ATI RN
Fluid Maintenance Pediatrics Practice Questions Questions
Question 1 of 5
Poor prognostic factors in Hodgkin lymphoma include all the following EXCEPT
Correct Answer: A
Rationale: Older age is generally considered a poor prognostic factor, but not necessarily worse than other listed options.
Question 2 of 5
the characteristic symptoms of nephrosis in children is:
Correct Answer: C
Rationale: Nephrosis in children is also known as nephrotic syndrome, which is characterized by the presence of albuminuria (loss of protein in the urine), hypoproteinemia (low levels of protein in the blood), and edema (swelling due to fluid retention). This condition results from damage to the filters in the kidneys, leading to increased permeability and loss of protein in the urine. The classic triad of symptoms in nephrotic syndrome includes proteinuria, hypoalbuminemia, and edema. Other symptoms may include weight gain, frothy urine, and susceptibility to infections. Hematuria, hyperlipidemia, and hypertension are not typical features of nephrotic syndrome in children.
Question 3 of 5
A client has malignant lymphoma. As part of her chemotherapy, the physician prescribes chlorambucil (Leukeran), 10mg by mouth daily. When caring for the client, the nurse teaches her about adverse reactions to chlorambucil, such as alopecia. How soon after the first administration of chorambucil might this reaction occur?
Correct Answer: B
Rationale: Alopecia (hair loss) is a common adverse reaction to chlorambucil, which typically occurs within 2 to 3 weeks of starting treatment. This is because chemotherapy drugs like chlorambucil target rapidly dividing cells, which also includes hair follicles leading to hair loss. Patients should be informed about this potential side effect so that they can be prepared for it and explore options like wearing wigs or scarves if they wish.
Question 4 of 5
A 3-year-old with croup has the following vital signs: HR 90, RR 44, BP 100/52, T 98.8°F. The parents ask if these are normal. The nurse's best response is:
Correct Answer: C
Rationale: The elevated respiratory rate is concerning since normal for a 3- to 6-year-old is about 20-30 breaths per minute.
Question 5 of 5
The nurse is taking care of a child with scabies. Which primary clinical manifestation should the nurse expect to assess with this disease?
Correct Answer: C
Rationale: Scabies is a contagious skin infestation caused by the itch mite Sarcoptes scabiei. The primary clinical manifestation of scabies is intense itching, known as pruritus. The itching is often worse at night and can be severe, leading to scratching that can cause skin lesions. Edema (choice A) refers to swelling due to fluid retention and is not a primary clinical manifestation of scabies. Redness (choice B) may be present due to inflammation caused by the mites but is not the primary symptom. Maceration (choice D) is softening and breakdown of the skin due to prolonged moisture exposure and is not a typical presentation of scabies.