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
As part of primary cancer prevention program, an oncology nurse answers questions from the public at health fair. When someone asks about the laryngeal cancer, the nurse should explain that:
Correct Answer: A
Rationale: Laryngeal cancer is indeed one of the most preventable types of cancer. The primary risk factors for laryngeal cancer include tobacco use (particularly smoking) and excessive alcohol consumption. Therefore, avoiding tobacco products, moderating alcohol intake, and maintaining a healthy lifestyle can significantly reduce the risk of developing laryngeal cancer. Additionally, early detection through regular check-ups and screenings can help in detecting any precancerous or cancerous changes in the larynx, leading to better treatment outcomes and prognosis.
Question 3 of 5
Several days before admission, a client reports finding a small lump in the left breast near the nipple. What should the nurse tell the client to do?
Correct Answer: A
Rationale: The nurse should advise the client to inform the physician immediately. Finding a lump in the breast near the nipple can be concerning as it might indicate a potential issue like breast cancer. Prompt assessment by a healthcare provider is essential for proper evaluation and timely intervention if needed. It is crucial not to delay seeking medical attention for any breast abnormalities to ensure early detection and management of any possible health conditions.
Question 4 of 5
Miss OB's malignant tumor in her left breast was discovered to be spreading all over the surrounding and adjacent tissue and not entering the blood stream, it would be:
Correct Answer: C
Rationale: A malignant tumor is characterized by its ability to spread to surrounding tissues and potentially enter the bloodstream to form secondary tumors in distant organs (metastasis). In the scenario provided, the tumor in Miss OB's left breast is described as spreading all over the surrounding and adjacent tissue but specifically noted not to be entering the bloodstream. This behavior is more indicative of a benign tumor that is growing locally but is not capable of metastasis. Therefore, the tumor is best classified as benign in this case.
Question 5 of 5
Which of the following is a discharge criterion from the PACU for a patient following surgery?
Correct Answer: A
Rationale: Oxygen saturation above 90% is a discharge criterion from the PACU (Post-Anesthesia Care Unit) for a patient following surgery. This indicates that the patient is effectively exchanging oxygen and carbon dioxide, which is essential for proper respiratory function. Adequate oxygenation is crucial for the patient to be safely discharged from the PACU and transitioned to a regular hospital room or home. Monitoring oxygen saturation helps ensure that the patient's respiratory status is stable before leaving the PACU. If a patient's oxygen saturation is below 90%, further assessment and interventions may be necessary before discharge is considered.