ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
During a routine examination of a 10-mo-old male infant, you find a white pupillary reflex of the right eye; the eye movements are normal. You suspect retinoblastoma. Of the following, the BEST confirmatory diagnostic evaluation of this infant is
Correct Answer: B
Rationale: Examination under anesthesia by an experienced ophthalmologist is the gold standard for diagnosing retinoblastoma.
Question 2 of 5
Which of the following chromosomal abnormalities of childhood ALL carries the highest risk of relapse despite intensive chemotherapy?
Correct Answer: A
Rationale: The Philadelphia chromosome (t(9;22)) is associated with a high risk of relapse in ALL.
Question 3 of 5
In fetal period, all are true EXCEPT
Correct Answer: D
Rationale: Face recognition typically occurs earlier than 26 weeks.
Question 4 of 5
A home care nurse is assessing a client who is taking prazosin (Minipress). Which statement by the client would support the nursing diagnosis of noncompliance with medication therapy?
Correct Answer: C
Rationale: The statement by the client, "I feel dizzy, I'll skip my dose for a few days," supports the nursing diagnosis of noncompliance with medication therapy. Prazosin is typically prescribed for conditions such as hypertension or benign prostatic hyperplasia, and abruptly stopping the medication can lead to negative consequences such as rebound hypertension. The client's decision to skip doses due to feeling dizzy indicates noncompliance with the prescribed medication regimen, which can pose risks to their health. It is essential for healthcare providers to educate the client on the importance of consistent medication adherence and to address any concerns or side effects promptly.
Question 5 of 5
A newly diagnosed patient asks what asthma is. Which of the ff. explanations by the nurse is correct?
Correct Answer: A
Rationale: Option A, "Your airways are inflamed and spastic," is the correct explanation of asthma. Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, which causes difficulty in breathing, coughing, and wheezing. The inflammation leads to the airways becoming extremely sensitive to various triggers, such as allergens, irritants, or exercise, resulting in spasms that further constrict the air passages. This constriction makes it challenging for air to move in and out of the lungs efficiently, leading to symptoms such as shortness of breath. It is essential for the patient to understand that asthma is primarily an inflammatory condition rather than a structural or infectious problem.