ATI RN
Pediatrics Baby Fell off Bed Questions Questions
Question 1 of 5
The child who draws a man with 2-4 parts, imitates construction of 2 lines longer, and helps with dressing has an age around
Correct Answer: B
Rationale: These milestones are typically achieved around 30 months.
Question 2 of 5
An adult has been diagnosed with some type of anemia. The results of his blood tests showed: decreased WBC, normal RBC, decreased HCT, decreased Hgb. Based on these data, which of the following nursing diagnosis should the nurse prioritize as the most important?
Correct Answer: A
Rationale: The decreased white blood cell count (WBC) in the blood tests indicates a potential for infection. White blood cells are crucial for fighting off infections in the body. A decrease in WBC count can result in an impaired immune response, making the individual more susceptible to infections. Therefore, the nurse should prioritize the nursing diagnosis of "Potential for infection" to address the heightened risk of infection in the adult with anemia. It is important to monitor for signs and symptoms of infection, provide appropriate hygiene measures, and implement interventions to prevent infections in this individual.
Question 3 of 5
The mother of a child with a congenital cardiac defect asks the nurse why her child squats after exertion. The nurse should reply that this position:
Correct Answer: B
Rationale: The position of squatting after exertion increases cardiac efficiency in children with congenital cardiac defects, specifically those with Tetralogy of Fallot. By squatting, the child decreases systemic vascular resistance and increases systemic venous return, which helps to enhance cardiac output by improving blood flow to the lungs. This position allows for better oxygenation of the blood and helps alleviate cyanosis in children with Tetralogy of Fallot.
Question 4 of 5
A 2-year-old child is being evaluated for a right flank mass; radiological appearance is consistent with rupture of Wilms tumor. The BEST therapeutic approach for this child is
Correct Answer: B
Rationale: Concomitant chemotherapy and radiotherapy are essential to manage ruptured Wilms tumor and reduce the risk of dissemination.
Question 5 of 5
A client in the final stages of terminal cancer tells the nurse: "I wish I could be just be allowed to die. I'm tired of fighting this illness. I have lived life a good life. I only continue my chemotherapy and radiation treatment because my family wants me to." What is the best nurse's best response?
Correct Answer: A
Rationale: The best response for the nurse to provide in this situation is to offer the client the option to talk to a psychologist about their thoughts and feelings. This demonstrates the nurse's understanding and compassion towards the client's emotional struggles and the complexity of their situation. By suggesting a professional to talk to, the nurse can provide the client with the appropriate support and guidance to help them navigate their feelings of wanting to be allowed to die. It also allows the client to voice their concerns and emotions with a trained professional who can offer them coping strategies and support tailored to their individual needs.