ATI RN
Pediatric Research Questions Questions
Question 1 of 5
Mr. RR is to have a brain scanning. Nursing intervention in preparation for this test includes:
Correct Answer: C
Rationale: The nursing intervention in preparation for a brain scanning test such as an MRI or CT scan should include explaining to the patient (Mr. RR in this case) that although his head will be supported in place for a period of time during the test, the procedure itself will not be painful. Providing this explanation helps to alleviate any anxiety or fear Mr. RR may have about the test and ensures that he feels comfortable and well-informed before the procedure. This communication is key to promoting a positive patient experience and ensuring cooperation during the test. It also helps in managing patient expectations and reducing any potential stress or discomfort during the scanning process.
Question 2 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 3 of 5
A one month old infant is admitted for confirmation of the diagnosis of ventricular septal defect. During the initial admission assessment, the nurse would expect to find:
Correct Answer: D
Rationale: A ventricular septal defect (VSD) is a congenital heart defect where there is an abnormal opening between the two ventricles of the heart. One of the hallmark signs of VSD is the presence of a murmur, specifically a holosystolic murmur, which is typically heard best at the left sternal border due to the turbulent blood flow through the defect. This murmur is a key finding during the initial assessment of a patient with a suspected VSD. Other common symptoms of VSD include poor feeding, failure to thrive, tachypnea, and frequent respiratory infections.
Question 4 of 5
A client is diagnosed with megaloblastic anemia caused by vitamin B12 deficiency. The physician begins the client on cyanocobalamin (Betalin-12), 100mcg IM daily. Which substance influences Vitamin B12 absorption?
Correct Answer: A
Rationale: Intrinsic factor is a glycoprotein produced by the parietal cells of the stomach. It is essential for the absorption of vitamin B12 in the intestine. Vitamin B12 binds to intrinsic factor in the stomach, forming a complex that is absorbed in the ileum of the small intestine. Without intrinsic factor, vitamin B12 absorption is significantly impaired, leading to conditions like pernicious anemia, which is a type of megaloblastic anemia caused by vitamin B12 deficiency. By administering cyanocobalamin (Betalin-12) intramuscularly, the need for intrinsic factor in the absorption process is bypassed, which is necessary in cases where intrinsic factor production or function is disrupted.
Question 5 of 5
A 70-year old male diagnosed with BPH (benign prostatic hyperplasia) asks the nurse about his disease. The best response would be:
Correct Answer: C
Rationale: Option C, "As you age, hormonal imbalances are the more likely cause of your disease," is the best response. Benign prostatic hyperplasia (BPH) is a common condition in aging men characterized by an enlarged prostate gland. It is predominantly influenced by hormonal changes, specifically the imbalance between levels of testosterone and estrogen as men age. This hormonal imbalance leads to the proliferation of prostatic tissue and subsequent enlargement of the prostate gland, causing symptoms such as urinary frequency, urgency, weak stream, and difficulty emptying the bladder. Chronic infection of the urinary tract (Option A) and chronic cigarette smoking (Option B) are not the primary causes of BPH. While chronic obstruction of the bladder due to a stone (Option D) can cause similar symptoms to BPH, the underlying etiology of BPH is related to hormonal changes associated with aging.