ATI RN
Pediatric Emergency Nursing PICO Questions Questions
Question 1 of 5
When taking a dietary history from a newly admitted client, the nurse should remember that which of the following foods is a common allergen?
Correct Answer: D
Rationale: Strawberries are a common allergen and can cause allergic reactions in some individuals. Allergies to strawberries are relatively common and can present as mild reactions like itching and hives, or more severe symptoms such as difficulty breathing and anaphylaxis. It is important for healthcare professionals, such as nurses, to be aware of common allergens when taking a dietary history from clients to ensure their safety and well-being.
Question 2 of 5
The physician prescribes didanosone (ddl [Videx]), 200mg PO every 12 hours, for a client with acquired immunodeficiency syndrome (AIDS) who is intolerant to zidovudine (azidothymidine ,AZT [Retrovir]). Which condition in the client's history warrants cautious of this drug?
Correct Answer: A
Rationale: Didanosine (ddl or Videx) is an antiretroviral medication used in the treatment of HIV/AIDS. However, one of the notable side effects of didanosine is peripheral neuropathy, which can manifest as tingling, numbness, or pain in the hands and feet. Since the client already has a history of peripheral neuropathy, prescribing didanosine may exacerbate this condition, making it important for the healthcare provider to exercise caution. Monitoring for any signs or symptoms of worsening peripheral neuropathy is essential in this case.
Question 3 of 5
Which is the most common causative agent of bacterial endocarditis?
Correct Answer: D
Rationale: Streptococcus viridans is the most common causative agent of bacterial endocarditis. This group of bacteria consists of various species, including S. sanguinis and S. mutans, which normally reside in the oral cavity and are commonly associated with endocarditis following dental procedures. Streptococcus viridans can enter the bloodstream due to dental work, oral infections, or trauma to the oral tissues, and cause infective endocarditis by adhering to damaged heart valves or endocardium. Staphylococcus aureus and Enterococcus species are other common pathogens associated with endocarditis, but Streptococcus viridans remains the most prevalent causative agent.
Question 4 of 5
Nurse Analiza is administering a medication via the intraosseous route to a child. Intraosseous drug administration is typically used when a child is:
Correct Answer: C
Rationale: Intraosseous drug administration is typically reserved for pediatric patients who are critically ill and under the age of 3. This route is chosen when intravenous access cannot be readily established or when the patient is in urgent need of medication administration. Young children have easily accessible bone marrow spaces, making intraosseous administration a quick and effective means of delivering medications in emergency situations. Older children tend to have more developed vasculature, making it easier to establish intravenous access in those cases.
Question 5 of 5
Minda, a 65-year old female has been admitted with a left hemisphere stroke. Which behavioral change would the nurse expect to find upon assessment?
Correct Answer: D
Rationale: A left hemisphere stroke typically affects the right side of the body due to the way the brain controls motor functions. Since the left hemisphere is also responsible for language and speech processing, patients with a left hemisphere stroke commonly exhibit errors in word choices, difficulty speaking or understanding language, aphasia, and other language-related impairments. This is known as Broca's aphasia or expressive aphasia. Therefore, the nurse would expect to find errors in word choices as a behavioral change in a patient like Minda with a left hemisphere stroke.