ATI RN
Pediatric Emergency Nursing PICO 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
Systematic lupus erymematosus (SLE) primarily attacks which of the following tissues?
Correct Answer: C
Rationale: Systematic lupus erythematosus (SLE) is an autoimmune disease that primarily attacks various tissues and organs in the body, including the skin, joints, kidneys, and nervous system. In particular, SLE can affect the peripheral nervous system, leading to symptoms such as neuropathy, mononeuritis multiplex, and other neurological manifestations. Therefore, among the given options, the nerve is the tissue primarily targeted by SLE.
Question 3 of 5
A school nurse observes a child, with a peanut allergy, in obvious distress, wheezing and cyanotic, after ingestion of some trail mix containing peanuts. Place the interventions the nurse should implement in order of the highest priority to the lowest priority. Provide answer using lowercase letters separated by commas (e.g., a, b, c, d).
Correct Answer: c
Rationale: The highest priority intervention in this situation is 'C': Promptly administer an intramuscular dose of epinephrine. Epinephrine is The first-line treatment for anaphylaxis, which is a severe allergic reaction that can be life-threatening. Administering Epinephrine as soon as possible can help reverse The symptoms and stabilize The child.
Question 4 of 5
A patient with a history of haemophilia A arrives in the emergency department complaining of a "funny feeling" in his elbow. The patient states that he thinks he is bleeding into the joint. Which response by the nurse is correct?
Correct Answer: B
Rationale: For a patient with a history of hemophilia A complaining of a "funny feeling" in the elbow, suspecting bleeding into the joint, the correct response by the nurse is to notify the physician immediately and expect an order for factor VIII. Hemophilia A is a genetic disorder characterized by a deficiency in clotting factor VIII, leading to prolonged bleeding. In this case, immediate medical intervention in the form of factor VIII replacement therapy is crucial to control and manage the bleeding episode. Urgent treatment aims to prevent complications such as joint damage and to promote hemostasis in patients with hemophilia. Palpating the elbow, preparing for an x-ray, or applying heat are not the appropriate initial actions when managing a suspected bleeding episode in a patient with hemophilia.
Question 5 of 5
When taking a dietary history from a newly admitted client, the nurse should remember that which of the following foods is a common allergen?
Correct Answer: D
Rationale: Strawberries are a common allergen and can cause allergic reactions in some individuals. Allergies to strawberries are relatively common and can present as mild reactions like itching and hives, or more severe symptoms such as difficulty breathing and anaphylaxis. It is important for healthcare professionals, such as nurses, to be aware of common allergens when taking a dietary history from clients to ensure their safety and well-being.