ATI RN
Pediatric Nursing Exam Flashcards Questions
Question 1 of 5
What is a barrier to achieving gender equality?
Correct Answer: A
Rationale: In the context of achieving gender equality, the correct answer is A) Gender stereotypes. Gender stereotypes refer to preconceived notions about the roles, behaviors, and attributes that are considered appropriate for men and women. These stereotypes can limit opportunities, reinforce inequalities, and perpetuate discrimination based on gender. By perpetuating these stereotypes, barriers are created that hinder progress towards achieving true gender equality. Option B) Equal pay legislation, while important in addressing pay disparities between genders, specifically focuses on the economic aspect of gender equality. It does not directly address the deep-rooted societal beliefs and attitudes that perpetuate gender disparities. Option C) Women's empowerment programs are valuable initiatives that aim to support and uplift women in various aspects of life. However, they are not a barrier to achieving gender equality. Instead, they contribute positively to empowering women to overcome existing barriers. Option D) Increased female workforce participation is a positive step towards gender equality as it promotes economic independence and representation. However, the question is asking about barriers, and increased participation alone does not address the underlying issue of gender stereotypes that impede progress towards true equality. In an educational context, understanding and challenging gender stereotypes is crucial for fostering a more inclusive and equitable society. By recognizing and dismantling these stereotypes, individuals can work towards creating a more level playing field where both men and women have equal opportunities and rights. It is important to educate individuals about the harmful effects of gender stereotypes and empower them to challenge and change these ingrained beliefs to promote genuine gender equality.
Question 2 of 5
The child with polyarticular JIA often has a more prolonged course of active joint inflammation and requires early and aggressive therapy. Of the following, the predictor that carries the WORST prognosis is
Correct Answer: D
Rationale: In pediatric nursing, understanding the different types of juvenile idiopathic arthritis (JIA) and their prognostic indicators is crucial for providing effective care. In the context of polyarticular JIA, which involves multiple joints, the presence of nodules is the predictor that carries the worst prognosis among the options provided. A) Old age at onset is not a predictor that carries the worst prognosis in polyarticular JIA. While disease onset at an older age may present its own challenges, it is not specifically linked to a worse prognosis in this context. B) Rheumatoid factor positivity can be a factor in diagnosing certain types of JIA, but in polyarticular JIA, it is not as indicative of a poor prognosis as the presence of nodules. C) The absence of rheumatoid seronegativity refers to not having certain antibodies associated with rheumatoid arthritis. While this may impact treatment decisions, it is not as directly linked to a worse prognosis in polyarticular JIA as the presence of nodules. D) Nodules, which are firm lumps under the skin often near joints, are a significant predictor of a poor prognosis in polyarticular JIA. Their presence indicates more severe disease activity and potential joint damage, leading to a more challenging course of treatment and outcomes. Educationally, understanding these prognostic indicators helps pediatric nurses and healthcare providers tailor treatment plans and interventions to meet the specific needs of children with polyarticular JIA. Recognizing the impact of nodules as a predictor of poor prognosis highlights the importance of early and aggressive therapy to manage the disease effectively and improve outcomes for these patients.
Question 3 of 5
All the following are features of childhood SLE EXCEPT
Correct Answer: C
Rationale: The correct answer is C) it usually presents before 5 years of age. Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that can affect people of all ages, including children. However, childhood-onset SLE typically presents in older children and adolescents, with the peak onset around puberty. SLE in young children, especially before the age of 5, is extremely rare. Option A) it has a more severe course is incorrect because childhood SLE generally has a milder course compared to adult-onset SLE. Children tend to have fewer organ complications and a better prognosis. Option B) there is more widespread organ involvement is incorrect as childhood SLE often involves fewer organs compared to adult SLE. Organ involvement in children is typically milder and less extensive. Option D) fever, fatigue, hematologic abnormalities, and arthritis are common clinical manifestations is incorrect because these are indeed common clinical manifestations of childhood SLE. Children with SLE commonly present with symptoms like fever, fatigue, blood disorders, and arthritis. Educationally, understanding the differences in the presentation and course of SLE in children compared to adults is crucial for healthcare providers working with pediatric populations. Recognizing the unique features of childhood SLE can aid in early diagnosis, appropriate management, and improved outcomes for pediatric patients with this condition.
Question 4 of 5
Juvenile localized scleroderma (LS) is generally insidious with skin manifestations that vary according to disease subtype. Up to 25% of children with LS have extracutaneous manifestations including arthritis and neurological symptoms. Of the following, the subtype that is MOST commonly associated with neurological manifestations is
Correct Answer: D
Rationale: In this question, the correct answer is D) en coup de sabre. Juvenile localized scleroderma (LS) is a chronic autoimmune disorder that primarily affects the skin and underlying tissues. En coup de sabre is a subtype of LS that typically presents with a linear sclerotic band on the forehead or scalp. This subtype is most commonly associated with neurological manifestations such as seizures, headaches, and cognitive abnormalities due to the involvement of underlying brain tissue. Option A) plaque morphea is a subtype of LS characterized by thickened plaques of skin without systemic involvement. It is not typically associated with neurological manifestations. Option B) eosinophilic fasciitis is a distinct disorder characterized by inflammation of the fascia and not typically associated with LS or neurological symptoms. Option C) generalized morphea is a subtype of LS that involves widespread areas of the skin without systemic involvement. It is not commonly associated with neurological manifestations. Educationally, understanding the different subtypes of juvenile LS and their associated extracutaneous manifestations is crucial for healthcare providers caring for pediatric patients with this condition. Recognizing the subtype most commonly linked to neurological symptoms, such as en coup de sabre, can aid in early detection, appropriate management, and improved outcomes for affected children.
Question 5 of 5
Predictors of poor outcome across several studies in Kawasaki disease (KD) include all the following EXCEPT
Correct Answer: A
Rationale: In Kawasaki disease (KD), predictors of poor outcomes are essential to recognize for effective management. In this scenario, option A, "old age," is the correct answer. This is because KD primarily affects children under 5 years old, and older age is not typically associated with poor outcomes in KD. Male gender (option B) is a known risk factor for KD but not a predictor of poor outcomes. Persistent fever (option C) is a common symptom in KD and is associated with the acute phase of the disease but not necessarily with poor outcomes. Poor response to intravenous immunoglobulin (IVIG) (option D) is a crucial predictor of poor outcome in KD as it indicates resistance to the primary treatment modality for the disease. Educationally, understanding predictors of poor outcomes in KD is crucial for nurses caring for pediatric patients. Recognizing these predictors can aid in early identification of high-risk patients, prompt intervention, and improved patient outcomes. Nurses must be adept at recognizing and interpreting clinical indicators to provide optimal care for children with KD.