ATI RN
Pediatric Research Questions Questions
Question 1 of 5
When doing the first assessment of a male newborn, the nurse notes that the scrotum is large, edematous, and pendulous. This should be interpreted as a(n):
Correct Answer: B
Rationale: A hydrocele presents as a fluid-filled sac surrounding the testes within the scrotum. In newborns, it is a common finding due to the open connection between the peritoneal cavity and the scrotum that may allow fluid to accumulate. This can result in a large, edematous, and pendulous scrotum. Hydroceles are usually benign and tend to resolve on their own within the first year of life. In contrast, the absence of testes (cryptorchidism) would be identified as the inability to palpate the testes in the scrotum or inguinal canal. An inguinal hernia would present as a bulge in the inguinal area caused by a loop of intestine protruding through a weak spot in the abdominal wall.
Question 2 of 5
The nurse explains to a client that she will administer his first insulin dose in his abdomen. How does absorption at the abdominal site compare to absorption at other sites?
Correct Answer: C
Rationale: Insulin absorption rates can vary depending on the injection site. The abdomen is one of the recommended sites for insulin injection due to its relatively rapid absorption rate compared to other sites such as the upper arm or thigh. Insulin injected into the abdomen is absorbed more quickly because of the larger blood supply in that area, leading to faster onset of action and better blood glucose control. This is why the nurse chose to administer the first insulin dose in the client's abdomen for optimal effectiveness.
Question 3 of 5
The nurse is interviewing the mother of an infant. She reports, "I had a difficult delivery, and my baby was born preterm." This information should be recorded under which of the following headings?
Correct Answer: A
Rationale: The information given by the mother about having a difficult delivery and her baby being born preterm is considered part of the past medical history. Past medical history includes previous medical conditions, surgeries, hospitalizations, and significant events related to the patient's health before the current encounter. This information helps healthcare providers understand the patient's background and any potential risks or complications relevant to their current health condition.
Question 4 of 5
The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement?
Correct Answer: D
Rationale: Therapeutic management for rheumatic fever includes administering penicillin to eradicate the streptococcal infection, avoiding salicylates (aspirin) to prevent Reye's syndrome, and imposing strict bed rest for the acute phase to decrease cardiac workload and prevent joint complications. Corticosteroids are used if chorea (involuntary movement disorder) develops to reduce inflammation and control symptoms. Therefore, the nurse should expect to administer corticosteroids if chorea develops in a child with rheumatic fever.
Question 5 of 5
By the age of 7 months, the infant is able to do all the following EXCEPT
Correct Answer: D
Rationale: Cruising typically occurs later, around 9-10 months.