ATI RN
Pediatric Research Questions Questions
Question 1 of 5
Regarding the physical growth of middle childhood (6-11 yr), all are true EXCEPT
Correct Answer: C
Rationale: Brain myelinization continues beyond 8 years.
Question 2 of 5
An adolescent patient, who has pelvic inflammatory disease (PID), inquires about the effects of the disease on their ability to bear children. What is the pediatric nurse's best response?
Correct Answer: B
Rationale: PID can lead to scarring of the fallopian tubes, increasing the risk of ectopic pregnancy or infertility.
Question 3 of 5
A client with autoimmune thrombocytopenia and a platelet count of 8,000/ul develops epistaxis and melena. Treatment with corticosteroids and immunoglobulins has been unsuccessful, and the physician recommends a splenectomy. The client states, "I don't need surgery-this will go away on its own". In considering her response to the client, the nurse must depend on the ethical principle of:
Correct Answer: C
Rationale: The ethical principle most relevant in this situation is autonomy. Autonomy refers to a person's right to make decisions about their own care and treatment. In this case, the client is expressing her wish to avoid surgery and believes her condition will improve on its own. It is important for the nurse to respect the client's autonomy and involve her in the decision-making process regarding her treatment. The nurse should provide information, support, and guidance to help the client make an informed decision that aligns with her values and preferences. While the nurse can provide education and encourage the client to consider the physician's recommendation, ultimately the decision should respect the client's autonomy.
Question 4 of 5
A 2-mo-old male infant has a left flank mass discovered incidentally by the mother; radiological imaging reveals a left renal mass. Of the following, the MOST likely diagnosis is
Correct Answer: A
Rationale: Nephroblastoma (Wilms tumor) is the most common renal malignancy in infants.
Question 5 of 5
You are discussing physical child abuse with medical students; you state that fractures are common presentation and those that should raise suspicion for abuse include fractures that are unexplained, occurring in young, non-ambulatory children, or involve multiple bones. Of the following, the site of the fracture that is LESS specific for abuse is
Correct Answer: D
Rationale: Fractures of the vertebrae are less specific for abuse compared to other sites like ribs, scapula, or skull, which are more characteristic of inflicted trauma.