ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
The nurse is teaching the parents of a child recently diagnosed with ADHD who has been prescribed methylphenidate (Ritalin). Which should the nurse include in teaching about the side effects of methylphenidate?
Correct Answer: A
Rationale: Methylphenidate (Ritalin) is a stimulant medication commonly used in the treatment of ADHD. One of the possible side effects of methylphenidate is an increase in nervousness or jitteriness. This side effect is more common at the beginning of treatment or when the dosage is increased. It is important for parents to be aware of this potential side effect and to inform the healthcare provider if it becomes bothersome for the child. Other common side effects of methylphenidate may include decreased appetite, insomnia, and stomach upset.
Question 2 of 5
A nurse prepares to administer a vitamin K injection to a newborn infant. The mother asks the nurse why her newborn infant needs the injection. The best response by the nurse would be:
Correct Answer: C
Rationale: The correct response by the nurse is C. Newborn infants are born with low levels of vitamin K because they do not have enough of the gut bacteria necessary to produce it. Vitamin K plays a crucial role in blood clotting, and without enough of it, newborns are at risk of a bleeding disorder called vitamin K deficiency bleeding (VKDB). The vitamin K injection given to newborns helps prevent this disorder by providing them with the necessary vitamin K to ensure proper blood clotting. It is important for the mother to understand that this injection is essential for her infant's health and well-being to prevent complications related to vitamin K deficiency.
Question 3 of 5
Chemotherapy has a major role in many childhood CNS tumors. In which of the following tumors is chemotherapy not effective?
Correct Answer: A
Rationale: Pilocytic astrocytomas are generally low-grade and less responsive to chemotherapy compared to other listed tumors.
Question 4 of 5
A patient admitted with gastrointestinal tract bleeding has a hemoglobin level of 6 g/dL. She asks the nurse why she feels SOB. Which response is best?
Correct Answer: B
Rationale: The best response is option B, "You do not have enough hemoglobin to carry oxygen to your tissues." Hemoglobin is the protein in red blood cells that carries oxygen from the lungs to the tissues throughout the body. With a low hemoglobin level of 6 g/dL due to gastrointestinal tract bleeding, there is a reduced capacity to carry oxygen to the body's tissues. This decreased oxygen-carrying capacity leads to symptoms of shortness of breath (SOB) because the body's cells are not receiving an adequate supply of oxygen. It is important to provide a clear and accurate explanation to the patient about the relationship between hemoglobin, oxygen transport, and symptoms of anemia like shortness of breath.
Question 5 of 5
Jose is a 4-year-old child scheduled for a cardiac catheterization. What should be included in preoperative teaching?
Correct Answer: D
Rationale: Preoperative teaching for Jose, a 4-year-old child, scheduled for a cardiac catheterization should be adapted to his level of development so that he can understand. Children at this age have limited cognitive and emotional understanding, so using simple language, visuals, and play-based strategies is essential. It is important to provide age-appropriate information to reduce anxiety and improve cooperation during the procedure. Preoperative teaching should focus on preparing Jose for what he will see, hear, and experience in a way that is tailored to his developmental stage. Involving play tools such as medical play dolls or child-friendly illustrations can help Jose grasp the concept of the procedure and alleviate fears. It is important to involve both Jose and his parents in the teaching process to ensure they understand how to support and prepare him for the procedure.