ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
One of the following can cause unilateral dilated fixed pupil:
Correct Answer: D
Rationale: Tentorial herniation leads to compression of cranial nerve III, causing a fixed, dilated pupil on the affected side due to unopposed sympathetic activity.
Question 2 of 5
A 6-year-old child complains of bilateral thigh pain, motor weakness, and some sensory deficits of both lower limbs; he has a history of bladder dysfunction over the past 2 weeks; MRI of the spinal cord shows a mass arising from the filum terminale and conus medullaris causing some pressure effect. A CNS tumor is suspected. Which of the following tumor is MOST likely arising in such site?
Correct Answer: C
Rationale: Myxopapillary ependymomas are common in the conus medullaris and filum terminale region.
Question 3 of 5
Nasal polyps in children younger than 10 years warrant evaluation for
Correct Answer: D
Rationale: Primary ciliary dyskinesia is associated with nasal polyps and recurrent respiratory infections.
Question 4 of 5
A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is delivering?
Correct Answer: C
Rationale: Family-centered care in pediatric nursing involves recognizing that the family is the constant in a child's life. This approach focuses on involving families in the care of the child, considering their preferences, needs, and beliefs. It acknowledges the important role that families play in the well-being of the child and aims to support and empower them in the care process. By centering care around the family, healthcare providers can ensure that the care provided is holistic, culturally sensitive, and tailored to meet the unique needs of the child and their family.
Question 5 of 5
A client with advanced breast cancer is prescribed tamoxifen (Nolvadex). When teaching the client about this drug, the nurse should emphasize the importance of reporting which adverse reaction immediately?
Correct Answer: A
Rationale: Tamoxifen (Nolvadex) is associated with the potential side effect of retinopathy, which can present as changes in vision. Retinopathy is a serious condition that can lead to vision loss. Therefore, it is crucial for the client to report any vision changes immediately to their healthcare provider for further evaluation and management. Reporting this adverse reaction promptly can help prevent serious complications and ensure the client's safety and well-being.