ATI RN
Essential of Pediatric Nursing Test Bank Questions
Question 1 of 5
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 5
A nurse is teaching parents about caring for their child with chickenpox. The nurse should let the parents know that the child is considered to be no longer contagious when which occurs?
Correct Answer: B
Rationale: The child with chickenpox is considered to be no longer contagious when the lesions are crusted over. This usually occurs around 7-10 days after the rash first appears. At this stage, the fluid-filled blisters have dried up and formed scabs, indicating that the infectious stage of the illness has passed. The child can then safely return to school or daycare without posing a risk of spreading the infection to others. It is important for parents and caregivers to continue practicing good hygiene and ensuring that the child does not scratch the scabs to prevent complications and scarring.
Question 3 of 5
Which of the following chromosomal abnormalities of childhood ALL carries the highest risk of relapse despite intensive chemotherapy?
Correct Answer: A
Rationale: The Philadelphia chromosome (t(9;22)) is associated with a high risk of relapse in ALL.
Question 4 of 5
A client with thrombocytopenia secondary to leukemia develops epistaxis. The nurse should instruct the client to:
Correct Answer: B
Rationale: The nurse should instruct the client to sit upright, leaning slightly forward when experiencing epistaxis (nosebleed). This position helps prevent blood from dripping down the back of the throat, reducing the risk of aspiration. In the case of a client with thrombocytopenia secondary to leukemia, the blood may have difficulty clotting due to low platelet counts. Therefore, it is important to minimize bleeding as much as possible. Lying supine with the neck extended may increase the risk of blood flowing down the throat, while blowing the nose or putting lateral pressure on it may aggravate the bleeding. Holding the nose while bending forward at the waist may also increase blood flow towards the head. Sitting upright, leaning slightly forward is the safest position to prevent complications associated with epistaxis in this case.
Question 5 of 5
The home health nurse asks a child's mother many questions as part of the assessment. The mother answers many questions, then stops and says, "I don't know why you ask me all this. Who gets to know this information?" The nurse should take which action?
Correct Answer: C
Rationale: The correct action for the nurse to take in this situation is to explain who will have access to the information. This can help build trust with the child's mother and alleviate any concerns she may have about the confidentiality of the information shared during the assessment. By explaining clearly who will have access to the information and how it will be used, the nurse can address the mother's concerns and ensure that she feels comfortable sharing necessary information for the child's care. This open communication is essential in building a supportive and trusting relationship between the nurse and the child's mother.