ATI RN
Pediatric Research Questions Questions
Question 1 of 5
Hepatoblastoma is a neoplasm of undifferentiated precursors of hepatocytes. It is of different histological classification; which type predict the MOST favorable outcome?
Correct Answer: B
Rationale: Pure epithelial histology, particularly fetal type, is associated with the best prognosis.
Question 2 of 5
Nurse Carlos teaches a community adult class about the common symptoms of tuberculosis. Which of the following should Nurse Carlos include?
Correct Answer: A
Rationale: Nurse Carlos should include weight loss as one of the common symptoms of tuberculosis. Unintentional weight loss is a classic symptom seen in individuals with active tuberculosis infection. This weight loss is often accompanied by other symptoms such as fever, night sweats, and fatigue. It is important for Nurse Carlos to educate the community about this symptom as it can be a key indicator for seeking medical evaluation and treatment for tuberculosis. Dyspnea on exertion, increased appetite, and mental status changes are not typically common symptoms associated with tuberculosis.
Question 3 of 5
A narcotic analgesic is ordered for postoperative pain. Why are narcotics given in low doses to the laryngectomy patient?
Correct Answer: A
Rationale: Narcotic analgesics, when given in high doses, can depress the respiratory rate and cough reflex in patients. Laryngectomy patients have had their larynx removed and may already have compromised respiratory function. Therefore, giving narcotics in low doses helps to minimize the risk of further respiratory depression in these patients. It is important to closely monitor respiratory status when administering narcotics to laryngectomy patients to prevent potential complications.
Question 4 of 5
A healthy 20-day-old male examination reveals a palpable liver margin below the right costal margin; lab findings: white blood count, 18700/mm3; hemoglobin, 8.8 g/dl; blast cells, 10%; the BEST approach for the management is consistent with acute myeloproliferative disorder
Correct Answer: A
Rationale: Intensive chemotherapy is the standard approach for managing acute myeloproliferative disorders.
Question 5 of 5
The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement?
Correct Answer: D
Rationale: Therapeutic management for rheumatic fever includes administering penicillin to eradicate the streptococcal infection, avoiding salicylates (aspirin) to prevent Reye's syndrome, and imposing strict bed rest for the acute phase to decrease cardiac workload and prevent joint complications. Corticosteroids are used if chorea (involuntary movement disorder) develops to reduce inflammation and control symptoms. Therefore, the nurse should expect to administer corticosteroids if chorea develops in a child with rheumatic fever.