ATI RN
Pediatric Research Questions Questions
Question 1 of 5
The parent of a 3-year-old with suspected Wilms tumor says, 'How could I have missed a lump this big?' Which is the best response?
Correct Answer: D
Rationale: Wilms tumor can grow very quickly, so a lump that was not evident previously may become noticeable in a short period.
Question 2 of 5
A healthy 20-day-old male examination reveals a palpable liver margin below the right costal margin; lab findings: white blood count, 18700/mm3; hemoglobin, 8.8 g/dl; blast cells, 10%; the BEST approach for the management is consistent with acute myeloproliferative disorder
Correct Answer: A
Rationale: Intensive chemotherapy is the standard approach for managing acute myeloproliferative disorders.
Question 3 of 5
The nurse is conducting teaching for an adolescent being discharged to home after a renal transplant. The adolescent needs further teaching if which statement is made?
Correct Answer: B
Rationale: The statement "I am glad I only have to take the immunosuppressant medication for two weeks" indicates a misunderstanding about the long-term nature of immunosuppressant therapy following a renal transplant. In reality, individuals who undergo a renal transplant need to take immunosuppressant medications for the rest of their lives to prevent rejection of the donor kidney. Failure to adhere to this medication regimen can result in rejection of the transplanted kidney. Therefore, this statement indicates a need for further teaching to ensure the adolescent understands the importance of lifelong immunosuppressant therapy.
Question 4 of 5
Which of the following is most important discharge teaching for Mr. Dela Isla
Correct Answer: C
Rationale: In the case of Mr. Dela Isla, who suffered a CVA, one of the most important discharge teachings would be drug compliance. Following a stroke, patients are often prescribed medications to help manage their condition and reduce the risk of further complications. It is crucial for Mr. Dela Isla to understand the importance of taking his medications as prescribed by his healthcare provider. Non-compliance with medication regimens can have serious consequences and may increase the likelihood of recurrent strokes or other health issues. Therefore, ensuring that Mr. Dela Isla understands the purpose of his medications, how to take them correctly, and the potential side effects is essential for his recovery and ongoing health management. While emergency numbers, relaxation techniques, and dietary prescriptions are important aspects of care, ensuring drug compliance is critical for the immediate and long-term well-being of a patient who has experienced a stroke.
Question 5 of 5
A 5-year old boy presents with afebrile generalized tonic-clonic seizure lasting for 5 minutes. Previously he was healthy and had no such problem. On examination there is no abnormality. Your plan of management should be:
Correct Answer: C
Rationale: In a first-time generalized seizure, an immediate EEG and starting anticonvulsant therapy is prudent to prevent recurrence, especially if the EEG shows epileptiform activity.