ATI RN
Pediatric Nursing Study Guide Questions
Question 1 of 5
One of the following metabolic abnormalities may be associated with tumor lysis syndrome:
Correct Answer: B
Rationale: Tumor lysis syndrome results from rapid tumor cell breakdown, leading to hyperkalemia due to massive potassium release from lysed cells.
Question 2 of 5
In drowning, what is the most urgent immediate line of management at the scene?
Correct Answer: C
Rationale: Rescue breathing should be prioritized in drowning cases to restore oxygenation before considering other interventions.
Question 3 of 5
The parent of 2-week-old Sarah asks the nurse if Sarah needs fluoride supplements, because she is exclusively breast-fed. The nurse's best response is which of the following?
Correct Answer: C
Rationale: Fluoride supplementation is recommended by the American Academy of Pediatrics beginning at age 6 months if the child is not drinking adequate amounts of fluoridated water.
Question 4 of 5
You are treating a 6-year-old child who survived drowning after prolonged CPR. The mother asks about the possibility of full neurological recovery. The BEST response is that it is possible if the child regains full consciousness within:
Correct Answer: C
Rationale: The likelihood of full neurological recovery in drowning victims is high if full consciousness is regained within 24 hours, as prolonged unconsciousness increases the risk of long-term neurological deficits.
Question 5 of 5
A 1.5-month-old girl, the first child of unrelated parents was referred to our hospital with icterus and edema. She is exclusively breast-fed, she had acholic stools. She was hospitalized for further evaluation. The baby's blood group is A +ve, the mother's blood group is O +ve. What is the most probable diagnosis?
Correct Answer: C
Rationale: Neonatal cholestasis is characterized by prolonged jaundice, acholic stools, and direct hyperbilirubinemia. Causes include biliary atresia, metabolic disorders, and genetic syndromes. ABO incompatibility typically causes hemolysis and indirect hyperbilirubinemia, not acholic stools.