ATI RN
Pediatric Nursing Practice Questions Questions
Question 1 of 5
Renal cell carcinoma (RCC) is rare in children, accounting for <5% of all renal tumors. All the following are true regarding RCC in children EXCEPT
Correct Answer: E
Rationale: Local lymph node involvement in RCC has an adverse outcome.
Question 2 of 5
The physician orders tests to determine if a client has systemic lupus erythematosus (SLE). Which test result confirms SLE?
Correct Answer: B
Rationale: An above-normal anti-deoxyribonucleic acid (anti-dsDNA) test result confirms systemic lupus erythematosus (SLE). Anti-dsDNA antibodies are highly specific for SLE and are found in about 70% of individuals with the condition. These antibodies target the genetic material within the cell nucleus and are strongly associated with lupus nephritis, a severe complication of SLE. Therefore, an elevated anti-dsDNA test result would be a key indicator of SLE diagnosis.
Question 3 of 5
Childhood psychosis may include all the following EXCEPT
Correct Answer: D
Rationale: Acute phobic hallucination is not a recognized feature of childhood psychosis.
Question 4 of 5
Criteria of patent ductus arteriosus (PDA)?
Correct Answer: A
Rationale: Wide pulse pressure is a characteristic feature of PDA due to continuous blood flow between the aorta and pulmonary artery.
Question 5 of 5
A patient develops a postoperative deep vein thrombosis and is started on IV heparin. Which of the ff. laboratory tests is monitored during the heparin therapy?
Correct Answer: C
Rationale: During heparin therapy, the laboratory test that is monitored is the partial thromboplastin time (PTT). Heparin acts by potentiating the activity of antithrombin III, leading to the inhibition of both thrombin and factor Xa. The PTT measures the intrinsic pathway of coagulation and is prolonged with heparin due to its anticoagulant effect. Monitoring the PTT helps to ensure that the patient is within the therapeutic range of anticoagulation to prevent clot formation without increasing the risk of bleeding complications. Plasma fibrinogen, prothrombin time (PT), and international normalized ratio (INR) are not routinely monitored during heparin therapy.