ATI RN
Pediatric Nursing Test Bank Questions
Question 1 of 5
What is a consequence of automation?
Correct Answer: A
Rationale: Rationale: The correct answer is A) Job displacement. Automation in the context of pediatric nursing, as in many other sectors, refers to the introduction of technology and machinery to perform tasks that were previously done by humans. This can lead to job displacement as tasks become automated, leading to a reduced need for human workers in certain roles. Option B) Increased manual labor is incorrect because automation is specifically intended to decrease manual labor by utilizing technology to perform tasks more efficiently. Option C) Higher demand for low-skilled workers is incorrect as automation tends to replace low-skilled tasks first, leading to a decrease in the demand for such workers. Option D) Reduced innovation is incorrect because automation is often introduced to streamline processes, allowing for more time and resources to be allocated towards innovation and improvement in pediatric nursing practices. In an educational context, understanding the consequences of automation in pediatric nursing is crucial for healthcare professionals. As technology continues to advance, nurses need to be aware of the potential impact on their roles and responsibilities. By recognizing the effects of automation, nurses can prepare for changes in the healthcare landscape and ensure they remain adaptable and skilled in an evolving field.
Question 2 of 5
Enthesitis-Related Arthritis (ERA) is a subtype of rheumatic disease that falls in the juvenile idiopathic arthritis (JIA) category. The clinical feature that is highly suggestive of ERA is
Correct Answer: C
Rationale: The correct answer is C) asymmetrical enthesitis. Enthesitis-Related Arthritis (ERA) is characterized by inflammation at the insertion points of tendons and ligaments into bones, known as entheses. This condition typically presents with asymmetrical enthesitis, meaning the inflammation is not symmetrical on both sides of the body. This feature distinguishes ERA from other subtypes of juvenile idiopathic arthritis (JIA). Option A) symmetrical arthritis early in the disease course is incorrect because ERA usually presents with asymmetrical symptoms rather than symmetrical arthritis. Option B) early involvement of more than 5 joints is incorrect as this is more indicative of another subtype of JIA called polyarticular JIA. Option D) involvement of upper limb joints is incorrect as ERA primarily affects the lower limbs and has a predilection for entheses in the lower extremities. Understanding these clinical features is crucial for healthcare providers working with pediatric patients as it can aid in early identification and appropriate management of ERA, improving outcomes for these young patients. By recognizing the distinct clinical features of ERA, healthcare providers can provide targeted treatment and support to improve the quality of life for children with this condition.
Question 3 of 5
Of the following, the drug that is MOST likely associated with drug-induced lupus is
Correct Answer: A
Rationale: The correct answer is A) isoniazid. Isoniazid is a medication commonly used to treat tuberculosis. Drug-induced lupus is a rare side effect associated with certain medications, including isoniazid. It is believed to result from the body's immune response to the drug, leading to symptoms similar to systemic lupus erythematosus. Rifampin (option B) is not typically associated with drug-induced lupus. It is a medication also used to treat tuberculosis but does not commonly cause lupus-like symptoms. Nitrofurantoin (option C) is an antibiotic used to treat urinary tract infections. While it can cause side effects like pulmonary reactions, it is not a known cause of drug-induced lupus. Penicillin (option D) is an antibiotic commonly used to treat various infections. Penicillin is not known to be associated with drug-induced lupus. Educationally, understanding the potential side effects and adverse reactions of medications is crucial for healthcare professionals, especially in pediatric nursing. Recognizing drug-induced lupus as a potential complication of isoniazid can aid in early identification and management of this condition in pediatric patients, ensuring safe and effective care.
Question 4 of 5
Raynaud phenomenon (RP) associated with rheumatic disease (RD) is usually consistent with RD rather than RP. The feature that is MOST likely consistent with RD rather than RP is
Correct Answer: A
Rationale: In the context of pediatric nursing and rheumatic diseases, understanding the distinguishing features of Raynaud phenomenon (RP) and rheumatic disease (RD) is crucial for accurate assessment and diagnosis. The correct answer, option A) independent occurrence of periungual tissue necrosis, is most likely consistent with RD rather than RP. This is because periungual tissue necrosis is a more specific and characteristic feature of certain rheumatic diseases, such as systemic sclerosis, rather than RP. Option B) asymmetric involvement is a common feature of RP, where affected extremities may exhibit uneven symptoms, making it less indicative of RD. Option C) associated telangiectasia is also more commonly associated with RP rather than RD, as it refers to the dilatation of small blood vessels near the surface of the skin, a hallmark of RP. Option D) paresthesia and gangrene are more severe manifestations that can occur in either RP or RD but are not as specific to RD as periungual tissue necrosis. Educationally, understanding these nuances is important for nurses caring for pediatric patients with rheumatic diseases. By recognizing the distinguishing features of RP and RD, nurses can provide more targeted assessments, interventions, and patient education. This knowledge can also aid in timely referrals to specialists for further evaluation and management of these conditions.
Question 5 of 5
All the following are possible cardiac complications at the acute stage of Kawasaki disease (KD) EXCEPT
Correct Answer: D
Rationale: In the acute stage of Kawasaki disease (KD), the correct answer, D) mitral regurgitation, is not a common cardiac complication. Myocarditis, pericarditis, and coronary artery aneurysm are all possible complications seen in KD due to the systemic inflammatory response affecting the heart and blood vessels. Myocarditis involves inflammation of the heart muscle, pericarditis is inflammation of the pericardium (the sac around the heart), and coronary artery aneurysm is a serious complication where the coronary arteries become weakened and form aneurysms. These complications can lead to serious cardiac issues and even result in long-term heart problems if not managed promptly. Educationally, understanding the cardiac complications of KD is crucial for pediatric nurses as early recognition and intervention can help prevent serious outcomes. Knowing the specific complications associated with KD aids in timely assessment, monitoring, and treatment, ultimately improving patient outcomes. Nurses need to be able to differentiate between potential complications to provide effective care and support for children with KD.