ATI RN
Wongs Essentials of Pediatric Nursing 11th Edition Test Bank Questions
Question 1 of 5
Which is the most appropriate nursing action when intermittently gavage-feeding a preterm newborn?
Correct Answer: C
Rationale: The most appropriate nursing action when intermittently gavage-feeding a preterm newborn is to avoid letting the newborn suck on the tube. Preterm infants are at risk for disorganized feeding patterns and can develop a non-nutritive sucking habit when the tube is in their mouth. Allowing them to suck on the tube can lead to difficulty transitioning to oral feeding once they are ready, as they may associate feeding with the tube rather than with proper suckling at the breast or bottle. Therefore, it is important to prevent non-nutritive sucking during gavage feedings to promote successful oral feeding later on.
Question 2 of 5
You have the results of PCR tests for Mycoplasma pneumoniae; the number of positive tests is 83 collected from a 100 truly-infected persons. The sensitivity of this test is
Correct Answer: D
Rationale: Sensitivity = (True positives / Truly infected) * 100 = (83 / 100) * 100 = 83%.
Question 3 of 5
A client comes to the clinic complaining of weight loss, fatigue, and a low-grade fever. Physical examination reveals a slight enlargement of the cervical lymph nodes. To assess possible causes for the fever, it would be most appropriate for the nurse to initially ask: a."Have you bee sexually active lately?" b, "Do you have a sore throat at the present time?"
Correct Answer: A
Rationale: When assessing a client with symptoms of weight loss, fatigue, low-grade fever, and lymphadenopathy (enlarged lymph nodes), it is important to investigate potential causes of infection. In this scenario, considering the client's symptoms and signs, asking if they have been exposed recently to anyone with an infection helps in determining the possibility of an infectious etiology for their symptoms. This question can provide valuable information to guide further assessment and diagnostic evaluation.
Question 4 of 5
In children diagnosed with sickle cell disease (SCD), tissue damage results from which of the following?
Correct Answer: D
Rationale: In children diagnosed with sickle cell disease (SCD), tissue damage results from local tissue damage with ischemia and necrosis due to obstructed circulation. Sickle cell disease is a genetic disorder characterized by abnormal hemoglobin that causes red blood cells to assume a sickle shape. These sickle-shaped cells can adhere to blood vessel walls, leading to vaso-occlusion and impaired blood flow. This obstruction results in tissue ischemia and eventual necrosis, causing significant pain and organ damage. The chronic vaso-occlusive events in SCD are responsible for the development of acute and chronic complications seen in affected individuals, such as painful crises, stroke, and organ damage.
Question 5 of 5
At which stage of development are children apt to believe in the reversibility of death?
Correct Answer: B
Rationale: Preschool-aged children commonly believe in the reversibility of death due to their cognitive development stage, where magical thinking is prevalent.