ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
What is the care priority for a newborn with bladder exstrophy and a malformed pelvis?
Correct Answer: D
Rationale: Minimizing disturbances (clustering care) helps prevent infection and allows the infant to conserve energy before surgical repair.
Question 2 of 5
Osteosarcoma is the most common primary malignant bone tumor in children and adolescents; it has multiple subtypes and requires different modalities of treatment including surgery and chemotherapy. Of the following, the subtype of osteosarcoma which is treated by surgery alone is
Correct Answer: D
Rationale: Periosteal osteosarcoma is often treated with surgery alone if margins are clear.
Question 3 of 5
Usually, how does the patient behave after his seizure has subsided?
Correct Answer: C
Rationale: After a seizure has subsided, it is common for the patient to experience restlessness and agitation. This may be due to confusion, disorientation, and fatigue following the seizure. Restlessness and agitation can also be caused by the brain's recovery process and the emotional impact of a seizure episode. It is important to provide a calm and supportive environment for the patient during this time and to ensure their safety until they fully recover from the seizure.
Question 4 of 5
A worried mother of a 4-year-old boy describes attacks of inconsolable crying and prefers to play alone. The MOST appropriate action is
Correct Answer: B
Rationale: Further history is needed to rule out behavioral or psychological issues.
Question 5 of 5
The primary underlying disorder of pulmonary edema is:
Correct Answer: A
Rationale: Pulmonary edema is a condition where fluid accumulates in the air sacs of the lungs, leading to difficulty breathing. The primary underlying disorder of pulmonary edema is often decreased left ventricular pumping. When the left ventricle of the heart fails to effectively pump blood to the rest of the body, it can lead to a backlog of blood in the pulmonary circulation. This increase in pressure in the pulmonary circulation can cause fluid to leak out of the capillaries and into the alveoli of the lungs, resulting in pulmonary edema. Therefore, decreased left ventricular pumping is a key factor in the development of pulmonary edema.