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

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RN Pediatric Nursing 2023 ATI 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

A four-year-old patient, whose family follows a strict vegetarian diet, undergoes a prekindergarten physical examination. The pediatric nurse is alert to the patient's potential deficiency of:

Correct Answer: D

Rationale: Vitamin B12 deficiency is common in strict vegetarians due to its primary presence in animal products.

Question 4 of 5

A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is

Correct Answer: C

Rationale: The Edinburgh Postnatal Depression Scale is a screening tool for postnatal depression which might address her unhappiness.

Question 5 of 5

All the following are cholesterol risk screening recommendations EXCEPT

Correct Answer: A

Rationale: Family history of obesity is not a direct indicator for cholesterol screening.

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