ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
The nurse is interviewing a client about his past medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer?
Correct Answer: D
Rationale: The presence of polyps in the colon is a significant risk factor for developing colorectal cancer. Polyps are abnormal growths in the inner lining of the colon or rectum that can potentially become cancerous over time if left untreated. Therefore, if a client has a history of polyps, the nurse may suspect the possibility of colorectal cancer and should closely monitor the client for any signs or symptoms. While the other conditions listed may sometimes be associated with colorectal cancer, having a history of polyps is the most concerning in this context.
Question 2 of 5
The age of a child who can imitate construction of gate with 2-4 parts; draws longer lines; and draws a man with 5 cubes is
Correct Answer: B
Rationale: These milestones are typically achieved around 30 months.
Question 3 of 5
What is the earliest age at which a satisfactory radial pulse can be taken in children?
Correct Answer: A
Rationale: A satisfactory radial pulse can be taken in children as young as 1 year old. The radial pulse is commonly checked in the wrist and is a valuable indicator of cardiac function. Children as young as 1 year old can have a palpable radial pulse, allowing healthcare providers to assess their heart rate and rhythm. It is important to be gentle when palpating a pulse in young children to avoid causing discomfort or distress.
Question 4 of 5
The nurse has determined the rate of both the child's radial pulse and heart. What is the normal finding when comparing the two rates?
Correct Answer: A
Rationale: In a normal healthy individual, the rate of the radial pulse (peripheral pulse) and the heart rate (apical pulse) should be the same. This is because each heartbeat should result in a corresponding pulse felt at the radial artery in the wrist. The pulse is generated by the heart's contraction and the subsequent ejection of blood into the arteries, causing a wave of pressure that can be felt as the pulse. Therefore, in a healthy individual, the radial pulse rate should match the heart rate. If there is a significant difference between the two rates, it may indicate a cardiovascular abnormality or other underlying health condition that warrants further investigation.
Question 5 of 5
When administering oxygen to a client, under which of the ff situations should the nurse discontinue the administration and notify the physician?
Correct Answer: C
Rationale: When a client is in a state of respiratory arrest, it means their breathing has stopped. This is a life-threatening emergency situation that requires immediate action. The nurse should discontinue administering oxygen and promptly notify the physician for further intervention, such as initiating CPR or advanced airway management. Prompt recognition and timely response to respiratory arrest are crucial in saving the client's life.