ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
Through which of the following does lymph return to the blood?
Correct Answer: D
Rationale: Lymph returns to the blood circulation through the subclavian veins. The lymphatic system collects excess fluid, proteins, and waste products from the tissues and returns them to the bloodstream. The lymphatic vessels eventually converge into larger lymphatic ducts, and these ducts empty the lymph into the subclavian veins near the heart. From there, the lymph mixes with the blood, allowing it to circulate throughout the body and maintain fluid balance.
Question 2 of 5
A client who is HIV positive should have the mouth examined for which oral problem common associated with AIDS?
Correct Answer: B
Rationale: A client who is HIV positive should have the mouth examined for oral thrush, which presents as creamy white patches on the tongue or lining of the mouth. Oral thrush, caused by the fungus Candida albicans, is a common oral problem associated with AIDS. It is important to detect and treat oral thrush promptly in HIV-positive individuals as it can cause discomfort, difficulty swallowing, and further complications if left untreated. Regular oral examinations and proper oral hygiene practices are essential for managing oral health in individuals living with HIV/AIDS.
Question 3 of 5
What orders would likely be included fro a client diagnosed with multiple myeloma?
Correct Answer: C
Rationale: Corticosteroid therapy is commonly used in the treatment of multiple myeloma. It is often part of the initial treatment plan for this disease and is used to help control the cancer cells by reducing inflammation and immune responses. Corticosteroids can help manage symptoms such as pain and complications related to the disease. Bed rest, fluid restriction, and calcium replacement therapy may not be directly indicated for multiple myeloma treatment.
Question 4 of 5
In assessing a post mastectomy client, the nurse determines that the client is in denial. The nurse can best respond by:
Correct Answer: C
Rationale: Confronting the denial is the best response in this situation. Denial is a common defense mechanism that individuals may use when faced with overwhelming emotions or situations, such as in the case of a post-mastectomy client. By confronting the denial in a supportive and empathetic manner, the nurse can help the client acknowledge and accept their feelings, which is an important step in the healing and coping process. Ignoring or supporting the denial may hinder the client's ability to address their emotions and work through them effectively. Confronting the denial allows for open communication and helps the client move towards acceptance and adjustment.
Question 5 of 5
A client has an abnormal result on a Papanicolaou test. After admitting that she read her chart while the nurse was out of the room, the client asks what dysplasia means. Which definition should the nurse provide?
Correct Answer: D
Rationale: Dysplasia refers to an alteration in the size, shape, and organization of differentiated cells. It indicates abnormal changes in the cells that can be a precursor to cancer. In the context of a Papanicolaou test, the presence of dysplasia may suggest abnormal cell growth in the cervix, which can potentially develop into cervical cancer if left untreated. It is important for the client to follow up with healthcare providers for further evaluation and management if dysplasia is detected.