ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 9
Which chromosomal abnormality is often characteristic of infantile ALL?
Correct Answer: A
Rationale: The t(4;11) translocation is commonly found in infantile ALL and is associated with a poor prognosis.
Question 2 of 9
When caring for a child that has undergone a tonsillectomy, the nurse should do which of the following?
Correct Answer: A
Rationale: When caring for a child that has undergone a tonsillectomy, the nurse should observe for continuous swallowing. Continuous swallowing may indicate bleeding, and it is important to monitor for this postoperatively as it can be a sign of hemorrhage, which is a potential complication following a tonsillectomy. Encouraging the child to take sips of clear fluids can help in assessing if there is bleeding. Observing for any signs of bleeding, such as frequent swallowing, along with monitoring vital signs and overall assessment, is crucial during the initial postoperative period.
Question 3 of 9
The nurse is conducting a staff in-service on newborn defects of the genitourinary system. Which describes the narrowing of the preputial opening of the foreskin?
Correct Answer: B
Rationale: Phimosis is the term used to describe the narrowing of the preputial opening of the foreskin in males. This condition does not allow the foreskin to be fully retracted over the head of the penis, which can cause issues with hygiene and potentially lead to infections. Phimosis can occur in newborns and also persist into adulthood if not treated. It is important for healthcare providers, including nurses, to be aware of this condition in order to provide appropriate education and intervention when needed.
Question 4 of 9
HIV antibody testing procedures using a finger stick or venipuncture to obtain whole blood, plasma, or serum, and tests using oral fluid were approved. All the following regarding this test are true EXCEPT
Correct Answer: B
Rationale: A positive result from rapid HIV tests still requires confirmation with more specific tests like Western blot or immunofluorescence assay.
Question 5 of 9
An adolescent with new-onset diabetes is struggling with 'daytime accidents.' What is this condition called?
Correct Answer: C
Rationale: Secondary enuresis is the recurrence of incontinence in a child who had previously achieved bladder control.
Question 6 of 9
When assessing a female adolescent for scoliosis, what should the nurse ask the client to do?
Correct Answer: A
Rationale: When assessing a female adolescent for scoliosis, the nurse should ask the client to bend forward at the waist with arms hanging freely. This Adams forward bend test allows the nurse to evaluate the spine for any asymmetry, curvature, or rib hump that may indicate scoliosis. By observing the alignment of the spine while the client is in a forward bent position, the nurse can gather important information to determine if further evaluation or referral to a healthcare provider is necessary.
Question 7 of 9
Which is the primary treatment for hypoglycemia in newborns with feeding intolerance?
Correct Answer: B
Rationale: Newborns with hypoglycemia and feeding intolerance typically require immediate treatment to rapidly raise their blood glucose levels. In such cases, the primary treatment is intravenous (IV) infusion of glucose because it provides a quick and direct source of glucose for the baby's body. IV glucose administration bypasses the need for digestion, making it the most effective way to increase blood sugar levels rapidly in newborns with feeding intolerance and hypoglycemia. It is crucial to monitor the baby's blood glucose levels closely during IV glucose infusion to ensure proper management.
Question 8 of 9
Which food choice contains the highest kilocalorie?
Correct Answer: C
Rationale: Bacon contains the highest kilocalories among the food choices provided. Bacon is high in fat, with approximately 42 kilocalories per slice (8 grams) compared to other options like an apple (52 kilocalories), chicken (231 kilocalories), and bread (79 kilocalories). The high fat content in bacon contributes to its higher caloric value compared to the other choices listed. As such, bacon is the food choice with the highest kilocalorie content in this selection.
Question 9 of 9
Which of the following method if used by Wilma will best assure that the tracheostomy ties are not too tightly placed?
Correct Answer: A
Rationale: Placing 2 fingers between the tracheostomy tie and the neck is a reliable method to ensure that the tie is not too tight. This technique allows for proper circulation around the neck area and helps prevent skin irritation or pressure ulcers from developing. It strikes a balance between securing the tracheostomy in place and maintaining the patient's comfort and safety. Checking for appropriate tightness by using the finger method is a standard practice in tracheostomy care to prevent complications related to excessive pressure or constriction.