ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
The nurse is conducting a staff in-service on congenital heart defects. Which structural defect constitutes tetralogy of Fallot?
Correct Answer: A
Rationale: Tetralogy of Fallot is a combination of four structural defects in the heart. These include pulmonic stenosis (narrowing of the pulmonary valve or artery), ventricular septal defect (hole in the wall that separates the two lower chambers of the heart), overriding aorta (aorta positioned directly over the ventricular septal defect), and right ventricular hypertrophy (enlargement of the right ventricle due to increased workload). Therefore, the correct combination of defects that constitute tetralogy of Fallot is pulmonic stenosis, ventricular septal defect, overriding aorta, and right ventricular hypertrophy, which is option A.
Question 2 of 5
The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with a repaired tetralogy of Fallot. Which signs and symptoms should the nurse include? (Select all that apply.)
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 3 retries using GPT-3.5.
Question 3 of 5
A man with a history of diabetes and chronic lung disease is admitted to the hospital with prostate cancer. He has all the following symptoms. Which should the nurse address first?
Correct Answer: C
Rationale: In this case, the nurse should address the respiratory rate of 36 breaths per minute first, as it indicates potential respiratory distress in a patient with chronic lung disease. Rapid and shallow breathing could be a sign of worsening lung function or complications such as pneumonia, which require immediate attention to ensure adequate oxygenation and prevent further deterioration. Monitoring and addressing the patient's respiratory status are crucial in preventing respiratory failure and other serious complications.
Question 4 of 5
. A female client experiences trauma to her urinary tract during an accident. Which of the ff factors should the nurse consider while assessing the client?
Correct Answer: B
Rationale: When assessing a female client who has experienced trauma to her urinary tract, it is essential for the nurse to focus on assessment and recognition of abnormal findings. This includes assessing for signs and symptoms such as pain, blood in the urine, difficulty urinating, frequent urination, or any other unusual changes in urinary habits. These abnormal findings can help the nurse identify the extent of the trauma and provide appropriate intervention or treatment. It is crucial to prioritize the client's physical health and well-being in this situation. Factors such as sexual habits, allergies to seafood, and insurance coverage may be important in other contexts but are not directly relevant to assessing trauma to the urinary tract.
Question 5 of 5
Hypernatremia is associated with a:
Correct Answer: C
Rationale: Hypernatremia is defined as an elevated serum sodium level above 145mEq/L. In this case, a serum sodium level of 150mEq/L indicates hypernatremia. The other options, serum osmolality of 245mOsm/kg and urine specific gravity below 1.003, are not specific criteria for the diagnosis of hypernatremia. The primary marker used for diagnosing hypernatremia is an elevated serum sodium level.