ATI RN
ATI Nursing Proctored Pediatric Test Banks Questions
Question 1 of 5
The nurse is teaching a class about breast self-examinations. A client asks if the she should have an annual mammogram. According to the American Cancer Society, how should the nurse respond?
Correct Answer: B
Rationale: According to the American Cancer Society, they recommend that all women aged 40 to 44 should have the choice to start annual mammograms if they wish to do so. For women aged 45 to 54, it is recommended to have an annual mammogram. For women aged 55 and older, they can switch to mammograms every two years or continue with annual screenings. Mammograms are an important screening tool for detecting breast cancer early, especially in women over the age of 40 when the risk of developing breast cancer increases.
Question 2 of 5
A 52-year old female tells the nurse that she has found a painless lump in her right breast during her monthly self- examination. Which assessment finding would strongly suggest that this client's lump is cancerous?
Correct Answer: C
Rationale: The assessment finding that strongly suggests that the client's lump is cancerous is a non-mobile mass with irregular edges delineated. Generally, cancerous breast lumps tend to have irregular shapes/edges and lack mobility. This finding is concerning for malignancy because it indicates that the lump is fixed in place and possibly invading nearby tissues, which are characteristics often associated with cancerous tumors. It's essential for the client to undergo further diagnostic tests, such as a biopsy, to confirm the presence of cancer and establish a proper treatment plan.
Question 3 of 5
A 14-year-old boy and his parents are concerned about bilateral breast enlargement. The nurse's discussion of this should be based on which statement?
Correct Answer: A
Rationale: The correct statement is that bilateral breast enlargement in a 14-year-old boy is usually benign and temporary. This condition, known as gynecomastia, is commonly seen during puberty due to hormonal changes. It typically resolves on its own without the need for intervention. It is important for the nurse to reassure the boy and his parents that this is a normal occurrence and should not be a cause for major concern. It is crucial to address any underlying anxieties and provide education on the natural course of puberty-related changes.
Question 4 of 5
Nursing interventions for the child after a cardiac catheterization should include which actions? (Select all that apply.)
Correct Answer: A
Rationale: Allowing ambulation as tolerated helps promote circulation and prevent complications such as blood clots.
Question 5 of 5
Extraneural metastasis from primary brain tumors is MOST commonly likely to occur in which tumor?
Correct Answer: A
Rationale: Medulloblastoma is notorious for extraneural spread, particularly to bones and bone marrow.