twitching.
Question 4 of 5
Clients who will go through operations and who have undergone surgery need the proper observation, treatment and care. Implementing the nursing process to these patients will help reduce complications. Nurse Maria checks on Mr. Alberto who had abdominal surgery, and finds that the edges of the incision have separated. Also, a small portion of the bowel is sticking out through the incision. Nurse Maria would:
Correct Answer: A
Rationale: Nurse Maria should immediately cover the wound with a moist sterile dressing to protect the exposed tissue and prevent infection. This action will help maintain the moisture needed for wound healing and reduce the risk of further complications. It is important to cover the exposed area to prevent any external contaminants from entering the wound, while also keeping the area moist to promote healing. It is crucial to seek medical attention promptly to address the situation and ensure proper care for the patient.
Question 5 of 5
The following are the major clinical features of atopic dermatitis (AD) EXCEPT
Correct Answer: A
Rationale: Atopic dermatitis typically presents with flexural eczema rather than extensor eczema in adolescents.